Analysis of clinical effect on 19 cases of inguinal hernia treated by laparoscopic totally extraperitoneal repair

Objective To investigate the effect of laparoscopic total extraperitoneal tension-free hernia repair (TEP) in the treatment of inguinal hernia with absorbable biological mesh. Methods A retrospective analysis of the clinical data of 19 patients with inguinal hernia with biological mesh was performed from September 2015 to September 2016 in Shengjing Hospital of China Medical University. The average operative time, average incision pain time, average postoperative venting time, average hospital stay, average operative cost, and long-term chronic pain, postoperative complications, and recurrence rate were observed. Results All the 19 patients were successfully operated. The average operation time was (35.0±4.0) min, the average incision pain time was (1.5±0.6) d, and the average postoperative venting time was (1.5±1.2) d. The average hospital stay was (4.5±0.9) d, the average surgery cost was (23 534.6±1 259.9) yuan. Two patients developed swelling of the scrotum after surgery, and one patient developed postoperative fat liquefaction. All patients were followed up for 1 year by telephone, with no recurrence, no serious complications, and chronic pain discomfort. Conclusions The application of absorbable biopsy TEP is a good and reliable way to treat inguinal hernia. Postoperative patients have mild pain and low complication rate. There is no recurrence in recent follow-up, and the short-term effect is satisfactory. It is a reliable method for the treatment of inguinal hernia. The cost is high, and can be selected according to age and individual needs. Key words: Hernia, inguinal; Laparoscopes; Laparoscopic totally extraperitoneal repair; Biological mesh; Tension-free repair