To compare the efficacy and inflammatory factors between laparoscopic hernia repair with lightweight large mesh mesh and traditional surgery in the treatment of elderly patients with inguinal hernia.

In this study, 80 patients with inguinal hernia who were treated from September 2019 to June 2022 were randomly divided into laparoscopy group and laparotomy group, with 40 cases in each group. Patients in the laparoscopy group received laparoscopic hernia repair with lightweight large mesh mesh, while patients in the laparotomy group received traditional surgical treatment with the same mesh. spss20.0 software was used for statistical analysis. Perioperative indicators, inflammatory indicators and CCS scores were represented by (), independent sample t test; Counting data of postoperative complications were compared by Chi-square test, and P < 0.05 was considered statistically significant.

The operation time, intraoperative blood loss, ambulation time, and length of hospital stay in the laparoscopic group were shorter than those in the control group (P < 0.05). The postoperative hematoma, intestinal obstruction, urinary retention and postoperative infection in the laparoscopic group were significantly lower than those in the control group (P < 0.05). The levels of IL-6, IL-1β and TNF-α in the laparoscopic group were significantly lower than those in the control group (P < 0.05). The scores of quality of life in the two groups decreased significantly, and the scores of quality of life in the laparoscopic group were significantly lower than those in the control group (P < 0.05).

Laparoscopic hernia repair with large lightweight mesh mesh in the treatment of inguinal hernia has low inflammatory reaction and complications, and the treatment effect is good.