This video demonstrates  Laparoscopic Hernia Repair Large Sac TAPP Repair. It was an irreducible hernia with 2 meters of intestinal content in the sac. Ger has described the first potential laparoscopic inguinal hernia repair in 1982. He describes a metallic clip applying device to close the hernia sac during laparotomy for other operations. He eventually describes one case of laparoscopic inguinal hernia repair in a similar fashion with metallic lips only. His approach was applicable to hernia sacs with defects less than 1.25 cm. He did not describe reconstructing the inguinal floor and his approach was not applicable for direct inguinal hernias. As with the transabdominal approach (TAPP), the principles touted by Rives and Stoppa for the open preperitoneal repair of a large mesh providing coverage overall defects, distributing intra-abdominal pressure over the large mesh area, and requiring minimal fixation, were primary principles of the laparoscopic approach to inguinal hernia repair.