To explore the safety and feasibility of laparoscopic exempt spermaduct inguinal hernia repair.

From December 2014 to January 2017, 352 male patients with an inguinal hernia were extracted randomly to the first affiliated hospital of soochow university, including 75 unilateral direct hernia cases, 162 unilateral indirect hernia cases, 67 bilateral indirect hernia cases, 27 bilateral indirect hernia case, 18 unilateral direct and indirect hernia cases and 3 unilateral femoral hernia case. All patients underwent laparoscopic exempt spermaduct inguinal hernia repair. The indicators of operation time, blood loss of intraoperation, postoperative local trauma, pain, hospital stay, recurrence, and ejaculation were collected and analysed.

All 352 patients were repaired under laparoscopy, and a total of 446 repairs were performed. The unilateral operation times were (105.2±12.6) minutes. The bilateral operation time was (155.7±23.4) minutes. The time of peritoneal incision closure was (12.5±2.3) minutes. Intraoperative blood loss was (2.3±0.57) ml. There were 34 cases (9.66%) who had comfronted discomfort in the local inguinal region, and there were 26 cases (7.39%) who had met with hernial sac effusion. 12 patients (3.41%) had the symptom of subcutaneous emphysema of the scrotum. No complications occurred in the remaining patients. The hospital stays of postoperation were (3.23±1.23) days, and there were no recurrences of recent follow-up and no malemissions.

The laparoscopic exempt spermaduct inguinal hernia repair had exempted the separation of spermaduct and hernial sac and simplified the segregation of preperitoneal space. The laparoscopic exempt spermaduct inguinal hernia repair is a safe and feasible operation. More importantly, it effectively avoided the damage and disturbance of the spermaduct.