To license this video for patient education or content marketing visit http wwwnucleushealthcom utm sourceyoutubeutm mediumvideo descriptionutm ca. 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. 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 . This study evaluated the feasibility and safety of laparoscopic total extraperitoneal tep inguinal hernioplasty under regional spinal epidural anesthesia on the basis of duration of surgery conversion to general anesthesia ga intra operative and post operative complications post operative hospital stay time taken to resume normal activity and recurrence