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Year : 2016  |  Volume : 6  |  Issue : 2  |  Page : 61

Author's Reply

1 Department of General Surgery, Thanjavur Medical College and Hospital, Thanjavur, Tamil Nadu, India
2 Department of General Surgery, Stanley Medical College and Hospital, Chennai, Tamil Nadu, India

Date of Web Publication1-Apr-2016

Correspondence Address:
Sangara Narayanan Narayanasamy
No: 86, Maariamman Koil Street, Muthupillaipalayam, Puducherry - 605 010
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Source of Support: None, Conflict of Interest: None

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How to cite this article:
Patchayappan M, Narayanasamy SN, Duraisamy N. Author's Reply. Avicenna J Med 2016;6:61

How to cite this URL:
Patchayappan M, Narayanasamy SN, Duraisamy N. Author's Reply. Avicenna J Med [serial online] 2016 [cited 2020 Sep 21];6:61. Available from: http://www.avicennajmed.com/text.asp?2016/6/2/61/179551

The Editor,

Sir, thank you for your comments on my article titled, “Three stitch hernioplasty: A novel technique for beginners.”

Comment 1: We admit that the duplication of Table 4 and Table 5 is an inadvertant technical error.

Comment 2: In [able 7, the remaining 4% of patients had both the component direct and indirect hernia.

Comment 3: Regarding the visual analog scale in [able 6, the table should read (0 - no pain, 1 - mild pain, between 1 and 5 as moderate, between 5 and 9 as severe pain and 10 is very severe pain).

Comment 4: In the results section, the average time of the entire operation was similar to that of Stoppa repair and laparoscopic approach and appeared to be 1 h 30 min.

Comment 5: Antibiotics were used in cases where complications like infection occurred.

Comment 6: The technique of three stitch hernioplasty is to emphasise that minimal stitches are required to fix the mesh in the medial aspect, as it is the most common site of recurrence, and to avoid complications, such as mesh migration, recurrence, tissue handling, and bleeding. Mesh tails were not fixed and were left overlapping around the cord structures.


I thank my colleagues for their contribution in writing this manuscript and would also like to acknowledge my family and friends, without whose support writing this manuscript would be difficult.

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.


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