TAPP and Open Repair for Recurrent Inguinal Hernia

Clinical Study of Transabdominal Preperitoneal Approach Versus Open Tension-free Hernia Repair for the Treatment of Recurrent Inguinal Hernia

The objective of this study was to explore the clinical efficacy of transabdominal preperitoneal approach (TAPP) and open tension-free hernia repair in the treatment of recurrent inguinal hernia. This study aims to provide a basis for selecting the optimal treatment methods for recurrent hernias.

The patients were randomly allocated to the TAPP group and the open tension-free repair group. We recorded the general situation, operation time, and intraoperative complications; postoperative visual analogue pain scale (VAS) scores at 24 and 48 h; and the incidence of complications such as seroma, chronic pain, inguinal numbness, foreign body sensation, and recurrence at 1 week, 1 month, 3 months, 6 months and 1 year after surgery. These indicators were compared between the two groups of patients.

Inclusion Criteria:

• age ≥ 18 years
• the diagnosis of recurrent inguinal hernia made by ultrasound or computed tomography (CT) during the present visit
• ability to tolerate general anesthesia and local anesthesia surgery
• all patients and their families agreed to participate in this study and sign relevant informed consent.

Exclusion Criteria:

• patch infection during the first surgery
• multiple (≥ 2) relapses
• inability to cooperate to complete follow-up after surgery