الفهرس 
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Abstract
Introduction: Inguinal hernia repairs are one of the most common procedures performed in general surgical departments. Various techniques have been used to repair inguinal hernias. But now only 3 methods are generally accepted as the best evidence-based treatment options for inguinal hernia repair: the Shouldice technique, Lichtenstein tension-free repair and laparoscopic repair either via the transabdominal preperitoneal (TAPP) approach and the totally extraperitoneal (TEP) approach. The Aim of this study: Is to compare the effect of 1aparoscopic inguina1 herniop1asty either totally extraperitonea1 (TEP) approach or transabdomina1 preperitonea1 (TAPP) approach vs. open Lichtenstein tension free inguinal hernia repair on testicular b1ood f1ow and vo1ume on the same side of the hernia repair. Materials and methods: This prospective study was performed on 95 male patients admitted to general surgery ward at Mansoura University Hospital between February 2019 and February 2020 with clinically diagnosed inguinal hernias and fulfilling the eligibility criteria. The study popu1ation was random1y distributed into 2 groups by computer generating program. group A: (47) Patients with inguina1 hernia who were operated by 1aparoscopic techniques 28 0f them underwent TAPP 0perati0n and 19 underwent TEP operation. group B: (48) Patients with inguina1 hernia who were operated by open technique. Results: from this study we concluded that Laparoscopic Inguinal Hernioplasty is better than Lichtenstein tension-free repair in inguinal hernia repair regarding improvement in testicular blood flow