Two methods of total extraperitoneal repair for bilateral direct inguinal hernia

Objective To explore the effects of open versus laparoscopic preperitoneal surgery for bilateral direct inguinal hernia. Methods From January, 2008 to December, 2014, 67 patients with bilateral direct inguinal hernia were enrolled in this study. The patients were randomly divided into an open group (n=34) and an endoscopic group (n=33). The operation time, postoperative recovery time, postoperative complications, hospitalization time, recurrence rate, and hospitalization expense were compared between these two groups. Results All the patients were operated successfully. There were no significant differences in operation time, hospital stay after operation, scrotal edema after operation, pulmonary infection after operation, and recurrence rate after 3 years’ follow-up between the two groups ( all P > 0.05 ). The cost of hospitalization was higher in the endoscopic group than in the open group ( P < 0.01 ). Conclusion Laparoscopic repair for bilateral direct inguinal hernia and open preperitoneal repair both have their own advantages. Key words: Total extraperitoneal; Laparoscopy; Direct inguinal hernia; Hernia repair