To analyze the effect of different mesh fixation methods in laparoscopic trans-abdominal preperitoneal (TAPP) inguinal hernia repair on postoperative rehabilitation.

Clinical data of 95 patients with inguinal hernia treated in the Department of General Surgery of Fengxian People's Hospital from November 2019 to June 2021 were retrospectively collected. All patients were divided into group A (30 cases), group B (28 cases) and group C (37 cases) according to different mesh fixation methods. Group A was fixed with medical adhesive, group B was fixed with conventional suture, and group C was fixed with single needle suture. The general data, operation conditions were analyzed. The pain at 1, 3, 5 and 7 d after operation and the quality of life before and one month after operation were compared among the three groups. Early postoperative complications, Chronic pain and recurrence during follow-up were compared among the three groups.

The operation time, recovery time during hospitalization and hospital stay time of group C were shorter than those of group B and group A (P<0.05), and the hospital costs in the group C were lower than those in group B and group A (P<0.05). The score of visual analogue scale (VAS) of the three groups decreased gradually at 1, 3, 5 and 7d after operation, and the difference was statistically significant at different time points. The VAS scores of group C were lower than those of group B and group A at 5 and 7d after operation (P<0.05). After 1 month of operation, all the scores of quality of life in the three groups were higher than those before operation, and the scores of physical function, social function, physical pain and vital energy of group C were higher than those of groups A and B (P<0.05). In the early postoperative period (≤1 month), the total complication rates among the three groups were 10.00%, 7.14%, and 10.81%, and the difference was not statistically significant (P>0.05). All patients were followed up for more than 1 year. During the follow-up period, the chronic pain rates (6.67%, 3.57%, 10.81%) and recurrence rates (0.00%, 0.00%, 2.70%) of the 3 groups were not significantly different (P>0.05).

When treating inguinal hernia patients with TAPP operation, compared with medical adhesive fixation and conventional suture fixation, single needle suture can effectively shorten the operation time, promote postoperative recovery, reduce hospitalization expenses and postoperative pain, improve the quality of life, and do not increase the recurrence rate of inguinal hernia.