Totally extraperitoneal (TEP) laparoscopic inguinal hernia repair has several merits compared with conventional hernia repair. Yet the patients who have previously undergone an operation for prostate or bladder cancer have difficulty to undergo laparoscopic hernia repair because the latter operation has similar surgical planes, postoperative adhesion and anatomical distortion as compared with the previous operation. We experienced three cases of performing the laparoscopic TEP approach in patients who had had undergone previous radical prostatectomy or cystectomy. Case 1 was a 57 year-old man with a history of radical prostatectomy and he underwent TEP repair due to a right inguinal hernia, but he was converted to transabdominal preperitoneal repair because of adhesion. Cases 2 and 3: We successfully performed two TEP repairs in a 73 year-old man with a history of radical prostatectomy and in a 69 year-old man with a history of radical cystectomy.

Keywords: Inguinal hernia, Laparoscopic surgery, Totally extrperitoneal approach, Radical prostatectomy, Radical cystectomy