ArticleOpen Access http://dx.doi.org/10.26855/ijcemr.2025.11.018
Clinical Study on the Choice of Surgical Operation for Young Patients with Inguinal Hernia
Jianfeng Huang#, Jumei Ming#, Xia Liu, Mingjing Fan, Yuhui Liu, Yong Nie*
Beijing People's Armed Police Corps Hospital, Beijing 100027, China.
#Both authors contributed equally to this work and should be considered co-first authors.
*Corresponding author: Yong Nie
Published: December 19,2025
Abstract
Objective: To evaluate the outcomes and postoperative recovery of different surgical approaches for young patients with inguinal hernia, providing a clinical reference. Methods: A total of 90 young patients with inguinal hernia admitted between July 2021 and August 2025 were enrolled. Thirty patients underwent open non-tension hernia repair (traditional group), 30 received laparoscopic total extraperitoneal non-tension hernia repair (TEP group), and 30 underwent laparoscopic transabdominal extraperitoneal non-tension hernia repair (TAPP group). Results: The TAPP group demonstrated shorter operative time compared to the traditional and TEP groups, with lower hospitalization costs in the TEP group. Comparative analysis showed statistically significant differences (P<0.05). However, no significant differences were observed in intraoperative blood loss, 24-hour VAS score, postoperative hospitalization duration, complication rates, or Barthel Index between the TEP and TAPP groups (P>0.05), though both groups showed superiority over the traditional group (P<0.05). Conclusion: Minimally invasive treatments for inguinal hernia demonstrate reliable efficacy. While both TEP and TAPP techniques have their respective advantages and limitations, clinicians should make informed surgical choices based on individual patient conditions and financial considerations.
Keywords
Inguinal hernia; TEP and TAPP; traditional open operation; postoperative recovery; effect observation
References
[1] Zhang F. Comparison of the effects of non-tension repair and laparoscopic preperitoneal repair in the treatment of inguinal hernia. Medical Information. 2021;32(17):109-10.
[2] Ren ZH, Yu HY, Shi QL, et al. Comparative study of preperitoneal repair and mesh repair for inguinal hernia. Chin J Hernia Abdom Wall Surg (Electr Ed). 2022;13(04):339-41.
[3] Lai QZ, Zhang YX, Ji XM. Discussion on the free spermatic cord technique in open inguinal hernia repair. China Urban Rural Enterp Health. 2023;34(08):183-4.
[4] Gu Y, Yang JJ, Song ZC, et al. Application value of biomaterials in the treatment of adolescent inguinal hernia. China J Pract Surg. 2024;39(08):803-6.
[5] Qin JY, Zheng LJ. Research progress on laparoscopic inguinal hernia repair with accelerated rehabilitation surgery. World Latest Med Inf. 2025;19(59):83-4.
[6] Li B, Li JQ. Clinical outcomes of laparoscopic preperitoneal inguinal hernia repair. J Henan Surg. 2024;25(04):111-2.
[7] Gu L, Yao XZ. Clinical outcomes of laparoscopic techniques in the treatment of recurrent inguinal hernia: a comparative study. World Latest Med Inf. 2023;18(94):58+71.
[8] Xie YM, Zhou WM, Lei LH, et al. Clinical experience of Li Jinshan-style inguinal hernia repair in the treatment of elderly patients with inguinal hernia. China Pract Med. 2022;13(32):58-9.
[9] Chen WF, Zheng XY, Huang P. Comparison of Gilbert, Lichtenstein, and Rutkow Hernioplasty in the Treatment of Type III Inguinal Hernia. Lingnan Mod Clin Surg. 2023;18(05):524-7+532.
[10] Sun ZW, Li G, Sun SC, et al. Application of decellularized matrix biofabric in inguinal hernia repair. Chin J Hernia Abdom Wall Surg (Online). 2023;12(05):371-4.
How to cite this paper
Clinical Study on the Choice of Surgical Operation for Young Patients with Inguinal Hernia
How to cite this paper: Jianfeng Huang, Jumei Ming, Xia Liu, Mingjing Fan, Yuhui Liu, Yong Nie. (2025) Clinical Study on the Choice of Surgical Operation for Young Patients with Inguinal Hernia. International Journal of Clinical and Experimental Medicine Research, 9(6), 675-679.
DOI: http://dx.doi.org/10.26855/ijcemr.2025.11.018