To analyze the occurrence and influencing factors of intra-abdominal herniated intestinal obstruction after laparoscopic transabdominal preperitoneal hernia repair (TAPP).

A total of 404 patients with inguinal hernia who underwent TAPP in our hospital from January 2018 to December 2021 were selected as the research subjects, and they were divided into the occurrence group according to the occurrence of intra-abdominal herniated intestinal obstruction (n=38). The clinical data of selected patients with inguinal hernia after TAPP and the non-incident group (n=366) were analyzed, and univariate and Logistic regression analysis was used to screen the influencing factors of intra-abdominal herniated intestinal obstruction in patients with inguinal hernia after TAPP.

A total of 404 patients with inguinal hernia who underwent TAPP were included in this study. Among them, 38 patients had intra-abdominal herniated intestinal obstruction after operation, and the incidence rate was 9.41%. The comparison of clinical data between the two groups showed that the age, body mass index (BMI), diameter of hernia sac, incarcerated hernia, operation time and intraoperative blood loss were compared, and the differences were statistically significant (P<0.05); Logistic regression analysis showed that BMI>24 kg/m² (OR=3.278, 95% CI: 1.561-6.886, P=0.002), hernia sac diameter>5 cm (OR=3.353, 95% CI: 1.602-7.022, P=0.001), incarcerated hernia (OR=3.208, 95% CI: 1.546-6.657, P=0.002), operation time>100 min (OR=2.437, 95% CI: 1.174-5.058, P=0.017), intraoperative blood loss>10 ml (OR=2.733, 95% CI: 1.303-5.735, P=0.008) intra-abdominal hernia after TAPP independent risk factors for intestinal obstruction.

BMI>24 kg/m², diameter of hernia sac>5 cm, incarcerated hernia, operation time>100 min, intraoperative blood loss>10 ml are independent risk factors for intra-abdominal hernia ileus after TAPP operation. To identify high-risk inguinal hernia patients as soon as possible with laparoscopic TAPP while also providing certain intervention measures to controllable risk factors to prevent the occurrence of intra-abdominal herniated intestinal obstruction to the greatest extent possible.