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To compare the safety, feasibility, advantages and limits of laparoscopic herniorrhaphy and Lichtenstein technique for inguinal hernia repair. A total of 506 patients between 13 and 18 y old were enrolled in this study and divided into three groups to receive transabdominal preperitoneal hernia repair (TAPP) (n=168), total extraperitoneal hernia repair (TEP) (n=168) or Lichtenstein repair (n=170), respectively. Results suggested that the postoperative pain scores in the TAPP and TEP groups were lower than those in the Lichtenstein group, but the hospitalization costs of the TAPP and TEP groups were higher than those in the Lichtenstein group. None of the patients from TAPP and TEP groups showed recurrence, while 1 of the 170 patients from the Lichtenstein group showed recurrent hernia. It is indicated that laparoscopic herniorrhaphy including TAPP and TEP is safe and feasible, and it is superior to Lichtenstein technique in improving postoperative pain and avoiding recurrence, but it is more expensive than the latter.

biomedical research/biomedical research

Laparoscopic inguinal hernia repair and Lichtenstein tension-free hernia repair for children in 13-18 years old: a prospective, randomized, single-blind controlled trial