ABSTRACT
Objective To find a ideal method for inguinal herniorrhaphy. Methods One hundred patients with inguinal hernia were randomized to receive respectively PHS and Mesh Plug & Patch tension-free herniorrhaphy. Results In PHS group, the average operative time was 35 min. The postoperative complication rate was 2% (1/50), the average hospital stay was 2 days. Follow-up of 6～10 months has found no recurrence. In Plug group, the average operative time was 40 min,complication rate was 8% (4/50), the average hospital stay were 3 days. Postoperatively, 6 patients complained of temporary foreign body feeling. Follow-up of 6～10 months has found no recurrence in either group. Conclusions Both PHS and Mesh Plug & Patch are ideal materials for herniorrhaphy. PHS is especially suitable for lean inguinal hernia patients with large defect on transversalis fascia. Plug & Patch has an advantage in fat patients with small defect on transversalis fascia.