To compare the efficacy of rectus abdominis suspension and pubic comb ligament suture in the treatment of pseudohernia sac of direct inguinal hernia.

A prospective controlled study was conducted on 60 patients with direct inguinal hernia who were admitted to Chongqing Hospital, The First Affiliated Hospital of Guangzhou University of Chinese Medicine from June 2021 to May 2022. Using a random number table, the patients were randomly divided into observation group and control group, with 30 cases per group. The observation group was treated with rectus abdominis suspension method, and the control group was treated with pubic comb ligament suture method. The operation time, consumables cost, hernia recurrence and postoperative complications of the two groups were compared.

The operation time and consumables cost of the observation group were significantly lower than those of the control group [(1.58±0.56) minutes vs (2.83±0.59) minutes; (6.23±0.43) yuan vs (819.33±17.21) yuan; all P<0.001]. There were no differences in intraoperative bleeding, visual analog scale scores for postoperative pain, postoperative urinary retention, and chronic pain between the two groups (P>0.05). There were no postoperative seromas, wound infections or hernia recurrences in the two groups.

The method of rectus abdominis suspension for the treatment of pseudohernia sac of direct inguinal hernia not only has the exact effect of avoiding postoperative seroma, but also is simple, quick, economical and practical, and reduces the medical cost.