We report on a 73-year-old patient with an incarcerated right sided gr
oin hernia. First the incarcerated small bowel was gently retracted la
paroscopically; then using the extraperitoneal endoscopic approach the
hernial sack was redused and a 15/13 cm prosthesis (polypropylene mes
h) brought in appropriate position and fixed with endo-staples. Prior
to closing the trocarincisions the vitality of the small bowel was che
cked once again laparoscopically.