To explore the effect of hernia ring filling surgery and Lichtenstein surgery in the treatment of elderly patients with inguinal hernia.

Data of 106 elderly patients who underwent inguinal hernia surgery in the Department of general surgery of Yingshang County People's Hospital from December 2019 to December 2021 were analyzed retrospectively. According to the surgical methods, 53 elderly patients with hernia ring filling were divided into control group and 53 elderly patients with Lichtenstein operation were divided into observation group. The operation related indicators, pain indicators (pain severity at 24 hours, 72 hours, and 1 month after operation. Visual analogue scale), and postoperative complications indicators (incision infection, scrotal edema, wound hematoma, pulmonary infection, urinary retention, orchitis, acute pain and chronic pain) were compared between the two groups. The quality of life of the two groups before operation and at discharge (SF-36 scale) were compared.

There was no significant difference in operation time, blood loss, postoperative ambulation time and total hospital stay between the two groups (P>0.05). The pain scores of the observation group at 24 hours and 72 hours after operation were lower than those in the control group (P<0.05). There was no significant difference in pain scores between the two groups at one month after operation (P>0.05). There was no significant difference in postoperative complications between the two groups (P>0.05). There was no significant difference in SF-36 scores between the two groups before operation (P>0.05). At discharge, SF-36 scores in both groups increased significantly (P<0.05). The SF-36 score in the observation group at discharge was higher than that in the control group (P<0.05).

In the open surgical treatment of elderly patients with inguinal hernia, hernia ring filling and Lichtenstein operation can both achieve good therapeutic effects and safety. Lichtenstein operation is more conducive to improving the short-term postoperative pain and quality of life of patients.