Fig. 1

LPEC procedure in right side inguinal hernia for a male patient. a Needle tips with eyelet for passing a 2-0 polyester suture; b–d Medial aspect dissection of the internal ring by negotiating over the vas and vessels with the needle, the first suture loop was left in the abdomen with the assistance of camera feeding the loop; e–g Lateral advancing to feed the previous loop and the first loop used as a lasso by pulling the extracorporeal end to create purse ring around the internal ring; h Ligation of the internal ring