Evaluation of clinical safety and efficiency of laparoscopic inguinal hernia repair

Objective To evaluate the clinical safety and efficiency of laparoscopic inguinal hernia repair for adult inguinal hernia.Methods A non-randomized concurrent control study was carried out including 108 conventional hernia repair,113 open mesh repair and 319 laparoscopic inguinal hernia repair.Results Recurrence rates of 3 groups were 6.48%,0.88% and 0.31% respectively(P0.01).Recurrence rate of conventional hernia repair(6.48%)was higher than open mesh repair(0.88%)and laparoscopic inguinal hernia repair(0.31%)(P0.01)while there was no significant difference between the groups of open mesh repair and laparoscopic inguinal hernia repair(P0.05).The incidence rates of complications for 3 groups were 10.74%,9.84% and 9.73% respectively(P0.05).The operating time of 3 groups was similar(P0.05).The visual analogue pain scores,postoperative hospitalization and time to regain normal activity were significantly less in laparoscopic inguinal hernia repair than the other 2 groups.Conclusion As one of the tension-free herniorrhaphy procedures,laparoscopic inguinal hernia repair is a safe and effective technique for adult inguinal hernia.