Comparison of opening total extraperitoneal herniorrhaphy and traditional anterior approach on tension-free repair of inguinal hernia

Objective To evaluate the effect of the two different operation ways,such as opening total extraperitoneal herniorrhaphy and traditional anterior approach on tension-free repair of inguinal hernia.Methods A randomized,double blind method,165 cases of inguinal hernia were treated either the anterior approach group(82 cases)or opening total extraperitoneal herniorrhaphy group(83 cases) to compare the two groups with operation time,admission day,the average time to resume normal activities,treatment cost and the recent/long-term operative complications and postoperative discomfort to evaluate the curative effect ofopening total extraperitoneal herniorrhaphy approach.Results The follow-up rate were 98.79 %,after(20.5±1.5) months in average followed-up in the anterior approach group and(21.6±1.8) months in the TEP group,no significant difference was founded between the two groups in the operation time,average admission day,treatment cost,time for returning to normal activities,and recurrence rate(3.66 % vs 1.20 %) and urinary retention(P0.05),however,postoperative inguinal pain,serum swelling,scrotal edema,wound infection,sensory abnormalities and ischemic testitis in TEP group was significantly less than in the anterior group,the difference between the two groups was significant(P0.05).Conclusions Open TEP inguinal hernia repair can significantly reduce the complications and the incidence of postoperative discomfort,being more effective,and worthwhile clinical use.