Comparative analysis of methods for posterior wall repair of the inguinal canal

Inguinal hernias (IH) are one of the most frequently diagnosed surgical conditions. The gold standard for treating this pathology is surgical intervention, which includes hernia repair and reinforcement of the posterior wall of the inguinal canal. However, there is ongoing debate among surgeons regarding the choice of surgical method for hernioplasty. The aim of the study was to determine the preferred method for posterior wall repair of the inguinal canal in patients with unilateral inguinal hernias. Study Results: In the early postoperative period, due to residual carboxyperitoneum, the pain level according to the Visual Analog Scale (VAS) was higher 6 hours after TAPP (Transabdominal Preperitoneal Patch) compared to Lichtenstein repair, with a longer operative time. From the first day, the pain level according to VAS and the duration of hospitalization were higher after Lichtenstein repair than after TAPP. No postoperative complications were observed with the laparoscopic method. However, with the Lichtenstein method, complications related to the postoperative wound occurred in 2 cases.