To compare the effect of self-gripping mesh and conventional polypropylene mesh in laparoscopic totally extraperitoneal hernioplasty (TEP).

160 patients with inguinal hernia admitted to Kaizhou district Traditional Chinese Medicine hospital from January 2016 to January 2018 were selected as the research objects, and their clinical data were retrospectively analyzed. All patients were treated with TEP, and they were divided into the experimental group (n=87) and the control group (n=73) according to the difference of mesh used during the operation. The two groups were followed up for 6 months. The clinical indicators and postoperative pain were compared between the two groups, and the complications and recurrence of hernia were compared between the two groups.

The operation time, paving time and first defecation time of the experimental group were significantly shorter than those of the control group, and the hospitalization expenses was significantly higher than those of the control group. (P<0.05). There was no significant difference in the hospitalization time and the first exhaust time between the two groups (P>0.05). The VAS scores of the two groups showed a downward trend from before operation to 6 months after operation (P<0.05), the experiment group was significantly lower than the control group at 1, 2 and 6 months after operation (P<0.05). The incidence of complications in the experimental group was significantly lower than that in the control group (5.75 vs. 16.44%, P<0.05). There was no significant difference in recurrence rate between the two groups (P>0.05).

The application of self-gripping mesh in TEP is very effective, which can effectively shorten the operation time, paving time and first defecation time, and the pain is lighter and the incidence of complications is lower, but the cost is higher. The results suggest that the self-gripping mesh should be given priority in clinical practice.