Seroma after TEP, preventable or not?

Comment on “Heavyweight Mesh Is Superior to Lightweight Mesh in Laparo-endoscopic Inguinal Hernia Repair”

“…Therefore, we routinely close the large direct hernia defect by suture the transversalis fascia with barbed suture instead of fixation the mesh, 8 in not only LWM, but also in the use of HWM. In case of large and scrotal indirect hernia with a wide defect orifice, we proposed dividing the distal hernia sac, and close the distal sac, 9 or simply narrowing the defect by suture the lower edge of the divided distal sac to the anterior abdominal wall 10 . By doing these, the large hernia defects were closed or narrowed, the possibility of mesh dislocation was minimized, and the hernia recurrence due to mesh dislocation was prevented.…”