Abstract: A surgical device particularly directed toward the endoscopic repair of inguinal hemas is disclosed. The device includes of a specially adapted surgical mesh and a mechanical means for attaching the surgical mesh to the pubic bone. The surgical mesh is mechanically attached to the pubic bone by an orthopedic screw and the peripheral margins of the mesh either sutured or stapled to the appropriate anatomical structures. The screw is held by the distal end of an inner tube which is positioned inside an outer tube providing an annular space therebetween. The surgical mesh is wrapped around the distal end of the inner tube and the screw and is held in place in the annular space. An actuator tool is placed in the inner tube to provide torque to the screw.