What is laparoscopic hernia repair indicated for? The advantages of laparoscopic hernia repair are mainly in: recurrent hernias, bilateral hernias, multiple hernias (combined with hiatal hernia, rectal hernia, femoral hernia, etc.), and isthmic hernias (especially huge incisional hernias). Laparoscopic hernia repair surgery is the newest posterior approach to repair, which is done through the abdominal cavity, finding the internal ring opening, finding the hernia sac and pulling it back into the abdominal cavity, placing a patch from the front of the peritoneum. We use a 3D Max Bard three-dimensional patch, and then closing the peritoneum. If you compare the human abdominal cavity to a wooden barrel, a hernia is like a hole in the bottom of the barrel that needs to be repaired. Originally, a plug plus a steel plate was inserted from the outside of the barrel, but with the pressure of the water in the barrel, the plug gradually loosened, which led to the recurrence of the hernia. Now is from the inside of the bucket to lay a patch, the higher the pressure of the water will be the more solid, and in one fell swoop to repair three hernias – straight hernia, hiatal hernia, femoral hernia of the root of the —- pubic ramus. Thoroughly solved the problem in terms of physiological anatomy and the mechanical structure of the human body. Recurrence of the hernia is then avoided. The procedure we have done is transperitoneal anterior peritoneal hernia repair (TAPP) via laparoscopy. The most classic is the totally extraperitoneal hernioplasty repair (TEP). This procedure can only be done with TAPP proficiency. Of course, we are now able to perform open TEP without laparoscopy, for the same reason as transperitoneal TEP. The results are the same, but the degree of trauma is different. The method is to make a longitudinal or transverse incision from below the navel above the pubic symphysis, incise the anterior rectus abdominis muscle sheath and enter the anterior peritoneal hiatus, find the hernia sac (the most critical link) and treat it, then muralize the spermatic cord and place a patch to end the surgery.