Laparoscopic total extraperitoneal approach for repair of a giant inguinal hernia

Abstract

Giant inguinal hernias are typically described as those which reach patient’s mid-thigh level in upright position. These present a challenge to the surgeon as surgical repair is technically challenging. Although conventionally open repairs have been done for giant inguinal hernias more recently laparoscopic techniques are being adopted. Total extra peritoneal (TEP) and trans abdominal pre peritoneal (TAPP) are two common laparoscopic approaches used. Here we present a case of a 64-year-old patient with a long standing giant inguinal hernia. Hernia was repaired with a TEP approach and patient’s recovery was satisfactory.