总结局部麻醉下，开放腹膜前复发性腹股沟疝修补术的临床疗效。

回顾性分析自2016年6月至2018年1月，陕西省第四人民医院普外科收治的36例成人复发性直疝患者。行局部麻醉下单纯腹膜前修补术，观察其手术时间、术后住院时间、术后疼痛、术后复发等数据。

本组患者平均手术时间为单侧26 min（19～36 min），双侧46 min（39～65 min）。术后回病房即可饮食，术后局部腹带加压12～24 h，手术当天下床活动，住院期间伤口轻度疼痛，一般不用处理，平均住院2.8 d。术后1周内，脂肪液化者2例，血清肿者1例，无切口感染，无补片感染，无复发。

局部麻醉下，单纯腹膜前无张力修补复发性性直疝，安全可靠。

To summarize the clinical effect of open preperitoneal recurrent inguinal hernia repair under local anesthesia.

The medical records of 36 adult recurrent direct inguinal hernia patients from Fourth People's Hospital of Shaanxi Province between June 2016 to January 2018 were retrospectively reviewed. Operation time, hospital stay, postoperative pain, recurrence after surgery were observed.

The average operation time of this group of patients: 26 minutes (19 to 36 minutes) for unilateral hernia, 46 minutes (39 to 65 minutes) for bilateral hernia. Oral diet was usually able to be taken just after surgery, local abdominal pressure was given 12 to 24 hours, and the patients could return to daily activity on the day of surgery. Mild pain during hospitalization generally do not have to treat. The average hospital stay was 2.8 days. Within one week after surgery, there were 2 cases of fat liquefaction, 1 case of seroma, no incision infection, no mesh infection, and no recurrence.

Our results suggest that simple preperitoneal tension-free repair of recurrent hernia is safe and reliable, which is suitable for clinical promotion.