The choice of approach to the laparoscopic repair of inguinal hernia is controversial there is a scarcity of data comparing the laparoscopic transabdominal preperitoneal tapp approach with the laparoscopic totally extraperitoneal tep approach and questions remain about their relative merits and risks. Background and objectives laparoscopic inguinal hernia repair has become increasingly popular as an alternative to open surgery the purpose of this study was to evaluate the safety and effectiveness of the laparoscopic total extraperitoneal procedure with the use of staple fixation and polypropylene mesh. There are two standardized techniques of laparoscopic inguinal hernia repair transabdominal preperitoneal repair tapp described by arregui in 1992 and total extraperitoneal repair tep described by mckernan and laws in 1993. There are two main methods of laparoscopic repair transabdominal preperitoneal tapp and totally extra peritoneal tep repair when performed by a surgeon experienced in hernia repair laparoscopic repair causes fewer complications than lichtenstein particularly less chronic pain . A number of considerations should be kept in mind in the performance of laparoscopic inguinal repair whether via the totally extraperitoneal tep approach or via the transabdominal preperitoneal tapp approach
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