Abstract: Objective:To investigate the operation development of adult inguinal hernia repair in a thirdclass hospital in west China and to understand the current treatment situation of adult inguinal hernia in different wards operation groups in this hospital.Methods:Retrospective investigation was made on adult inguinal hernia surgery cases carried out by two surgical groups in this hospital from November 2017 to April 2018.According to the hospital settings，the operation groups are divided into two areas A and B，the operation methods，anesthesia methods，operation time，hospitalization time and postoperative complications in different operation groups are compared，and the differences between different groups are analyzed.Results:The percentage of endoscopic hernia surgery in groups A and B was 68% and 62%，respectively，with no significant difference（P>0.05）.The percentage of local anesthesia used in open operation in wards A and B was 47% and 15%，respectively（P<0.05）.The operation time of endoscopic hernia repair（Unilateral）in group A was（151.46±34.71）min，in group B was（97.56±25.90）min（P<0.05）.The operation time of open hernioplasty（Unilateral） in group A was（90.40±19.05）min，in group B was（95.64±25.34）min，there was no significant difference between the two groups（P>0.05）.Among all the investigated subjects，the average hospitalization time of patients with endoscopic hernia repair was（4.90±2.17）days.The average hospitalization time of patients with open herniorrhaphy was（5.81±3.29）days，and there was no significant difference between the two groups（P>0.05）.The incidence of surgical complications between groups A and B was 0（P>0.05）.〖WTHZ〗Conclusion:In this hospital，endoscopic herniorrhaphy is the main choice of surgical methods in most surgical groups，and there are some differences in surgical related indicators between different groups，which indirectly reflects the actual situation of adult inguinal hernia treatment in western region at present，and provides a sample reference for the quality control system of hernia treatment in China.

Key words: adult, inguinal hernia repair, present situation