Current surgery
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Endoscopic inguinal herniorrhaphy has become an established approach to groin hernia. The use of a totally extraperitoneal (TEP) approach allows a tension-free, preperitoneal approach with potentially less discomfort and morbidity than do classic repairs. Concerns have been raised regarding excessive cost, need for general anesthesia, and an extensive learning curve for surgeon and resident trainee alike. ⋯ The totally extraperitoneal approach is a safe and effective method of inguinal hernia repair. Following a learning curve of 40 patients for the staff surgeon, the recurrence rate has been less than 1%, with surgical trainees safely performing TEP repairs under supervision.