To investigate the safety and clinical effect of two different methods of transecting or stripping the hernia sac of scrotal hernia in laparoscopic totally extraperitoneal (TEP) hernia repair.

65 patients with scrotal hernia who underwent TEP from January 2017 to December 2019 in Suzhou Ninth People's Hospital were retrospectively analyzed, they were divided into group A (n=35) and group B (n=30) according to different treatment methods of the hernia sac. In group A, the hernia sac was transected, and in group B, the hernia sac was stripped. The operation time, intraoperative blood loss, postoperative hospital stay and related complications were compared between the two groups.

The operation time and total complication rate of group A were better than group B (P<0.05). There were no significant differences in the intraoperative blood loss, postoperative hospital stay and postoperative complication rate between the two groups (P>0.05). The patients of the two groups were followed up for 6 to 24 months, and there was no recurrence in both groups.

Scrotal hernia treated by TEP is safe, effective and feasible. Transecting or stripping the hernia sac during TEP has no effect on the amount of intraoperative blood loss, postoperative hospital stay and incidence of postoperative complications, which can be selected according to the actual situation of patients. Transecting sac of scrotal hernia is relatively easier, which can reduce the operation time and complications. It is more suitable for the primary hospitals.