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Objectives: To highlight an economical laparoscopic technique for rapid recovery & early return to work especially for the 3rd world inguinal hernia patients. Study Design: Descriptive study. Setting: Surgical unit of Nishtar Hospital Multan. Period: 02 years i.e. from January 2014 to January 2016. Methods: There were 90 patients in the study. A prolene mesh of 15 x 15 cm used for the repair of inguinal hernia laparoscopiclly without the use of spacer balloon & tacker (To make it cost effective). Results: Out of 90 patients only 3 patients develop scrotal seroma. All the patients discharged on the 1st postoperative day & allowed to return to their normal routine work from the 3rd postoperative day onward. Conclusion: (e-TEP) without spacer balloon & tacker is an economical approach toward the inguinal hernia repair.

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INGUINAL HERNIA; “A SOLUTION FOR THE 3RD WORLD HERNIA PATIENTS” (E-TEP) THE ENHANCE OR EXTENDED VIEW TOTALLY EXTRA PERITONEAL TECHNIQUE FOR THE REPAIR WITHOUT SPACER BALLOON and TACKER