Abstract: Objective To compare the clinical effects of posterior suprapubic median incision approach and anterior hernia incision approach in the treatment of adult incarcerated inguinal hernia.Methods From 2019 to 2024,94 adult patients with inguinal hernia who underwent emergency surgery were divided into two groups according to the surgical approach.There were 47 cases in the observation group,and the approach was adopted after the suprapubic median incision.In the control group of 47 cases,the traditional anterior approach of hernia incision was adopted.The basic data,surgery-related indexes and surgery-related complication indexes of the two groups were compared.Results Compared with the control group,the resetting time of incarcerated organs in the observation group was shorter (P＜0.05),the incidence of incision complications and the rate of unplanned reoperation were lower than those in the control group,and the differences were statistically significant(both P＜0.05).The operation time,operation completion,intestinal complications and postoperative testicular atrophy rate in the study group were similar to those in the control group,with no statistical significance (P>0.05).Conclusion The use of posterior suprapubic median incision for emergency inguinal hernia surgery in adults has the advantages of fast resetting of incarcerated organs,fewer incision complications,and low rate of unplanned second operation.

Key words: incarcerated inguinal hernia, emergency surgery, surgical approach, surgical complications, primary hospital