Modified Kugel patch anterior preperitoneal repair of inguinal hernia        SHEN Yang，XU Han-bin，LV Ren-geng，et al. Department of General Surgery, Hubei Xinhua Hospital, Wuhan 430015, China 
Corresponding author：HE Xiao-jun，E-mail：393919518@qq.com
Abstract    Objective    To explore the effect and experience of modified Kugel patch anterior preperitoneal repair of inguinal hernia. Methods    The clinical data of 280 cases of modified Kugel patch anterior preperitoneal tension-free repair of inguinal hernia performed from March 2008 to October 2012 in Hubei Xinhua Hospital were analyzed retrospectively. The operation time, wound pain, hospitalization time, complications and recurrence rate were studied. Results    The operation time was 35-65min, and the average was 45min. Out of bed activity occurred in postoperative 1 day. Ten cases used analgesics postoperatively. Postoperative hospitalization time was 3-5 days. The whole group of incision was primary healing without infection. There were 12 cases of scrotal edema and 2 cases of cyanosis around incision. During the follow-up of 6 months to three years no complaints occurred and  recurrence occurred in 1 case. Conclusion    Because the weak and defective pectineus pore structure is the anatomic cause of inguinal hernia，the modified Kugel technique for inguinal hernia repair is the ideal mode of operation at present.