To compare the clinical effects of laparoscopic inguinal hernioplasty with different surgical approaches.

102 patients with inguinal hernia underwent surgical treatment in Wuhu fifth people's hospital from March 2017 to May 2018 were divided into the control group and the observation group according to the order of admission, with 51 cases in each group. The control group was given laparoscopic transabdominal preperitoneal hernia repair (TAPP), while the observation group was treated with laparoscopic total extraperitoneal hernia repair (TEP). The operation-related indicators, quality of life, acute and chronic pain, complications and recurrence were compared between the two groups.

The time to get out of bed, recovery of intestinal peristalsis and operation cost in the observation group were lower than those in the control group (P<0.05), but there were no statistical differences in the operation time, exhaust time and hospitalization time between the two groups (P>0.05). There were no significant differences in the scores of visual analogue scale (VAS) between the two groups at 2 days, 1 month and 3 months after surgery (P>0.05). However, compared with 2 days after surgery, the scores of VAS in the two groups of patients decreased at 1 month and 3 months after surgery, with significant difference (P<0.05). At 3 months after surgery, the scores of the 8 dimensions of the short from health survey-36 (SF-36) in the two groups all rose, while there were no significant differences in the scores of each dimension between the two groups (P>0.05). The discovery rate of contralateral occult hernia in the observation group was significantly lower than that in the control group (0 vs. 15.69%, P<0.05). There were no significant differences in rates of recurrence and complication between the two groups (P>0.05).

TEP and TAPP can effectively improve the quality of life and alleviate the chronic pain after operation, and have the same effect on the complications and recurrence after operation in patients with inguinal hernia. However, compared with TAPP, TEP could promote the recovery of intestinal motility, shorten the time of getting out of bed, and reduce the treatment burden of patients. In practice, appropriate surgical method can be selected according to the doctor's experience and the patient's personal situation.