Level 3 | Incomplete peritoneal closure or its breakdown in endoscopic preperitoneal hernia repair increases the risk of bowel obstruction. |
Level 3 | TAPP procedure presents a higher statistical risk of small-bowel obstruction than TEP. |
Level 5 | The most appropriate peritoneal closure is achieved by running absorbable suture. |
Level 5 | Running suture seems to cause less pain compared with clip/tack closure. |
Level 5 | The closure of entrance of indirect sacs may reduce the risk of internal hernia with consecutive incarceration, strangulation, or small-bowel obstruction. |