RT Journal
A1 Novik B
T1 Fixing the mesh in inguinal hernia repair: Where do we stand?—reply
JF Archives of Surgery
JO Archives of Surgery
YR 2011
FD August 1
VO 146
IS 8
SP 992
OP 993
DO 10.1001/archsurg.2011.191
UL http://dx.doi.org/10.1001/archsurg.2011.191
AB 
Our study only included Lichtenstein, because it is the most common and most standardized of hernia repairs. This made possible valid multiregression analysis to exclusively assess the relative influence of different suture materials. Our study revealed no significant difference in risk for reoperation after HMF with nonabsorbable or long-term absorbable sutures, whereas short-term absorbable sutures more than doubled that risk. The registered repairs with glue or no HMF were too few to attempt meaningful statistical analysis. Still, we agree with Drs Garg and Nain that nonfixation is not a valid option for Lichtenstein. However, we are convinced that not all such attempts would fail.