探讨经腹腔腹膜外疝修补术（laparoscopic trans-abdominal preperitoneal hernia repair，TAPP）在成人腹股沟疝中的应用。

回顾性分析2015年3月至2016年12月，红十字会医院111例（134侧）行TAPP手术患者，统计各种并发症并随访。

所有病例均按照单侧腹股沟疝的临床路径、同质化住院管理，补片的固定采用化学性医用胶，术中发现隐匿性疝23例，同侧6例，对侧17例（退出临床路径管理），术后均未使用抗生素，住院时间3～5 d，术后随访出现血清肿11例，通过局部穿刺抽液证实并治愈，近期慢性疼痛5例（1个月内），给予对症处理痊愈，无复发病例。

通过TAPP对肌耻骨孔全覆盖疝修补，具有疗效确切，并发症少，易于基层医院推广。

To explored the application of laparoscopy transabdominal preperitoneal repair (TAPP) in adult inguinal hernia.

A total of 134 cases with inguinal hernia who underwent TAPP in Wuhan Red Cross Hospital from March 2015 to December 2016 were enrolled in this retrospective analysis. All sorts of postoperative complications were studied and follow-up.

All cases were managed with homogenization of hospitalization according to the unilateral inguinal hernia's clinical pathway. Patch was fixed by medical chemistry adhesive. 23 cases of occult inguinal hernia were found in the operation, 6 cases in the ipsilateral and 17 cases in the contralateral which had been eliminated from clinical pathway. No antibiotics were used after surgery. The hospital stay was 3 to 5 days. During follow-up, there were 11 cases of seromas, which cured by puncture and fluid extraction and 5 cases with chronic pain (in 1 month) were cured by symptomatic treatment, and no recurrence was found.

With full coverage to the area of myopectineal orifice, TAPP had the ability of curative effect and less complications, and being easily promote in basic-level hospitals.