Intervention extraperitoneal space was created with co2 through a 10 mm midline port 2 cm above the pubic hairline a pair of sutures was inserted at the level of midurethral and urethrovesical junction fixing them to coopers ligament on each side with proper tension. The extraperitoneal lrp elrp approach mimics the reference standard of open retropubic radical prostatectomy rrp however in the modern era of the transperitoneal robotic assisted laparoscopic prostatectomy ralp the use of lrp has been questioned nevertheless since the 2008 economic crisis the interest in the cheaper pure lrp . Laparoscopic total extraperitoneal tep inguinal hernia repair is a well known approach to inguinal hernia repair the present study aims to compare the advantages and disadvantages of the tep technique under general anesthesia ga and epidural anesthesia ea. From 2006 to 2016 313 patients 281 men and 32 women underwent laparoscopic tep inguinal hernia repair at yuki hospital the medical records of the medical records of laparoscopic totally extraperitoneal tep inguinal hernia repair in patients with previous lower abdominal surgery springermedizinde. Abstract laparoscopic totally extraperitoneal tep inguinal hernia repair is an effective minimally invasive method for treating hernias that avoids entry into the abdomen its indications have developed and broadened over time to encompass almost the whole spectrum of groin hernias a detailed description of the procedure is presented focusing on seven key steps