Stavros A Antoniou1, Gernot Köhler2, George A Antoniou3, Filip E Muysoms4, Rudolph Pointner5, Frank-Alexander Granderath6. 1. Department of General and Visceral Surgery, Center for Minimally Invasive Surgery, Hospital Neuwerk, Mönchengladbach, Germany; Department of General Surgery, University Hospital of Heraklion, Crete, Greece. Electronic address: stavros.antoniou@hotmail.com. 2. Department of General Surgery, Sisters of Charity Hospital, Linz, Austria. 3. Liverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK. 4. Department of Surgery, AZ Maria Middelares, Ghent, Belgium. 5. Department of General Surgery, Hospital Zell am See, Zell am See, Austria. 6. Department of General and Visceral Surgery, Center for Minimally Invasive Surgery, Hospital Neuwerk, Mönchengladbach, Germany.
Abstract
BACKGROUND: Evidence for open groin hernia repair demonstrates less pain with bioglue mesh fixation compared with invasive methods. This study aimed to assess the short- and long-term effects of laparoscopic groin hernia repair with noninvasive and invasive mesh fixation. DATA SOURCES: A systematic review of MEDLINE, CENTRAL, and OpenGrey was undertaken. Randomized trials assessing the outcome of laparoscopic groin hernia repair with invasive and noninvasive fixation methods were considered for data synthesis. Nine trials encompassing 1,454 patients subjected to laparoscopic hernia repair with mesh fixation using biologic or biosynthetic glue were identified. Short-term data were inadequate for data synthesis. Chronic pain was less frequently reported by patients subjected to repair with biologic glue fixation than with penetrating methods (odds ratio .46, 95% confidence interval .22 to .93). Duration of surgery, incidence of seroma/hematoma, morbidity, and recurrence were similar. CONCLUSIONS: Laparoscopic groin hernia repair with bioglue mesh fixation was associated with a reduced incidence of chronic pain compared with mechanical fixation, without increasing morbidity or recurrence. Longer term data on recurrence are necessary.
BACKGROUND: Evidence for open groin hernia repair demonstrates less pain with bioglue mesh fixation compared with invasive methods. This study aimed to assess the short- and long-term effects of laparoscopic groin hernia repair with noninvasive and invasive mesh fixation. DATA SOURCES: A systematic review of MEDLINE, CENTRAL, and OpenGrey was undertaken. Randomized trials assessing the outcome of laparoscopic groin hernia repair with invasive and noninvasive fixation methods were considered for data synthesis. Nine trials encompassing 1,454 patients subjected to laparoscopic hernia repair with mesh fixation using biologic or biosynthetic glue were identified. Short-term data were inadequate for data synthesis. Chronic pain was less frequently reported by patients subjected to repair with biologic glue fixation than with penetrating methods (odds ratio .46, 95% confidence interval .22 to .93). Duration of surgery, incidence of seroma/hematoma, morbidity, and recurrence were similar. CONCLUSIONS: Laparoscopic groin hernia repair with bioglue mesh fixation was associated with a reduced incidence of chronic pain compared with mechanical fixation, without increasing morbidity or recurrence. Longer term data on recurrence are necessary.
Authors: Ulrich Wirth; Marie Luise Saller; Thomas von Ahnen; Ferdinand Köckerling; Hans Martin Schardey; Stefan Schopf Journal: Surg Endosc Date: 2019-07-12 Impact factor: 4.584
Authors: Felipe Girón; Juan David Hernandez; Juan David Linares; Alberto Ricaurte; Andres Mauricio García; Roberto Javier Rueda-Esteban; Lina Rodríguez; Ricardo Nassar Journal: Sci Rep Date: 2021-06-15 Impact factor: 4.379