This comprehensive step-by-step video presents the technique of Transabdominal Preperitoneal (TAPP) repair for inguinal hernia, one of the most important laparoscopic procedures used in modern hernia surgery. The video provides an educational overview of the operative steps involved in performing a systematic and anatomically safe TAPP inguinal hernia repair.

TAPP repair offers the advantage of allowing the surgeon to inspect the abdominal cavity and approach the inguinal region from inside the peritoneal cavity. After laparoscopic access is established, the inguinal anatomy is carefully assessed. A peritoneal incision is made above the hernia defect, and a broad preperitoneal space is developed through careful and precise dissection.

The video highlights the importance of understanding the surgical anatomy of the groin. Proper exposure of Cooper's ligament, the pubic region, inferior epigastric vessels, and cord structures is essential for successful mesh placement. Special attention is given to safe dissection around important anatomical danger zones and to achieving adequate space for wide mesh coverage.

After reduction of the hernia sac and complete dissection of the preperitoneal space, the mesh is positioned to cover the entire myopectineal orifice. Correct mesh placement is one of the key principles of successful laparoscopic hernia repair because it provides coverage for direct, indirect, and femoral hernia defects. The procedure concludes with closure of the peritoneal flap, ensuring that the mesh remains separated from the abdominal viscera.

This complete procedural guide is designed as an educational resource for surgeons learning laparoscopic inguinal hernia repair. The step-by-step presentation helps viewers understand the sequence of the operation, essential anatomical landmarks, surgical dissection, hernia reduction, mesh positioning, and completion of the procedure. It is an excellent learning video for surgeons, residents, fellows, and participants undergoing advanced laparoscopic surgical training.