探讨腹腔镜经腹腹膜前疝修补术（TAPP）联合腹腔镜下巴西尼原理腹股沟管后壁重建（TAPB）治疗高复发风险腹股沟疝的短期可行性。

回顾性分析2025年9月至2026年1月深圳福田区第二人民医院普外科收治的20例高复发风险腹股沟疝患者临床资料，所有患者均接受TAPP联合TAPB，结合患者年龄、疝分型、腹壁缺损特点及临床需求个体化选用合成补片或生物补片。术中均行腹横肌平面阻滞，术后给予规范镇痛。统一观察统计手术时间、出血量、视觉模拟评分法（VAS）评分、住院时间、围手术期并发症及短期疝复发情况。

全组20例患者均顺利完成手术，无中转开放。全组手术时间（133±49）min，术中出血量（2±1）ml，术后住院时间为（4±2）d。术后当天及术后第1天VAS评分为（2±1）分，疼痛程度轻微；术中腹壁下静脉损伤1例，经Hemolock夹闭止血预后良好；无严重并发症。所有患者完成3~9个月随访，随访期间未见疝复发病例。

TAPP联合腹腔镜下巴西尼原理腹股沟管后壁重建短期安全可行，可为临床提供微创治疗思路，其远期疗效需更大样本、更长随访的前瞻性研究验证。

To explore the short-term clinical feasibility of laparoscopic trans- abdominal preperitoneal hernia repair (TAPP) combined with laparoscopic inguinal canal posterior wall reconstruction based on the Bassini principle (transabdominal preperitoneal Bassini, TAPB) in the treatment of inguinal hernias at high risk of recurrence.

A retrospective analysis was conducted on the clinical data of 20 patients with inguinal hernias at high risk of recurrence who were admitted to the Department of General Surgery, the Second People's Hospital of Futian District, Shenzhen, from September 2025 to January 2026. All patients underwent TAPP combined with TAPB. Synthetic mesh or biological mesh was selected individually according to patients' age, hernia classification, characteristics of abdominal wall defect, and clinical needs. Transversus abdominis plane block was performed intraoperatively in all patients, and standardized analgesia was administered postoperatively. The operation time, blood loss, visual analogue scale (VAS) scores, hospital stay, perioperative complications, and short-term hernia recurrence rate were uniformly observed and recorded.

All 20 patients completed the surgery successfully without conversion to open surgery. The operation time was (133±49) minutes, intraoperative blood loss was (2±1) ml, and postoperative hospital stay was (4±2) days. The VAS scores on the day of surgery and the first postoperative day were both (2±1) points, indicating a mild degree of pain. One case of inferior epigastric vein injury occurred intraoperatively, which was treated with Hemolock clipping for hemostasis and had a good prognosis. No severe perioperative complications were observed. All patients completed 3-9 months of follow-up, and no hernia recurrence was observed during the follow-up period.

TAPP combined with laparoscopic inguinal canal posterior wall reconstruction based on the Bassini principle is safe and feasible in the short term, which can provide a minimally invasive treatment option for clinical practice. The long-term efficacy and safety need to be further verified by prospective studies with larger sample sizes and longer follow-up periods.