To compare the effects of laparoscopic hernia repair and open tension-free repair in the treatment of inguinal hernia.

A total of 320 inguinal hernia patients in Enshi Tujia and Miao Autonomous Prefecture Central Hospital from January 2018 to December 2020 were selected and divided into laparoscopic group (160 cases) and open group (160 cases) using random number table method. The laparoscopic group underwent laparoscopic hernia repair. The open group was treated with tension-free hernia repair. The surgical blood loss, operation time, incision length, incision aesthetic score, hospital stay, ambulation time, first exhaust time, hospitalization expenses, postoperative complications, treatment effect were compared between the two groups.

Compared with the open group, patients in the laparoscopic group had less surgical bleeding, short operative time and short incision length (P<0.05). The incision aesthetics score of the laparoscopic group was significantly higher than that of the open group (P<0.05), and the hospitalized time, time to get out of bed, and the first exhaust time were significantly shorter than those of the open group, but the hospitalization costs were significantly higher than that of the open group (P<0.05). There was no statistical difference in the recurrence rate and cure rate between the two groups after operation (P>0.05). The total complication rate in the laparoscopic group (5.00%) was significantly lower than that in the open group (19.38%), and the difference was statistically significant (P<0.05).

Compared with open tension-free repair, laparoscopic inguinal hernia repair can reduce the amount of bleeding during the operation, with less operation time and small incision length, and the patient gets out of bed earlier after the operation. It can shorten the duration of pain and the length of hospitalization, reduces complications after surgery, but has higher hospital costs.