To analyze the feasibility of laparoscopic transabdominal preperitoneal repair in the treatment of ipsilateral recurrent inguinal hernia.

126 patients with ipsilateral recurrent inguinal hernia who were treated in Xinhua hospital Chongming branch from February 2015 to February 2017 were selected and divided into the endoscopic group (79 cases) and the open group (47 cases). The observation group was treated with laparoscopic transabdominal preperitoneal repair, and the control group was treated with Lichtenstein repair. The perioperative indicators, postoperative pain, postoperative recurrence rate and complications were observed in the two groups.

The operations in both groups were successfully completed. There was no transfer to open surgery. No major tissue or organ damage was seen. In the endoscopy group, intraoperative blood loss was (14.87±3.47) ml, time to get out of bed was (21.97±6.18) hours, and hospital stay was (4.51±1.21) days, which were lower than those in Lichtenstein group, and the differences were statistically significant (P<0.05); At 6 hours, 24 hours, 1 week, 1 month, and 3 months after surgery, the VAS score of the endoscopy group was significantly lower than that of the control group, and the difference was statistically significant (P<0.05); the complication rate of the endoscopy group was lower than that of the control group, and the difference was statistically significant (P<0.05).

Laparoscopic transabdominal preperitoneal repair has less blood loss, short postoperative recovery time, less postoperative pain and fewer complications. It is safe and feasible to treat ipsilateral recurrent inguinal hernia.