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Fortelny. Mini-invasive Surg 2021;5:16 https://dx.doi.org/10.20517/2574-1225.2021.21 Page 9 of 11

hernias. The inversion of dilated parts of the transverse fascia in M III inguinal hernias to prevent the
formation of seroma and recurrence, as well as the implantation of larger meshes, also seems to be
preferable in this constellation. In contrast, the use of ultra-lightweight, large-pored meshes without mesh
fixation does not seem to be appropriate in this indication. For all other types of inguinal hernias, mesh
fixation can be omitted but always under the condition that all standards of laparo-endoscopic inguinal
hernia management are met.

DECLARATIONS
Authors’ contributions
All substantial contributions to the concept and design of this review, performed literature search,
interpretation and conclusions: Fortelny RH

Availability of data and materials
Not applicable.

Financial support and sponsorship
None.

Conflicts of interest
Dr. Fortelny reports receipt of honoraria from BD BARD and B.Braun for speaking services.

Ethical approval and consent to participate
Not applicable.

Consent for publication
Not applicable.

Copyright
© The Author(s) 2021.

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