studying hernia as a formal description started in the fifteenth century. About 75% of
abdominal wall hernias occur in the groin, indirect inguinal hernias are more common than direct
inguinal hernias and femoral hernias. Methods: from December 2008 to June 2012, all patients
admitted at Zawia Teaching Hospital were prospectively analyzed clinically and the type of
operations which have been done ranged from herniotomy, heniorrhaphy, hernioplasty to
transabdominal preperitoneal laparoscopic repair. Results: 221 patients admitted with inguinal
hernias, 189 patients have been operated on. Herniotomies represent 25.3% of the operations,
Herniorrhaphies represent 30.6 % of the operations and hernioplasties and TAPP represent 43.8%.
Conclusion: herniotomy is the standard repair for children, hernioplasty is an easy repair with less
postoperative complications and TAPP is associated with less postoperative pain, early return to
work, less recurrence rate and can be performed for primary and secondary inguinal hernias.