To discuss the clinical treatment of female inguinal hernia with round ligament cyst of uterus.

Ten female patients with inguinal hernia combined with round ligament cyst of the uterus who were diagnosed and treated in Affiliated Hospital of Qingdao University from January 2019 to December 2020 were retrospectively analyzed. The patients underwent totally extra-peritoneal hernia repair (TEP) or trans-abdominal preperitoneal hernia repair (TAPP) combined with round ligament cyst of uterus resection. Operation method, operation time, hospital stay and postoperative complications were observed and recorded.

Among the 10 patients, 6 patients underwent TAPP, and 4 patients underwent TEP repair. All patients completed the operation under laparoscopic surgery, and no patient transferred to open surgery. During the operation, all patients were confirmed to have inguinal hernia combined with round ligament cyst of uterus, and no contralateral occult hernia. The mean diameter of the hernia ring of the patients was (2.1±0.4) cm, the mean operation time was (47.4±9.5) min, and the mean hospital stay was (2.54±0.43) days. There were no cyst recurrence, hernia recurrence, infection, pain during the mean follow-up of (24.3±15.2) months.

Laparoscopic treatment of female patients with inguinal hernia combined with round ligament cyst of uterus can achieve significant effect.