Conclusion  When faced with an unforeseen anomaly during herniorrhaphy in which improved abdominal visualization is necessary, a surgeon may convert from a TEP to a transabdominal laparoscopic approach safely and effectively. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10029-010-0638-3Authors R. E. Freundlich, Baylor College of Medicine Michael E. DeBakey Department of Surgery One Baylor Plaza, Mail Stop BCM390 Houston TX 77030 USAL. T. Hawes, University of Minnesota Department of Surgery Minneapolis MN USAS. A. Weldon, Baylor College of Medicine Division of Cardiothoracic Surgery, Michael E. DeBakey Department of Surgery Houston TX USAF. C. Brunicardi, Baylor College of Medicine Michael E. DeBakey Department of Surgery One Baylor Plaza, Mail Stop BCM...