Abstract:Objective：To analyze the characteristics of sliding hernia and evaluate the therapeutic effects of traditional herniorrhaphy and mesh plug tension-free herniorrhaphy for sliding hernia. Methods：The clinical data of twenty three cases with sliding hernia, among 426 cases of inguinal hernia, treated in our hospital over a period of 14 years, were analyzed retrospectively. Traditional herniorrhaphy was performed in 10 cases and mesh plug herniorrhaphy in 13 cases. All of the patients were followed up for 1 to 3 years. The operative time, length of hospital stay, postoperative analgesic use, complications, and discomfort and recurrence rate were analyzed and compared in the 2 group. Results：There was no significant difference in the operative time and length of hospital stay between the 2 group. The use of postoperative analgesic, postoperative complications, postoperative discomfort and recurrent rate in traditional and mesh plsg tension-free herniorrhaphy was 60%(6/10) and 7.6%(1/13), 30.0%(3/10) and 7.6%(1/13) and 50%(5/10) and 7.6%(1/13), respectively; while postoperative time for return to work was 54d and 32d, respectively, and the recurrence rate was 40%(4/10) and 0%, respectively, (P<0.05). Conclusions：Compared with traditional herniorrhaphy, mesh plug tension-free herniorrhaphy for sliding hernia has advantages, such as simple, less trauma, less postoperative discomfort, and lower recurrence rate, so, it is suitable for treatment of patient with sliding hernia.