To retrospectively analyze the influencing factors of early complications of open abdominal hernia mesh repair, compare the advantages and disadvantages of different prevention and treatment measures, and explore its clinical application value.

A retrospective analysis of our hospital from February 2008 to June 2019 is open to adults abdominal hernia mesh repair in patients with clinical data of a total of 932 cases, of which 856 cases of inguinal hernia, incisional hernia 138 cases, compare different prevention impact of the measures on early complications, their clinical value.

A total of 44 of the 932 patients developed early complications, including 4 cases of incision infection, 39 cases of seroma, and 6 cases of chronic pain. Whether or not prophylactic antibiotics were used did not affect the incisional infection rate (P>0.05), compared with the traditional salt bag compression, abdominal compression could reduce the occurrence of postoperative seroma (P<0.05), and there was no significant difference between routine intraoperative exploration of the ilioabdominal inferior nerve and ilioinguinal nerve and that without nerve exploration (P>0.05).

Prophylactic antibiotics are not required for inguinal hernia. Compared with traditional salt bags, abdominal compression of the wound after abdominal hernia surgery is more effective. Combined with negative pressure suction, it can accelerate the recovery of patients and reduce postoperative complications. Although intraoperative nerve exploration can avoid nerve injury, missutures and compression, nerve injury is not the only factor leading to chronic pain after surgery, and there is no need to deliberately routine nerve exploration in order to avoid chronic pain.