To explore the value of retaining the uterine round ligament in adult women during laparoscopic totally extraperitoneal hernia repair (TEP).

A randomized controlled study was performed. From September 2015 to March 2019, 60 cases of adult women with inguinal hernia diagnosed and treated in Qinghai Provincial Red Cross Hospital and Guangzhou Huadu District People's Hospital were selected, and were divided into retention group and a control group with 30 cases in each group according to the random number table method. All patients underwent TEP repair. The control group not retained the uterine round ligament during the operation and the retention group retained the uterine round ligament during the operation. The outcomes of the two groups were recorded and followed up.

The postoperative hospital stay, the recovery time of gastrointestinal function and the postoperative ambulation time in the retention group were significantly less than in the control group (P<0.05). The visual analogue scores of pain in the retention group at 12, 24 and 36 h after surgery were significantly lower than those in the control group (P<0.05). The incidence of complications of 7 days after operation in the retention group (6.7%) were significantly lower than that in the control group (26.7%) (P<0.05). The serum anti-Müllerian hormone (AMH) level of 7 days after operation in both groups were lower than that of 1 day before operation, and the serum CTRP12 level were higher than that of 1 day before operation (P<0.05).

Laparoscopic totally extraperitoneal hernia repair retaining the round ligament of uterine does not increase the difficulty of surgery in the adult women, and can relieve postoperative pain, reduce postoperative complications, reduce serum AMH levels and increase CTRP12 Level, promote the rehabilitation of patients.