Coskun repair of inguinal hernia: is it really new?

Excerpt

We read with interest, the recent prospective study by Coskun et al. [1] describing a method of open inguinal hernia repair using endogenous tissues and a comparison with anterior (Lichtenstein) and preperitoneal mesh repairs. Dr. Coskun discussed placation of the transversalis fascia with a single row of sutures followed by a second layer of sutures between the inguinal ligament and the conjoint tendon, a technique that has been dismissed as “corrupted Bassini”. The series’ cumulative recurrence rate was 1.6% and did not affect the endogenous repair patients which had a median follow-up of 36 months. Dr.Coskun and his colleagues concluded that the method was as effective as mesh repair [1], despite level A evidence demonstrating superiority of mesh repair over Shouldice repair (the best of non-mesh repairs) [2‐4]. …