To explore the application value of laparoscopic enhanced view totally extraperitoneal (e-TEP) hernia repair and laparoscopic intraperitoneal onlay mesh (IPOM) repair in the treatment of abdominal wall hernias, and to elucidate the surgical procedures and technical details, analyzing their feasibility, effectiveness, and cost-effectiveness.

A retrospective analysis was conducted on the clinical data of 82 patients with abdominal wall hernias treated at Yueyang People's Hospital of Hunan Province from January 2018 to December 2021. The patients were divided into two groups based on the surgical procedure: the control group (40 cases) received IPOM anti-adhesion repair, while the experimental group (42 cases) underwent e-TEP (using ordinary mesh) hernia repair. Intraoperative and postoperative clinical indicators, complication rates, postoperative satisfaction, and hospitalization costs were compared between the two groups.

There were no statistically significant differences in the general data between the two groups (P>0.05). The experimental group had a longer operation time and greater intraoperative blood loss than the control group, with both differences being statistically significant (P<0.05). There were no significant differences between the two groups in terms of visual analog scale scores, postoperative hospital stay, or recurrence rates (P>0.05). The overall complication rate in the experimental group (14.30%) was higher than in the control group (5.00%), with a statistically significant difference (P<0.05). However, there were no significant differences between the two groups in terms of individual postoperative complications such as wound infection, wound seroma, or postoperative pain (P>0.05). The overall postoperative satisfaction rate did not differ significantly between the two groups (P>0.05), but the hospitalization costs in the experimental group (15 200±2 300 ) yuan were significantly lower than those in the control group (24 500±3 500) yuan, with a statistically significant difference (P<0.05).

Both IPOM and e-TEP are effective methods for treating adult abdominal wall hernias. Compared to e-TEP, IPOM has the advantages of shorter operation time, less intraoperative blood loss, and a lower overall postoperative complication rate. However, e-TEP has the advantage of lower hospitalization costs.