The Comparison Of Mesh-plug And Modified Kugel In The Treatment Of Inguinal Hernia

Objective:To compare the clinical effect of Mesh-plug tension-free inguinal herniorrhaphy and Modified Kugel inguinal herniorrhaphy.Materials and Methods:200 patients with inguinal hernia in our hospital from January 2012 to January 2015 were divided into group I and II.Each group concluded 100 cases.The patients of Group I were performed Mesh-plug tension-free inguinal herniorrhaphy while Group II were performed Modified Kugel tension-free inguinal herniorrhaphy.Two groups were compared by operative time,hospital stay,postoperative wound infection,scrotal hydrocele,urinary retention,local foreign body sensation,postoperative chronic pain,other complications,and recurrence rate.Results:Operative time and hospital stay were no obvious difference between two groups,P>0.05.The incidence of postoperative chronic pain and complications of group I were significantly higher than group II,the difference was statistically significant,P<0.05.The recurrence rate of group I was 2%while group ? 3%,the difference was not statistically significant,P>0.05.Conclusion:Mesh-plug tension-free inguinal herniorrhaphy and Modified Kugel tension-free inguinal herniorrhaphy can effectively treat inguinal hernia.The recurrence rates were low.The incidence of postoperative symptoms of Mesh-plug tension-free inguinal herniorrhaphy was high.Preperitoneal surgery,especially the open preperitoneal surgery under local anesthesia,is a safe and reliable operation method,which has more extensive indication and advantage.