Open Inguinal Hernia Repair: A Network Meta-analysis Comparing Self-Gripping Mesh, Suture Fixation, and Glue Fixation
- PMID: 30251208
- DOI: 10.1007/s00268-018-4807-3
Open Inguinal Hernia Repair: A Network Meta-analysis Comparing Self-Gripping Mesh, Suture Fixation, and Glue Fixation
Abstract
The most troublesome complications of inguinal hernia repair are recurrent herniation and chronic pain. A multitude of technological products dedicated to abdominal wall surgery, such as self-gripping mesh (SGM) and glue fixation (GF), were introduced in alternative to suture fixation (SF) in the attempt to lower the postoperative complication rates. We conducted an electronic systematic search using MEDLINE databases that compared postoperative pain and short- and long-term surgical complications after SGM or GF and SF in open inguinal hernia repair. Twenty-eight randomized controlled trials totaling 5495 patients met the inclusion criteria and were included in this network meta-analysis. SGM and GF did not show better outcomes in either short- or long-term complications compared to SF. Patients in the SGM group showed significantly more pain at day 1 compared to those in the GF group (VAS score pain mean difference: - 5.2 Crl - 11.0; - 1.2). The relative risk (RR) of developing a surgical site infection (RR 0.83; Crl 0.50-1.32), hematoma (RR 1.9; Crl 0.35-11.2), and seroma (RR 1.81; Crl 0.54-6.53) was similar in SGM and GF groups. Both the SGM and GF had a significantly shorter operative time mean difference (1.70; Crl - 1.80; 5.3) compared to SF. Chronic pain and hernia recurrence did not statistically differ at 1 year (RR 0.63; Crl 0.36-1.12; RR 1.5; Crl 0.52-4.71, respectively) between SGM and GF. Methods of inguinal hernia repair are evolving, but there remains no superiority in terms of mesh fixation. Ultimately, patient's preference and surgeon's expertise should still lead the choice about the fixation method.
Similar articles
-
Comparison of glue versus suture mesh fixation for primary open inguinal hernia mesh repair by Lichtenstein technique: a systematic review and meta-analysis.Hernia. 2022 Aug;26(4):1105-1120. doi: 10.1007/s10029-022-02571-4. Epub 2022 Feb 3. Hernia. 2022. PMID: 35113292
-
A meta-analysis of randomized control trials assessing mesh fixation with glue versus suture in Lichtenstein inguinal hernia repair.Medicine (Baltimore). 2018 Apr;97(14):e0227. doi: 10.1097/MD.0000000000010227. Medicine (Baltimore). 2018. PMID: 29620633 Free PMC article.
-
Comparing suture with N-Hexyl Cyanoacrylate glue for mesh fixation in inguinal hernia repair, a randomised clinical trial.Am J Surg. 2021 Jul;222(1):203-207. doi: 10.1016/j.amjsurg.2020.10.029. Epub 2020 Nov 6. Am J Surg. 2021. PMID: 33183752
-
Systematic review and meta-analysis of published randomized controlled trials comparing the role of self-gripping mesh against suture mesh fixation in patients undergoing open inguinal hernia repair.Updates Surg. 2014 Sep;66(3):189-96. doi: 10.1007/s13304-013-0237-9. Epub 2013 Oct 22. Updates Surg. 2014. PMID: 24146297
-
Meta-analysis of postoperative pain using non-sutured or sutured single-layer open mesh repair for inguinal hernia.BJS Open. 2019 Feb 27;3(3):260-273. doi: 10.1002/bjs5.50139. eCollection 2019 Jun. BJS Open. 2019. PMID: 31183441 Free PMC article.
Cited by
-
Comparison of glue versus suture mesh fixation for primary open inguinal hernia mesh repair by Lichtenstein technique: a systematic review and meta-analysis.Hernia. 2022 Aug;26(4):1105-1120. doi: 10.1007/s10029-022-02571-4. Epub 2022 Feb 3. Hernia. 2022. PMID: 35113292
-
Comparison of mesh fixation and non-fixation in transabdominal preperitoneal (TAPP) inguinal hernia repair: a randomized control trial.Surg Endosc. 2023 Aug;37(8):5847-5854. doi: 10.1007/s00464-023-10040-x. Epub 2023 Apr 17. Surg Endosc. 2023. PMID: 37067592 Clinical Trial.
-
Primary inguinal hernia: systematic review and Bayesian network meta-analysis comparing open, laparoscopic transabdominal preperitoneal, totally extraperitoneal, and robotic preperitoneal repair.Hernia. 2019 Jun;23(3):473-484. doi: 10.1007/s10029-019-01964-2. Epub 2019 May 14. Hernia. 2019. PMID: 31089835
-
Cost-effectiveness analysis of mesh fixation techniques for laparoscopic and open inguinal hernia surgeries.BMC Health Serv Res. 2022 Sep 6;22(1):1125. doi: 10.1186/s12913-022-08491-4. BMC Health Serv Res. 2022. PMID: 36068521 Free PMC article.
-
Chronic inguinal pain post-hernioplasty. Laparo-endoscopic surgery vs lichtenstein repair: systematic review and meta-analysis.Hernia. 2024 Aug;28(4):1427-1439. doi: 10.1007/s10029-024-03077-x. Epub 2024 Jun 5. Hernia. 2024. PMID: 38837072
References
Publication types
MeSH terms
Substances
LinkOut - more resources
Full Text Sources
Other Literature Sources
Miscellaneous