To explore the difference in the therapeutic effects of laparoscopic preperitoneal hernia repair (TAPP), laparoscopic totally extraperitoneal hernia repair (TEP), and open hernia repair on inguinal hernia.

A retrospective analysis of the data of 90 patients who underwent inguinal hernia surgery at the General Surgery Department of Lujiang County People's Hospital from January 2017 to July 2019. The patients were grouped according to the different surgical methods: 30 patients with open hernia repair were regarded as group A, 30 patients with TAPP as group B, and 30 patients with TEP as group C. Operation conditions [operation time, blood loss, postoperative 12 hours pain (VAS score), postoperative ambulation time, total hospital stay, medical expenses], stress response indexes [preoperative and postoperative 3 days serum norepinephrine (NE), epinephrine (E), corticotropin (ACTH), cortisol (Cor)], postoperative complications, and recurrence were compared among the 3 groups.

There was no statistically significant difference in operation time among the 3 groups of patients (P>0.05). The blood loss, postoperative VAS score at 12 hours, postoperative ambulation time, and total length of hospital stay in group A were higher than those of groups B and C. The postoperative VAS score at 12 hours and postoperative ambulation time in group B were higher than those of group C. The medical expenses of group A were lowest, followed by group B. The preoperative NE, E, ACTH and Cor data of the three groups were not statistically different (all P>0.05). At 3 days postoperatively, NE, E, ACTH, and Cor in the 3 groups increased; NE, E, ACTH, and Cor in group A were higher than those in group B, and NE, E, ACTH, and Cor in group B were higher than those in group C (all P<0.05). There was no significant difference in the data of various postoperative complications among the three groups (P>0.05). No recurrence within 3 months after surgery occurred.

Open hernia repair, TAPP, and TEP have their own advantages in the treatment of inguinal hernias. In actual clinical work, it is necessary to choose according to the actual situation of the patient.