Abstract Objective To comparatively analyze the clinical efficacy of 3D patch vs .plain film patch via ab-dominal preperitoneal hernia repair for the treatment of inguinal hernia .[Methods] Totally 113 patients undergo-ing abdominal preperitoneal hernia repair in our hospital from Aug .2011 to Aug .2013 were collected .The obser-vation group( n=56) underwent 3D patch repair without fixation ,while the control group( n = 57) underwent plain film repair with metal nail fixation .The operation time ,pain score ,recurrent case and the incidence of post-operative complications were compared between two groups .[Results] There was no significant difference in oper-ation time and hospital day between the observation group and control group ( P>0 .05) .The pain scores in obser-vation group at d1 and d2 after operation were 1 .5 ± 0 .3 and 0 .4 ± 0 .5 respectively ,and those in control group were 2 .6 ± 0 .7 and 1 .1 ± 0 .4 respectively ,and there was significant difference between two groups ( P <0 .05) . The recurrence rates of observation group and control group were 1 .79% (1/56) and 7 .02% (4/57) respectively , and there was significant difference between two groups( P<0 .05) .The incidence rates of wound infection in ob-servation group and control group were 5 .36% (3/56) and 7 .02% (4/57) ,and there was no significant difference between two groups( P >0 .05) .The incidence rates of scrotal hematoma in observation group and control group were 1 .79% (1/56) and 10 .53% (6/57) respectively ,and there was significant difference( P <0 .05) .[Conclu-sion]Clinical efficacy of 3D patch via abdominal preperitoneal hernia repair for the treatment of inguinal hernia is better than plain film patch .The efficacy is certain .
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