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Abstract A hernia occurs when a small sac containing tissue protrudes through a tear, weakening or separation in the muscles in the abdominal wall. Any part of the abdominal wall can develop a hernia. However, the most common site is the groin. A hernia in the groin is called an inguinal hernia. Inguinal hernias account for 90% of all hernias. In an inguinal hernia, the sac protrudes into the groin and sometimes into the scrotum. Although inguinal hernias are most common in men, they can also occur in women. There are different techniques exist for laparoscopic repair of groin hernias. The transabdominal pre-peritoneal (TAPP) repair involves standard laparoscopy with access into the peritoneal cavity and placement of a large mesh along the anterior abdominal wall, thereby repairing the hernia posterior to the defect. Totally Extraperitoneal (TEP) procedure is modeled after the Cheatle-Henry preperitoneal hernioplasties to address some of the major criticism of the laparoscopic Transabdominal preperitoneal (TAPP) procedure, namely the need to enter the peritoneal cavity and the attendant risk of injury to an intra-abdominal organ, intestinal obstruction secondary to adhesive complications, or trocar site herniation. The disadvantages of Laparoscopic inguinal hernioplasty are the requirement of general anesthesia (GA), the need to fix the mesh, seroma formation, and the difficult learning curve. Results obtained from those techniques were attractive enough to make them compete with the classic repairs in the treatment of recurrent and even primary inguinal hernias. group A; underwent laparoscopic Transabdominal pre-peritoneal (TAPP) repair with mesh. group B; underwent laparoscopic Totally Extraperitoneal (TEP) repair with mesh. |