الفهرس 
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Abstract
Surgical repair of the hernia is considered to be the only definitive
Management of hernia. The outcome of hernia surgery is highly surgeon
Dependent ”no disease of the human body, belonging to the province of
surgeons requires in its treatment a greater combination of accurate
anatomical knowledge with surgical skill than hernia in all its varieties”.
The exact cause of inguinal hernia is still unknown but the
following factors contribute in its occurrence. A preformed congenital
sac, raised intra abdominal pressure and weak abdominal musculature.
There is no ”gold standard” operation for treatment of inguinal
hernias. The optimal surgical approach must be selected individually for
the patient, taking into account patient’s age, hernia size, unilaterality or
bilaterality, primary or recurrent status, type of anesthesia, occupation,
and patient’s activities.
There are three important landmarks in the history of repair of
Inguinal hernia:
1.Tissue repair (Eduardo bassini 1887).
2.Onlay mesh (Irving Lichtenstein 1984), tension-free repair.
3.Laparoscopic hernia repair (1990).
The study included 60 adult male patients with inguinal hernia,
distributed into two groups randomly. group A: underwent Lichtenstein
Repair and group B: underwent laparoscopic total extraperitioneal
hernioplasty.
In patients who underwent Lichtenstein repair the mean age was
40 years, the mean operative time for unilateral cases was 78 min. and
for bilateral cases 137.4 min., the hospital stay ranged from 1 to 3 days,
with one case of recurrence and they returned to work after 25 +/- 5d