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BACKGROUND: Laparoscopic total extraperitoneal anterior peritoneal repair of inguinal hernia has a good clinical effect. However, it should be further discussed how to choose the right mesh in surgery can accelerate the recovery time and improve the postoperative recovery quality of patients. OBJECTIVE: To compare the effect of 3Dmax light-weight hernia mesh and Prolene weight mesh on the repair of inguinal hernia. METHODS: A total of 110 patients with inguinal hernia treated in the People’s Hospital of Liaoning Province from January 2016 to December 2018 were selected, including 97 males and 13 females, at the age of 18-70 years old. All the patients underwent laparoscopic total extraperitoneal anterior peritoneal hernia repair. 3Dmax light-weight hernia meshes were used in 67 patients and Prolene heavy mesh were used in 43 patients. Postoperative complications were recorded. The patients were postoperatively followed up for 12 months. Visual analogue scale score and SF-36 quality of life score were compared between the two groups. The experiment was approved by the Ethics Committee of the People’s Hospital of Liaoning Province. RESULTS AND CONCLUSION: (1) The number of cases of non-infectious fever in the 3Dmax mesh group was less than that in the Prolene mesh group(P < 0.05). There was no statistically difference between the two groups in incision infection, urinary retention, and hematoma(P > 0.05). (2) The visual analogue scale score of the 3Dmax mesh group was lower than that of the Prolene mesh group at 3, 6 and 12 months after surgery(P < 0.05). (3) The SF-36 quality of life score 7 days after surgery showed that the health status, living ability and social function scores and total scores of the 3Dmax mesh group were higher than those of the Prolene mesh group(P < 0.05). (4) The SF-36 quality of life score at 3, 6 and 12 months after surgery showed that the 3Dmax mesh group had less restrictions on daily activities such as walking, lifting heavy objects and physical activities than those in the Prolene mesh group(P < 0.05). (5) The results show that compared to the Prolene weight mesh, the use of 3Dmax light-weight hernia mesh for repair of laparoscopic total extraperitoneal anterior peritoneal hernia can reduce adverse reactions, reduce the degree of pain, accelerate the recovery time of patients, and improve the quality of postoperative recovery. [ABSTRACT FROM AUTHOR]

Objective To evaluate the clinical effectiveness and feasibility of high ligation through abdominal transverse incision in the treatment for pediatric inguinal hernia. Methods From Januaiy 2008 to December 2015,we treated 426 children diagnosed as pediatric inguinal hernia,of which 239 cases underwent high ligation through traditional oblique incision (control group) and 187 cases through abdominal transverse incision(obsen^ation group). The two groups were compared for demographics of patients, intraoperative conditions, postoperative complications and recunrence rates. Results The clinical data were compara ble between the two groups. The mean length of incisions was(1.5±0.3) cm in observation group，whereas the mean length was (3,5±1,4) cm in the control groupf^PcO.05). The mean volume of intraoperative bleeding was (20,0±12,6) mL and (60,0±19,7) mL， respectively. The time of operation, beginning taking food, algogenia, recovering self-regulated activities and the length of hospital stay significantly reduced in the observation group compared to the control group (P<0.05). The incidence rates of local swelling, scrotum hematoma,scrotum edema and recunrences were significantly lower in the observation group than those in the control group. Conclusions High ligation through transverse abdominal incision is an effective way in the treatment of pediatric inguinal hernia. [ABSTRACT FROM AUTHOR]