Groin hernia is one of the commonest problems encountered in general surgery practice.

Surgical procedure is the mainstay of management of groin hernia. Groin hernias can be repaired by either open or laparoscopic techniques. With advancements in endoscopic technology, laparoscopic hernia surgery is being increasingly used.

Earlier, open hernia repair used to be the most common form of hernia repair. However, recently minimally invasive surgery has become a more popular procedure for surgeons. It utilizes posterior approach for repair of hernias in contrast to the anterior approach seen in open hernia repair.

Understanding the anatomy of the posterior approach is imperative in performing a successful dissection. Considering this, Daes and Felix introduced the concept of critical view of Myopectineal Orifice. The anatomy of myopectineal orifice is defined as follows; it is bounded medially by the rectus abdominis muscle, laterally by the psoas, inferiorly by the pectineus ligament and superiorly by transversus abdominis muscle along with internal oblique muscle.

The Extended view total extraperitoneal approach (eTEP) offers the advantage of reduced risk of intestinal and vascular injuries as the peritoneum is not breached and  abdominal cavity is not entered. It allows for easy and fast creation of extraperitoneal space along with a wider surgical field and improved tolerance for pneumoperitoneum. It also allows for the laparoscopic repair in cases of obese patients, short umbilicus to pubic tubercle distance and in previous pelvic surgeries.

Transabdominal pre-peritoneal hernia repair (TAPP) offers the advantage of having a shorter learning curve, being able to diagnose occult hernias and in the repair of incarcerated or strangulated hernias.

This study aims at comparing Extended view Totally extra-peritoneal repair (eTEP) and Trans abdominal pre peritoneal repair (TAPP) and whether these are comparable in terms of early post-operative complications as no such study on eTEP and TAPP has been published.