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Laparoscopic and preperitoneal repair is a minimally invasive surgical technique used to repair inguinal hernias. It involves: 1. Laparoscopic approach: Small incisions and a camera are used to visualize the hernia. 2. Preperitoneal space: The hernia is accessed through the preperitoneal space, a layer of tissue between the abdominal wall and the peritoneum. 3. Mesh placement: A synthetic mesh is placed over the hernia defect, without tension. 4. Fixation: The mesh is fixed in place with sutures or tacks. Advantages: 1. Minimally invasive 2. Less postoperative pain 3. Faster recovery 4. Lower risk of wound complications 5. Improved cosmesis Indications: 1. Small to large inguinal hernias 2. Primary or recurrent hernias 3. Patients with high risk of recurrence 4. Bilateral hernias (hernias on both sides) Contraindications: 1. Patients with significant abdominal adhesions 2. Patients with severe cardiopulmonary disease 3. Patients with large scrotal hernias Types of laparoscopic preperitoneal repair: 1. Transabdominal preperitoneal (TAPP) repair 2. Totally extraperitoneal (TEP) repair Both TAPP and TEP are effective, but TEP is considered a more challenging technique, requiring more expertise. The choice of technique depends on the individual patient and surgeon preference. #Laparoscopic