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Introduction: Inguinal hernia is the most common hernia and inguinal hernia repair is the most frequently performed operation in gerenal surgery. Hernioplasty by laparoscopy was gradually the standard method for inguinal hernia repair all over the world. The objective of this study was to demonstrate the effectiveness and safeness of laparoscopic totally extraperitoneal (TEP) hernia repair. Materials and methods: A retrospective analysis of patients, admitted for groin hernia and operated by laparoscopic TEP hernia repair, performed by one surgeon between January 2008 and December 2009 at Centre Hospitalier Emile Mayrisch, Luxembourg. Data were collected regarding general characteristics, complication rates, length of hospital stay and the recurrence rate postoperative of this laparoscopic method. Results: 71 patients (68 men and 3 women) underwent laparoscopic TEP hernia repair with an average age of 52.1±14.7 years (range 15 – 82 years); 9.86% of the inguinal hernias were operated bilaterally, peritoneal laceration was noticed during dissection in 12.7%, there was no injury of the inferior epigastric vessels during dissection. Unilateral hernia had an operative time of 44.52 ± 13.6 minutes (range 20 – 75 minutes) and bilateral hernia took 70 ± 12,3 minutes (range 60 – 85 minutes). All of these patients in the study were controlled, 11.3% and 2.8% had seroma at the time 10 days and 3 months postoperative, respectively, there were no recurrences during follow-up ranging from 3 – 24 months (average 12.3 months). Conclusions: The laparoscopic TEP hernia repair of inguinal hernia is safe and effective. That laparoscopy method should be the gold standard technique in treatment for the repair of inguinal hernias.

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