To study the clinical application of preperitoneal mesh repair and mesh-plug repair for femoral hernia.

From January 2013 to January 2017, a retrospective study was conducted on femoral hernia underwent open tension-free repair in Bazhong Chinese Medicine Hospital. A total of 76 cases were selected, of which 34 patients had preperitoneal mesh repair. And other 42 patients were treated with mesh-plug repair. The operative time, postoperative recovery time, length and cost of hospitalization were observed. The postoperative pain score (visual analogue scale, VAS) at 3, 7 , 12 and 72 hours after surgery and postoperative complications of patients were noted.

There were no significant differences in the time of operation, the recovery time and the length of hospitalization between the two groups (P>0.05). There was no significant difference in VAS scores between the two groups (P>0.05), at 3, 7, and 12 hours after surgery; while there was a significant difference between the scores at 72 hours after surgery (P<0.05). The postoperative complications of the patients in the preperitoneal group were better than those in the mesh-plug group. There were statistical differences between chronic pain and foreign body sensation after surgery (P<0.05).

The anterior prepreitoneal mesh repair surgery uses the patch covering the patient's entire myopectineal orifice, and is a more reasonable surgical approach for the treatment of groin and femoral hernia.