To compare the efficacy of integrated spermatic cord dissociation and separate dissociation in open inguinal hernia repair.

The clinical data of 80 patients admitted to Beijing Chaoyang Hospital Affiliated to Capital Medical University and Shaanxi Forest Engineering Hospital from May 2020 to May 2021 were retrospectively analyzed. Patients were divided into 2 groups according to different methods of spermatic cord dissociation. The observation group 42 cases using integrated spermatic cord dissociation, the control group 38 cases using separate dissociation. All patients underwent preperitoneal tension-free hernia repair under local anesthesia. The clinical data of patients were collected. The clinical indicators of the two groups were compared.

All patients in 2 groups successfully completed surgery. The operation time between observation group and the control group had no significant difference (P>0.05). The intraoperative blood loss of the observation group was less than the control group (P<0.05). The postoperative incidence of temporary nerve paresthesia and seroma between the observation group and the control group had no significant difference (P>0.05). There was no recurrence in 2 groups of patients after operation.

Integrated and separate spermatic cord dissociation were both safe and effective. Integrated spermatic cord dissociation was based on anatomical basis, with a small injury, without destroying the spermatic integral structure. Although separate spermatic cord dissociation destroyed the whole structure of the testosterone muscle, the rates of intraoperative bleeding and postoperative incidence of abnormal area feel had no significant difference after hemostasis and nerve protection. Both spermatic cord dissociation methods have reference and promotion value.