To explore the clinical effect of laparoscopic transabdominalpreperitoneal (TAPP) and open preperitoneal hernia repair for inguinal hernia.

According to the different treatment options, 102 cases of inguinal hernia who treated in the first people's hospital of Jinzhong were randomly divided into the TAPP group (51) and the control group (51). The control group were given the open preperitoneal hernia repair. The operation time, amount of bleeding, and hospital stay were noted, and the incidences of postoperative recurrence, pain, hematoma, and infection between the two groups were compared.

The hospital stay of the TAPP group was (4.65±0.78) days, obviously shorter than (6.08±2.23) days in the control group. The difference was statistically significant (P<0.05). After 4 to 18 months of follow-up, there were no recurrence, postoperative hematoma and infection in the TAPP group. 2 cases of chronic pain and 1 case of scrotal hydroceleoccurred in the TAPP group. There were 3 cases of recurrence and 5 cases of hematoma and 3 case of infection, 6 of chronic pain, and 7 cases of scrotal hydrocele in the control group; and the differences of the morbidity between the 2 groups were statistically significant (P<0.05). There were no differences in the operation time and the amount of bleeding during operation between two groups (P>0.05).

The clinical effect of TAPP repair is better than open preperitoneal hernia repair for inguinal hernia.