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Inguinal hernia repair is probably the most common procedure in general surgery. Today, in adult hernias, prosthetic repairs are accepted to be superior to “non-mesh” suture repairs. Concerning mesh repair, the (open) LICHENSTEIN and laparoscopic inguinal hernia techniques are recommended as the best evidence-based options. Nevertheless laparoscopic techniques still not currently practiced in our country. We report a case of a 57 years-old male patient who presented with a left inguinal hernia managed by a Transabdominal pre-peritoneal (TAPP) repair. The patient under general anesthesia, we placed three trocars, the optic one inserted by “open-coelioscopy”. We realized a peritoneal incision 4 cm above the left inner inguinal ring. The peritoneal sac was dissected from the spermatic cord and transected. A polyester mesh with a self-gripping overlapping flap was then inserted into the pre-peritoneal space created. A Thorough closure of the peritoneal incision was done. The post-operative course was uneventful. Laparoscopic hernias repairs in general and TAPP in particularly are easy to teach and learn. Surgeons and residents should be trained on it.


Adult hernias – Laparoscopic surgery – TAPP – Cameroon.

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Nana Oumarou, B. D., Bang, G. A., Savom, E. P., Guifo, M. L. R., Ekani Boukar, Y. M., Ousmana, O., & Essomba, A. (2016). Laparoscopic Surgery forInguinal Hernia in Adult Patients: A Case Report of a Transabdominal Pre-Peritoneal Repair in the National Social Insurance Fund Health Center of Essos (Yaoundé). HEALTH SCIENCES AND DISEASE, 17(2).


  1. - KULACOGLU H. Current options in inguinal hernia repair in adult patients. HIPPOKRATIA, 2011;15(3):223-231.
  2. - LICHENSTEIN IL, SHULMAN AG, AMID PK, MONTLLOR MM. The tension-free hernioplasty. Am J Surg, 1989;157:188-193.
  3. - BITTNER R, ARREGUI ME, BISGAARD T et al. Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)]. Surg Endosc, 2011;25:2773-2843.
  4. - DULUCQ JL. Traitement des hernies de l’aine par la mise en place d’un patch prothétique par laparoscopie. Voie totalement extra-péritonéale. Cah Chir, 1991;79:15-16.
  5. - DESCOTEAUX JG, SUTHERLAND F. Inguinal hernia repair : a survey of canadian practice patterns. Can J Surg, 1999;42:127-132.
  6. - ZIESCHE M, MANGER T. Determining the status of laparoscopic surgery in East Brandenburg. Result of a survey. Zentralbl Chir 2000;125:997-1002.
  7. - TURAGA K, FITZGIBBONS RJ, PURI V. Inguinal hernias: should we repair? Surg Clin North Am, 2008;88:127-138.
  8. - BARKUN J, NEVILLE A, FITZGERALD GW, LITWIN D. Canadian Association of General Surgeon and American College of Surgeons. Evidence-based reviewed in surgery. Watchful waiting versus repair of inguinal hernia in minimally symptomatic men. Can J Surg, 2008;51:406-409.
  9. - FITZGIBBONS RJ Jr, GIOBBIE-HURDER A, GIBBS JO et al. Watchful waiting Vs repair of inguinal hernia in minimally symptomatic men: a randomized clinical trial. JAMA, 2006;295:285-292.
  10. - SIMONS MP, AUFENACKER T, BAY-NIELSEN M et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia, 2009;13:343-403.
  11. - AMATO B, MOJA L, PANICO S et al. Shouldice technique versus other open techniques for inguinal hernia repair. Cochrane database Syst rev, 2009;4:CD001543.
  12. - SIMONS MP, KLEIJNEN J, VAN GELDERE D et al. role of the shouldice technique in inguinal hernia repair: a systematic review of controlled trials and a meta-analysis. Br J Surg, 1996;83:734-738.
  13. - McCORMACK K, WAKE BL, FRASER C et al. Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess, 2005;9:1-203.
  14. - SCHMEDT CG, SAUERLAND F, BITTNER R. Comparison of endoscopic procedures Vs Lichenstein and other open mesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Surg Endosc, 2005;19:188-199.
  15. - FROMONT G. Technique de hernioplastie par voie transabdomino-préperitonéale. EMC (Elsevier SAS, Paris), Techniques chirurgicales- Appareil digestif, 2006 : 40-127-B.
  16. - GREENBERG D, PEISER JG. Cost and benefits of laparoscopic inguinal hernia repair : is there an economic justification ? Harefuah, 2001;140:580-585.

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