总结腹腔镜经腹腹膜前疝修补术（TAPP）经验与技巧总结及对术后血清肿的影响。

回顾性分析2023年1月至2024年11月青岛心血管病医院及青岛大学附属医院市南院区收治的52例腹股沟疝行TAPP患者的临床资料，对TAPP手术路径、解剖标志、脂肪的归属、层面转换、膜的解剖、补片选择、创面的处理、壁层腹膜缝合技巧、大网膜的运用等进行分析。

所有患者均顺利完成TAPP手术，其中1例中转开放，无放置引流管患者，术后腹股沟术区24 h内均常规500 g盐袋加压（干棉毛巾包裹盐袋后游泳裤勒紧）。术后随访1个月，无发生血清肿患者。

正确的脂肪归属、层面的清晰解剖等手术经验和技巧，可有效避免TAPP术后血清肿发生，熟练掌握小的技巧，有利于缩短手术时间，于术者和患者均有益。

To summarize the surgical experience and techniques of laparoscopic transabdominal preperitoneal (TAPP) hernia repair and its influence on the postoperative seroma.

A retrospective analysis was conducted on the clinical data of 52 inguinal hernia patients undergoing TAPP hernia repair in Qingdao Cardiovascular Hospital and the south hospital of Qingdao University from January 2023 to November 2024. The surgical path of TAPP, anatomic landmarks, fat tissue management, layer transition, membrane dissection, mesh selection, wound management, suturing techniques for the parietal peritoneum, application of the greater omentum were described and analyzed.

All patients successfully completed the TAPP surgery. One patient was converted to open surgery. None of the patients had drainage tubes. Within 24 hours after the operation, the groin operation area was routinely pressurized with a 500 g salt bag (the salt bag was wrapped in a dry cotton towel and the swimming underwear was tightened). The patients were followed up for one month after the operation, no seroma occurred.

The surgical experience and techniques such as proper fat tissue management and clear dissection of layers can effectively avoid the seroma after TAPP. Mastering small techniques proficiently is helpful to shorten the operation time, and is beneficial to both the surgeon and the patient.