**3. Innovative approach of Mini TEP by "555 Manish Technique"**

We have innovated a "555 Manish Technique" which addresses the shortcomings of the conventional TEP repair of inguinal hernia. In our technique, we complete Mini TEP repair by all three 5 mm ports. We do not use Hasson trocar to create pre-peritoneal space and innovated a technique to access pre-peritoneal space by 5 mm Visiport using indigenously made simple retractor device. This retractor device was given the name "Manish Retractor" made by 2 ml sterile plastic syringe. This approach gives the advantage to insert the first trocar under complete vision which prevents any accidental injury to peritoneum at this stage. We have also innovated a simple technique to insert an adequate size light weight polypropylene mesh through 5 mm port using "Tail pull" technique.
