Background: The protrusion from abdominal cavity through the inguinal canal is called inguinal hernia. Although inguinal hernia can be direct or indirect and some cases because of posterior wall weakness hernia both Direct and Indirect hernia can be present in the same person. Pantaloon hernia is generally a intraoperatve diagnosis. This study was conducted with the intention of indentifying the incidence of pantaloon hernia in cases of endoscopic hernia repair.

Methods: we retrospectively collected data of patients who underwent laparoscopic hernia repair from January 2015 to December 2017 at our centre, tertiary care Army hospital in Delhi.

Results: There were 81 patients who were operated for endoscopic hernia repair surgery, Total no. of hernias which were operated were 107. Mean age of patients was 50.2 with standard deviation of 12.80. 80.24% patients were male and 19.76% patients were female. Most of our patient had unilateral inguinal hernia (85.0%) among patiens with unilateral hernia Most common form observed was indirect hernia (58%) and only 6.5% were pantaloon hernia. All the hernia repairs were elective procedures and all the surgeries were performed by associate professor and above level, Method of repair included TEPP (96.7%) and TAPP (3.4%).

Conclusion: larger studies are required to know the true incidence of pantaloon hernia and a surgeon should always keep in his mind the possibility of encountering pantaloon hernia while operating a hernia.