TY  - JOUR
T1  - Fixing the mesh in inguinal hernia repair: Where do we stand?—reply
AU  - Novik B
Y1  - 2011/08/01
N1  - 10.1001/archsurg.2011.191
JO  - Archives of Surgery
SP  - 992
EP  - 993
VL  - 146
IS  - 8
N2  - 
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.

SN  - 0004-0010
M3  - doi: 10.1001/archsurg.2011.191
UR  - http://dx.doi.org/10.1001/archsurg.2011.191
ER  -