Trans abdominal patch plasty for bilateral groin hernia : is it a cost-effectiveness procedure?

I really appreciated the Editor’s kind invitation to write a comment about the papers of Ielpo and colleagues. Laparoscopic surgery is nowadays widespread all over the world and we have witnessed a frenetic race for the introduction of new instruments and devices that are able to help surgeons to perform laparoscopic operations. Consequently, this race has increased the costs of a single operation in a geometrical progression pushed by industries.