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you an inguinal hernia is a condition where abdominal contents such as the intestine bulged through a weakness in an area of the groin called the inguinal canal as the intestine pushes through this weakness a hernia sac made from tissue lining the inside of the abdomen called the peritoneum surrounds it the intestine may become trapped or incarcerated inside the hernia sac over time its blood supply may be cut off leading to strangulation where the tissue inside the hernia sac dies a totally extra peritoneal laparoscopic inguinal hernia repair requires only small keyhole incisions into the abdomen known as ports to docHub the hernia the surgeon will insert a tube called a trocar through a port located just below your navel or umbilicus this instrument will be used to separate the inner abdominal wall from the peritoneum then a balloon surrounding the instrument will be inflated to create a space for the surgeon to work next your surgeon will insert the laparoscope through the umbilical