ObjectiveTo compare and analyze the clinical effect of abdominal retroperitoneal laparoscopic repair and anterior approach preperitoneal repair in the treatment of inguinal hernia. MethodsThe clinical data of 62 cases with inguinal hernia were retrospectively analyzed, among them, 32 cases were treated with abdominal retroperitoneal laparoscopic repair (laparoscope group); another 30 patients were treated with anterior approach preperitoneal repair(anterior approach group), and 3DMAX patch was used in all of the operations. ResultsThere were no significant differences in the average operation time, complications and recurrence rate between the two groups (P＞0.05). The intraoperative bleeding, pain degree, ambulation time, hospitalization time of laparoscope group were less than that of anterior approach group (P＜0.05) . The average hospitalization expenses of the anterior approach group was more than that of the laparoscope group (P＜0.05) . ConclusionThe operation of retroperitoneal laparoscopic repair is simple and convenient, safe and effective, with less complications, less trauma and faster recovery, better efficacy than anterior approach preperitoneal repair.It’s especially fit for patients with bilateral hernia and recurrent hernia.

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