关键词: 腹股沟疝, 全腹膜外修补术, 腹腔镜, 单点固定, 免固定

Abstract:    Objective    To compare the safety and efficacy of single pointsuturing fixation and free airbags free fixation in laparoscopic totally extraperitoneal inguinal hernia repair.Methods  82 patients diagnosed with inguinal hernia who underwent TEP were collected.Among them，35 patients underwent singlepointsuturing fixation as group A，47 patients underwent free airbags and free fixation as group B.The operation conditions，postoperative complications and recurrence of the two groups were compared.The quality of life was evaluated by the MOS item short from health survey（SF36）at 3 months after surgery.Results  The operation time of group A was（68.95±12.71）min，which was significantly shorter than（83.04±15.82）min of group B（P<0.05）.There were no significant differences of intraoperative blood loss [（8.96±2.45）ml vs（8.25±2.23）ml]，postoperative anal ventilatory time[（15.68±4.61）h vs（14.45±4.25）h]，ambulation activity time[（21.12±4.25）h vs（22.45±4.61）h]，length of stay[（3.72±1.13）d vs（3.96±1.33）d]，the incidence of postoperative complications（11.76% vs 21.88%）between group A and B（P>0.05）;There was no significant difference of recurrence rate between group A and group B（1.47% vs 6.25%，P>0.05）.The SF36 scores at 3 months after surgery were significantly increased than before surgery in the two groups（P<0.05），but there were no significant differences between the two groups（P>0.05）.Conclusion  The singlepointsuturing fixation in TEP is safe and feasible，which can reduce the difficulty of operation and shorten the operation time when compare4d with free airbags and free fixation.It is worthy of clinical application.

Key words: inguinal hernia, total extraperitoneal repair,  , laparoscope,  , singlepointsuturing fixation,  , free fixation