Junsheng Li1, Zhenling Ji, Weiyu Zhang. 1. Department of General Surgery, Affiliated to Zhong-Da Hospital, Southeast University, Nanjing, P.R. China.
Abstract
PURPOSE: The aim of this article was to compare the outcomes of tissue adhesive fixation and the staple fixation of meshes in laparoscopic inguinal hernia repair. MATERIALS AND METHODS: A systematic literature review was undertaken to identify studies that compare adhesive fixation and staple fixation of meshes in laparoscopic inguinal hernia repair. RESULTS: The present meta-analysis pooled the effects of outcomes of a total of 1228 patients enrolled into 8 randomized controlled trials. Tissue adhesive fixation of the mesh was associated with less chronic postoperative pain after laparoscopic inguinal hernia repair compared with staple fixation (risk difference=-0.06; 95% confidence interval, -0.08, -0.04). However, statistically, there was no significant difference in the incidence of acute postoperative pain, recurrence, hematoma/seroma, and wound infection. CONCLUSION: The use of the tissue adhesive fixation method reduces the incidence of chronic postoperative pain after laparoscopic inguinal hernia repair, and without any changes in the other outcomes.
PURPOSE: The aim of this article was to compare the outcomes of tissue adhesive fixation and the staple fixation of meshes in laparoscopic inguinal hernia repair. MATERIALS AND METHODS: A systematic literature review was undertaken to identify studies that compare adhesive fixation and staple fixation of meshes in laparoscopic inguinal hernia repair. RESULTS: The present meta-analysis pooled the effects of outcomes of a total of 1228 patients enrolled into 8 randomized controlled trials. Tissue adhesive fixation of the mesh was associated with less chronic postoperative pain after laparoscopic inguinal hernia repair compared with staple fixation (risk difference=-0.06; 95% confidence interval, -0.08, -0.04). However, statistically, there was no significant difference in the incidence of acute postoperative pain, recurrence, hematoma/seroma, and wound infection. CONCLUSION: The use of the tissue adhesive fixation method reduces the incidence of chronic postoperative pain after laparoscopic inguinal hernia repair, and without any changes in the other outcomes.
Authors: Charles P Shahan; Nathaniel N Stoikes; Esra Roan; James Tatum; David L Webb; Guy R Voeller Journal: Surg Endosc Date: 2016-07-21 Impact factor: 4.584
Authors: H Niebuhr; F Wegner; M Hukauf; M Lechner; R Fortelny; R Bittner; C Schug-Pass; F Köckerling Journal: Surg Endosc Date: 2017-10-26 Impact factor: 4.584