Prassas D, et al. - Researchers compared the usefulness and safety of totally extraperitoneal (TEP) inguinal hernia repair between patients with (PS), and without (NS) a history of lower abdominal surgery. They observed a statistically significant difference between PS and NS supporting the NS group with respect to both primary outcomes viz, intraoperative morbidity, and postoperative morbidity in the multiport subgroup. There was a statistically significant difference favoring the NS group for the secondary endpoints conversion rate, peritoneal tears, major intraoperative bleeding, postoperative haematoseroma and delay in return to normal activities. They reported lesser benefits from TEP repair in subjects with former lower abdominal surgery requiring hernia repair as compared to those with no history of surgery.