Abstract
Objective: To compare a Totally Extraperitoneal Laparoscopic Technique (TEP) and a Transabdominal Preperitoneal Laparoscopic Technique (TAPP) for an inguinal hernia repair. Methods: It was sought to assess the best conditions for using each. An integrative review was carried out in the PubMed, SciELO, LILACS and UpToDate databases, with the DeCS descriptors: '' inguinal hernia '' AND '' laparoscopy '' AND '' TEP '' AND '' TAPP '', and their respective in portuguese. Results: The differences between the final results and the complications did not show statistical divergence. TEP has shown reduced postoperative pain and shorter hospital stay, but it has a longer learning curve and restricted space for approach, factors that make it more difficult. There was also an increased risk of vascular injuries and a higher incidence of postoperative complications. TAPP, on the other hand, demonstrated ease in learning, but evolved with greater risks of intestinal adhesions to the mesh, visceral injuries during transabdominal entry, and postoperative pain. Final considerations: There is no difference between the techniques regarding the incidence of postoperative complications, recurrence of re-approach and the impact on the patient's quality of life. The decision on the best approach should be left to the surgeon and the service.