Objective  To compare and analyze the clinical efficacy and safety of single-port laparoscopic totally extraperitoneal repair (SILS-TEP) versus three-port TEP in the treatment of inguinal hernia.

Methods  A retrospective study was conducted on patients with inguinal hernia admitted to Zhengzhou Central Hospital Affiliated to Zhengzhou University from May 2024 to April 2025. The patients were divided into the SILS-TEP group and the three-port TEP group according to the surgical method received. The clinical efficacy and safety of the two groups were analyzed and compared.

Results  A total of 80 patients with inguinal hernia were included, with 40 patients in each group. There were no statistically significant differences in intraoperative blood loss, length of hospital stay, or recurrence rate between the two groups (P>0.05). The SILS-TEP group had longer operation time and higher hospi-talization costs than the three-port TEP group (P<0.05). However, the postoperative pain score and complication rate of the SILS-TEP group were lower than those of the three-port TEP group, and the incision satisfaction rate was higher (P<0.05).

Conclusion  Both SILS- TEP and three-port TEP are safe and effective for the treatment of inguinal hernia. SILS-TEP has advantages in minimally invasive cosmetic effect and pain control. Although the operation time is relatively long, its overall clinical value is significant.

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