Reply to Letter to the Editor

We wish to thank Dr. Jahoorahmad Patankar for his interest in our manuscript. Complications that included infections, reoperations, and granuloma were detailed in the report. Both groups were at risk for these complications. There were no complications attributable to the use of laparoscopy, including vascular/bowel injury, port site incisional hernia, or incarcerated omentum. There were no patients who required conversion to an open operation due to inability to complete the repair. A few patients required the use of a 2 mm Maryland dissector placed via a stab incision to assist in the repair due to the redundancy of the sac around the internal ring or inability to clearly visualize the internal ring due to dilated bowel and small abdominal domain.