- Laparoscopic repair of recurrent inguinal hernias has low recurrence rates of 0-1.1% and is associated with less pain and faster recovery compared to open repair. - TEP repair is an effective procedure for treating direct, indirect, pantaloon, and recurrent hernias through small incisions with early return to normal activities and is a reliable technique for recurrent hernia repair after previous endoscopic herniorrhaphy. - The learning curve for TEP is longer than for open repair, with some studies suggesting surgeons need to perform more than 100-250 laparoscopic procedures before recurrence rates fall below 5%.

1. TEP

2. TEP introduction

21. TEP learning curve

29. TEP technique

34. Endoscopic extraperitoneal radical prostatectomy in patients with prostate cancer and previous laparoscopic inguinal mesh placement for hernia repair . Jens-Uwe Stolzenburg Æ Chris Anderson Robert Rabenalt Æ Minh Do Æ Kossen Ho Michael C. Truss World J Urol (2005) DOI 10.1007/s00345-005-0001-y Trocar placement in endoscopic extraperitoneal radical prostatectomy (EERPE): a) standard EERPEprocedure, b) previous left-sided mesh placement during minimally invasive inguinal hernia repair, and c) previous right-sided mesh placement during minimally invasive inguinal hernia repair

42. TEP complications

43. Laparoscopic repair for groin hernias Chad J. Davis, MD*, Maurice E. Arregui, MD Surg Clin N Am 83 (2003) 1141–1161

53. TEP recurrences

54. Laparoscopic repair for groin hernias Chad J. Davis, MD*, Maurice E. Arregui, MD Surg Clin N Am 83 (2003) 1141–1161

77. Is Laparoscopic Inguinal Hernia Repair an Operation of the Past? Lorelei J Grunwaldt, MD, Steven D Schwaitzberg, MD, FACS, DavidW Rattner, MD, FACS, Daniel B Jones, MD, FACS American College of Surgeons Vol. 200, No. 4, April 2005

87. TEP discussion

101. TEP conclusion