Comment on “Effect of direct defect closure during laparoscopic inguinal hernia repair ("TEP/TAPP plus" technique) on post-operative outcomes”
We read with great interest the recent article by Usmani  published in Hernia. The authors reported the results of hernia defect closure with barbed suture in laparoscopic direct inguinal hernia repair and reported that the reduced seroma formation rate and postoperative recurrence rate were achieved. We completely agree with the author’s conclusion and the application of this barbed suture technique, we also applaud for the author’s medium term follow-up of these patients, which confirmed the effect of this technique on direct hernia recurrence.
Actually, we have introduced and advocated the exact same technique in laparoscopic direct inguinal hernia repair, and we reported the positive results of reduced seroma formation and postoperative recurrence with this technique [2, 3]. We also confirmed the effect of defect closure in laparoscopic direct inguinal hernia repair in a prospective double-blind randomized controlled trial . Furthermore, we emphasized that the...
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