To compare the clinical efficacy of laparoscopic trans-abdominal preperitoneal hernia repair (TAPP) and opentension-free hernia repair in the treatment of incarcerated inguinal hernia.

The clinical data of 60 patients with incarcerated inguinal hernia admitted to our hospital from November 2018 to November 2020 were analyzed, and they were divided into the experiment group (n=30) and the control group (n=30) according to the different operation method. The experiment group underwent TAPP operation, and the control group underwent open tension-free hernia repair. The clinical indicators and postoperative pain of the two groups were compared, and the postoperative complications occurrence rate and recurrence rate of the two groups were counted after operation.

The operation time of the experimental group was significantly longer than that of the control group, while the exhaust time, postoperative time to get out of bed and hospital stay were significantly shorter than those of the control group (P<0.05). The visual analogue scale (VAS) scores of the two groups of patients were significantly reduced from preoperative to 6 months after surgery (P<0.05), and the VAS scores of the experimental group were significantly lower than those of the control group at 3 and 6 months after surgery (P<0.05). Follow-up for 2 to12 months, the total incidence of complications in the experimental group and the control group was 3 cases (10.0%) and 4 cases (13.3%) respectively, and the difference was not statistically significant (P>0.05).

Compared with open tension-free herniorrhaphy in the treatment of incarcerated inguinal hernia, TAPP has the advantages of rapid postoperative recovery and less pain, and does not increase the incidence of complications in patients.