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Hernia

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Comment on “Effect of direct defect closure during laparoscopic inguinal hernia repair ("TEP/TAPP plus" technique) on post-operative outcomes”

Letter to the Editor

Dear Editor,

We read with great interest the recent article by Usmani [1] 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 [4]. Furthermore, we emphasized that the...

Notes

Funding

None.

Compliance with ethical standards

Conflict of interest

No conflict of interest to be declared by the authors.

Ethical approval

This article did not require ethical approval of any kind.

Human and animal rights

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

This article does not include patients, and therefore informed consent was not applicable.

References

  1. 1.
    Usmani F, Wijerathne S, Malik S, Yeo C, Rao J, Lomanto D (2019) Effect of direct defect closure during laparoscopic inguinal hernia repair ("TEP/TAPP plus" technique) on post-operative outcomes. Hernia.  https://doi.org/10.1007/s10029-019-02036-1 CrossRefPubMedGoogle Scholar
  2. 2.
    Li J, Zhang W (2018) Closure of a direct inguinal hernia defect in laparoscopic repair with barbed suture: a simple method to prevent seroma formation? Surg Endosc 32(2):1082–1086CrossRefGoogle Scholar
  3. 3.
    Li J, Zhang W (2017) Comment to: ‘‘Factors associated with hernia recurrence after laparoscopic total extraperitoneal repair for inguinal hernia: a 2-year prospective cohort study’’ by Schjøth-Iversen L. Hernia 21:985–986CrossRefGoogle Scholar
  4. 4.
    Zhu Y, Liu M, Li J, Wang M (2019) Closure of direct inguinal hernia defect in laparoscopic hernioplasty to prevent seroma formation: a prospective double-blind randomized controlled trial. Surg Laparosc Endosc Percutan Tech 29(1):18–21CrossRefGoogle Scholar
  5. 5.
    Li J, Zhang W (2019) Comments on higher recurrence rate after endoscopic totally extraperitoneal (TEP) inguinal hernia repair With ultrapro lightweight mesh: 5-year results of a randomized controlled trial (TULP-trial)". Ann Surg. 269(3):e38–e39CrossRefGoogle Scholar
  6. 6.
    Roos M, Bakker WJ, Schouten N et al (2018) Higher recurrence rate after endoscopic totally extraperitoneal (TEP) inguinal hernia repair with ultrapro lightweight mesh: 5-year results of a randomized controlled trial (TULP-trial). Ann Surg. 268(2):241–246CrossRefGoogle Scholar

Copyright information

© Springer-Verlag France SAS, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Department of General Surgery, Affiliated Zhongda HospitalSoutheast UniversityNanjingChina

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