Purpose: To determine the effectiveness of the laparoscopic repair of inguinal hernia using two layers of mesh with reinforcement of the inner mesh by 2 sutures.
Patients and Method: The hernias included primary, direct, indirect, bilateral inguinal hernias and 5 recurrent inguinal hernias. The present report described laparoscopic repair by the total extraperitoneal mesh placement (TEP) technique using two layers of polypropylene mesh with the inner mesh reinforced by 2 sutures in 20 adult patients with 22 hernias.
Results: The operations were successfully performed on all the patients with 1 complication (5.00%) which was treated by surgical procedure. There was no recurrence with a follow-up of 10.27 + 5.96 months (range1.10-20.00 months).
Conclusions: The report has shown that this operation can be used to treat primary, recurrent, direct, indirect, and bilateral inguinal hernias in adults with no recurrence in a short term follow-up.

Keyword: Hernias, Laparoscopic herniorhaphy