To explore the safety of different patches in laparoscopic surgery on functional rehabilitation of adult patients with inguinal hernia.

80 patients with inguinal hernia admitted to Maanshan General Hospital from March 2021 to February 2023 were selected and randomly divided into a flat patch group (hernia repair flat patch) and a 3D group (3D patch) by the random number table method, with 40 cases in each group. Surgical indicators, gastrointestinal function, pain before surgery and at 1 day and 2 days after surgery and inflammatory factors before surgery and at 1 day after surgery were compared between the two groups, and the complications were recorded.

The surgical time in the 3D group was shorter than that in the flat patch group, and the intraoperative blood loss was less than that in the flat patch group (all P<0.05). There were no statistically significant differences in bowel sound recovery time, the first anal exhaust time, the first feeding time, or the first defecation time (all P>0.05). At 1 day and 2 days after surgery, the Visual Analogue Scale (VAS) score in the two groups was increased first and then decreased, but the score in the 3D group was lower than that in the flat patch group (all P<0.05). The levels of white blood cell count (WBC), C-reactive protein (CRP), interleukin-6 (IL-6) and procalcitonin (PCT) were enhanced in both groups 1 day after surgery, but the levels in the 3D group were lower than those in the flat patch group (all P<0.05). The total incidence rate of the two group was no significant difference (P>0.05).

The application of a 3D patch for adult inguinal hernia repair in laparoscopic surgery can improve the surgical effect, alleviate the postoperative pain, relieve the inflammatory response, and it does not affect the recovery of gastrointestinal function after surgery, with high safety.