Discussion of laparoscopic transabdominal preperitoneal prosthetics in the treatment of recurrent inguinal hernia           WANG Ming-gang. Department of Hernia and Abdominal Wall Surgery, Chaoyang Hospital of Capital Medical University，Beijing 100043, China
Abstract    The treatment of recurrent hernia after inguinal operation especially tension-free repair has been a difficult problem that hernia surgeons must face. Laparoscopic technique has been accepted and used gradually by surgeons with the advantages of retroperitoneal approach and direct vision. At present，there has been not yet a normalized operation manual and guideline of laparoscopic technique in the treatment of recurrent hernia because of the complex situation. The preperitoneal space could be gotten with TAPP completely in most cases; some could cut the peritoneum with shuttle or T-type incisions. There is no need to move the previous mesh and could relax restrictions appropriately in fixing mesh. In some particular cases, surgeons could repair defects with local repairing，intraperitoneal onlay mesh (IPOM) or transabdominal partial extraperitoneal （TAPE）.