To compare the effect of traditional hernia repair and biological mesh hernia repair on young adults of childbearing age.

The clinical data of 62 cases of young adults of childbearing age admitted to the Nanjing Hospital of Nanjing Medical University from February 2014 to June 2015 were retrospectively analyzed. The patients were divided into two groups according to the operation method, including 30 cases of traditional hernia repair and 32 cases of biological mesh hernia repair. The length of hospital stay, cost of hospitalization, seroma, Incision dehiscence, degree of postoperative pain and pain in the surgical field after discharge were compared between the two groups.

The operation of both groups was successfully completed. The cost of hospitalization and operation time in the traditional hernia repair group was lower than those in the biological mesh hernia repair group (t=-24.901, -5.342, P=0.000, 0.003). However, the number of postoperative pain and postoperative pain time in the traditional hernia repair group were significantly more than those in the biological mesh hernia repair group (χ²=9.854, 15.855, P=0.000, 0.003). There were no significant differences between the two groups in the length of stay and incision delayed healing (t=1.212, χ²=0.200, P=0.23, 0.655). All cases were followed up for 10 to 24 months with an average of 15.8 months. No complications such as hernia recurrence, patch infection or rejection, and testicular atrophy were observed in both groups.

For young adults of childbearing age, individualized treatment should be emphasized. According to Gilbert classification, type Ⅰ, Ⅱ are recommended to use the traditional hernia repair, and for type Ⅲ is recommended to use the biological mesh hernia repair.