When it comes to fixation in laparoscopic hernia surgery it seems like the experts agree less is more. Dr David Chen gives lectures using a “battleship” game analogy, that the surgeon could hit nerves she can’t see. He says Coopers ligament is a “freebie” where fixation isn’t risky. Does it matter then, assuming the fixation is in this low risk place, whether it’s permanent or absorbable? I think Dr Towfigh has said metal is good, but other surgeons (Novitsky on Twitter) say metal tacks can protrude or come loose and should be taken off the market. Does permanent or absorbable matter?
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