Self-fixating mesh and sutured mesh in open inguinal hernia repair: a Meta-analysis

doi:10.3969/j.issn.2095-4344.2015.34.027

Abstract

Abstract:

BACKGROUND: It remains controversial in term of therapeutic efficacy of self-fixating mesh and sutured mesh in inguinal hernia repair.

OBJECTIVE: To compare the therapeutic effects of self-fixating mesh and sutured mesh in open inguinal hernia repair with Meta-analysis.

METHODS: Comprehensive electronic search strategies were developed using the following electronic databases: Cochrane library, PubMed, EMBASE, Medline, Ovid, CNKI, Wanfang and FMJS. The Literature published before December 2014 was searched. Perspective randomized controlled trials about comparing self-fixating mesh and sutured mesh in open inguinal hernia repair were included. A data-extraction sheet was developed based on the preset standards. The data from eligible studies were pooled through Meta-analysis.

RESULTS AND CONCLUSION: Nine trials with a total of 2 100 inguinal hernia patients met the inclusion criteria, including 1 033 cases of self-fixing mesh and 1 067 cases of sutured mesh. The Meta-analysis showed that no significant differences were found between the two groups in the recurrence rate, seroma, hematoma, wound infection, pain, foreign body sensations (P > 0.05), but the duration of operation was less in the self-fixing mesh group than the sutured mesh group (P < 0.05). According to limited evidence, there are some findings as follows: self-fixating mesh is equivalent to sutured mesh in the therapeutic effects on open inguinal hernia repair. Because of the limits of samples and literature quality, more large-sample and high-quality trials are required to make a definite clinical evidence to use self-fixating mesh for groin hernia repair.

中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

Key words: Hernia, Inguinal, Meta-Analysis, Evidence-Based Medicine

CLC Number:

R318

Wang Jia-sheng, Yang Lei, Kang Xiao-lan, Chen Yong. Self-fixating mesh and sutured mesh in open inguinal hernia repair: a Meta-analysis[J]. Chinese Journal of Tissue Engineering Research, 2015, 19(34): 5552-5558.

Figures/Tables 6

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