To analyze and evaluate the clinical effect of tension-free hernioplasty for inguinal hernia of different ages.

From August 2016 to August 2018, 90 patients with inguinal hernia were selected as the research objects, and they were divided into observation group (<60 years old, n=35) and control group (≥60 years old, n=55), respectively. The same tension-free hernia repair was performed in the two groups, and the surgical effect of the two groups was compared. The patients in the two groups were followed up for one year, to compare recurrence rate and complications.

There was no statistical difference between the two groups in terms of gender, BMI, hernia type, hernia location and other baseline data (P>0.05); there was no statistical difference between the two groups in terms of operation time, hospitalization days and hospitalization expenses (P>0.05), but the time of getting out of bed after operation in the observation group was significantly shorter than that in the control group (P<0.05); the incidence of postoperative complications in the observation group was 5.71% (2/35), and the recurrence rate in one year was 2.86% (1/35). The postoperative complication rate in the control group was 7.27% (4/55) and the recurrence rate was 5.45% (3/55). There was no statistical difference in the complication rate and recurrence rate within 1 year between the two groups (P>0.05).

The clinical effect of tension-free herniorrhaphy is ideal for the patients under 60 years old. The postoperative recovery time is short, the postoperative complications and recurrence rate are low, and the operation safety is good. Although the time of getting out of bed after tension-free herniorrhaphy for the patients over 60 years old is relatively long and the recovery speed is slow, the operation effect is still reasonable. It is thought that patients can gain long-term benefits under the premise of improving the preoperative assessment of physical function and drug metabolism.