Harriott CB, Dreifuss NH, Schlottmann F, et al. - Via retrospectively analyzing a prospectively collected database of patients who underwent laparoscopic inguinal TAPP repair, researchers investigated patients with and without an associated umbilical hernia for the incidence and risk factors of umbilical trocar site hernia (TSH) after laparoscopic TAPP hernioplasty. Following TAPP repair, closure of the umbilical fascia was done either by a figure-of-eight stitch with absorbable suture (G1) or by umbilical hernioplasty if it was present (G2). They included 535 laparoscopic TAPP repairs; 359 (67.1%) patients in G1 and 176 in G2 (32.9%). After a mean follow-up of 20 (12–41) months, overall TSH rate of 3.9% was recorded indicating its low incidence after laparoscopic TAPP repair. Patients with a concomitant umbilical hernia repair, rectus abdominis diastasis, and/or inguinal recurrence were noted to be have a significant rise in its risk.