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. 2011 Jul 13;25(9):2773–2843. doi: 10.1007/s00464-011-1799-6
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.