Abstract:Objective：To evaluate the clinical effects of tension-free herniorrhaphy in treatment of incarcerated inguinal hernia(IIH) in adults. Methods：A retrospective study was made on analysing the clinical data of 12 cases of IIH treated by Lichtenstein hernioplasty, 31 cases of IIH by mesh-plug hernia repair and 2 cases by Kugal herniorrhaphy. Results：There was no infection of incisional wound, rejection of foreign materials, and no operative mortality. All the patients were followed-up for three months, no hernia recurrence was observed. Conclusions：Tension-free herniorrhaphy in treatment of incarcerated inguinal hernia in adults is a effective method with very satisfactory results.