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The comparison of self-gripping mesh and conventional mesh in laparoscopic inguinal hernia repair: the results of meta-analysis

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Abstract

Self-gripping mesh is widely used in laparoscopic inguinal hernia repair and some researches report its advantages compared with conventional mesh. The aim of this study was to assess outcomes of self-gripping mesh and conventional mesh in laparoscopic inguinal hernia repair. A systematic literature review was undertaken to identify studies comparing the results of self-gripping mesh and conventional mesh in laparoscopic inguinal hernia repair. Outcomes, including recurrence, chronic pain, operation time, hematoma, seroma and infection, were measured. Four randomized controlled trials and 1 prospective comparative study were analyzed. The incidence of chronic pain in self-gripping group was significantly lower than that in conventional group (OR 0.43, 95% CI 0.20, 0.93, P = 0.03), and there was no significant difference in hernia recurrence (OR 0.31, 95% CI 0.03, 3.06, P = 0.32), operation time (MD 0.06, 95%CI − 2.32, 2.44, P = 0.96), hematoma (OR 1.01, 95% CI 0.33, 3.07, P = 0.99) and seroma (OR 0.90, 95% CI 0.49, 1.66, P = 0.73). Laparoscopic inguinal hernia repair using self-gripping mesh is associated with a decreased incidence of chronic pain compared with conventional mesh, without increased postoperative complications.

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References

  1. Deans GT, Wilson MS, Royston CM et al (1995) Recurrent inguinal hernia after laparoscopic repair: possible cause and prevention. Br J Surg 82:539–541

    Article  CAS  Google Scholar 

  2. Stark E, Oestreich K, Wendl K et al (1999) Nerve irritation after laparoscopic hernia repair. Surg Endosc 13:878–881

    Article  CAS  Google Scholar 

  3. Antoniou SA, Köhler G, Antoniou GA et al (2016) Meta-analysis of randomized trials comparing nonpenetrating vs mechanical mesh fixation in laparoscopic inguinal hernia repair. Am J Surg 211:239–249

    Article  Google Scholar 

  4. Molegraaf M, Kaufmann R, Lange J (2018) Comparison of self-gripping mesh and sutured mesh in open inguinal hernia repair: a meta-analysis of long-term results. Surgery 163:351–360

    Article  Google Scholar 

  5. Hollinsky C, Kolbe T, Walter I et al (2009) Comparison of a new self-gripping mesh with other fixation methods for laparoscopic hernia repair in a rat model. J Am Coll Surg 208:1107–1114

    Article  Google Scholar 

  6. Wang D, Zhang H, Lei T et al (2020) Randomized trial comparing self-gripping mesh with polypropylene mesh in female lichtenstein hernioplasty. Am Surg 86:110–115

    Article  Google Scholar 

  7. Cambal M, Zonca P, Hrbaty B (2012) Comparison of self-gripping mesh with mesh fixation with fibrin-glue in laparoscopic hernia repair (TAPP). Bratisl Lek Listy 113:103–107

    CAS  PubMed  Google Scholar 

  8. Romario UF, Puccetti F, Elmore U et al (2013) Self-gripping mesh versus staple fixation in laparoscopic inguinal hernia repair: a prospective comparison. Surg Endosc 27:1798–1802

    Article  Google Scholar 

  9. Ferrarese A, Bindi M, Rivelli M et al (2016) Self-gripping mesh versus fibrin glue fixation in laparoscopic inguinal hernia repair: a randomized prospective clinical trial in young and elderly patients. Open Med 11:497–508

    Article  Google Scholar 

  10. Law TT, Ng KK, Wei R et al (2020) A randomized controlled trial comparing short-term outcomes of self-gripping (Progrip) Mesh versus fibrin sealant in laparoscopic total extraperitoneal hernioplasty. Surg Laparosc Endosc Percutan Tech 30:203–208

    Article  Google Scholar 

  11. Denham M, Johnson B, Leong M et al (2019) An analysis of results in a single-blinded, prospective randomized controlled trial comparing non-fixating versus self-fixating mesh for laparoscopic inguinal hernia repair. Surg Endosc 33:2670–2679

    Article  Google Scholar 

  12. Schünemann H, Brożek J, Guyatt G, et al (2013) GRADE handbook for grading quality of evidence and strength of recommendations. The GRADE Working Group

  13. Chinn S (2000) A simple method for converting an odds ratio to effect size for use in meta-analysis. Stat Med 19:3127–3131

    Article  CAS  Google Scholar 

  14. Higgins JP, Thompson SG (2002) Quantifying heterogeneity in a meta-analysis. Stat Med 21:1539–1558

    Article  Google Scholar 

  15. Shi Z, Fan X, Zhai S et al (2017) Fibrin glue versus staple for mesh fixation in laparoscopic transabdominal preperitoneal repair of inguinal hernia: a meta-analysis and systematic review. Surg Endosc 31:527–537

    Article  Google Scholar 

  16. Sajid MS, Kalra L, Parampalli U et al (2013) A systematic review and meta-analysis evaluating the effectiveness of lightweight mesh against heavyweight mesh in influencing the incidence of chronic groin pain following laparoscopic inguinal hernia repair. Am J Surg 205:726–736

    Article  Google Scholar 

  17. de Goede B, Klitsie PJ, van Kempen BJ et al (2013) Meta-analysis of glue versus sutured mesh fixation for Lichtenstein inguinal hernia repair. Br J Surg 100:735–742

    Article  Google Scholar 

  18. Haroutiunian S, Nikolajsen L, Finnerup NB et al (2013) The neuropathic component in persistent postsurgical pain: a systematic literature review. Pain 154:95–102

    Article  Google Scholar 

  19. Alfieri S, Amid PK, Campanelli G et al (2011) International guidelines for prevention and management of post-operative chronic pain following inguinal hernia surgery. Hernia 15:239–249

    Article  CAS  Google Scholar 

  20. Li J, Ji Z, Li Y (2014) The comparison of self-gripping mesh and sutured mesh in open inguinal hernia repair: the results of meta-analysis. Ann Surg 259:1080–1085

    Article  Google Scholar 

  21. Chastan P (2009) Tension-free open hernia repair using an innovative self-gripping semi-resorbable mesh. Hernia 13:137–142

    Article  CAS  Google Scholar 

  22. Kolbe T, Hollinsky C, Walter I et al (2010) Influence of a new self-gripping hernia mesh on male fertility in a rat model. Surg Endosc 24:455–461

    Article  Google Scholar 

  23. Stremitzer S, Bachleitner-Hofmann T, Gradl B et al (2010) Mesh graft infection following abdominal hernia repair: risk factor evaluation and strategies of mesh graft preservation. A retrospective analysis of 476 operations. World J Surg 34:1702–1709

    Article  Google Scholar 

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Acknowledgements

The study was funded by Key Scientific Research Projects of Colleges and Universities in Henan Province in 2022 (Number: 22A320053).

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Authors and Affiliations

  1. Department of Hernia and Abdominal Wall Surgery, The First Affiliated Hospital of Zhengzhou University, No.1 Jianshe Road, Zhengzhou, 450052, Henan, China

    Dianchen Wang, Jianwu Jiang, Yang Fu & Pan Qu

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  1. Dianchen Wang
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  2. Jianwu Jiang
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Correspondence to Dianchen Wang.

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Wang, D., Jiang, J., Fu, Y. et al. The comparison of self-gripping mesh and conventional mesh in laparoscopic inguinal hernia repair: the results of meta-analysis. Updates Surg 74, 857–863 (2022). https://doi.org/10.1007/s13304-021-01218-w

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  • DOI: https://doi.org/10.1007/s13304-021-01218-w

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