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A meta-analysis of randomized control trials assessing mesh fixation with glue versus suture in Lichtenstein inguinal hernia repair.

Abstract The use of glue to fix mesh instead of sutures in Lichtenstein inguinal hernia repair has been accepted worldwide, with the increasing worries about postoperative chronic groin pain and recurrence. The aim of this meta-analysis was to clarify which mesh fixation method was more suitable in Lichtenstein inguinal hernia repair.
PMID
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Authors

Mayor MeshTerms

Surgical Mesh

Keywords
Journal Title medicine
Publication Year Start




PMID- 29620633
OWN - NLM
STAT- MEDLINE
DCOM- 20180416
LR  - 20180416
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 14
DP  - 2018 Apr
TI  - A meta-analysis of randomized control trials assessing mesh fixation with glue
      versus suture in Lichtenstein inguinal hernia repair.
PG  - e0227
LID - 10.1097/MD.0000000000010227 [doi]
AB  - BACKGROUND: The use of glue to fix mesh instead of sutures in Lichtenstein
      inguinal hernia repair has been accepted worldwide, with the increasing worries
      about postoperative chronic groin pain and recurrence. The aim of this
      meta-analysis was to clarify which mesh fixation method was more suitable in
      Lichtenstein inguinal hernia repair. METHODS: Articles published up to July 2017 
      were searched using MEDLINE, the Cochrane Library, Embase, and the Web of
      Science. Randomized controlled trials (RCTs) comparing glue versus suture mesh
      fixation in Lichtenstein inguinal hernia repair were included in the review. The 
      quality assessment and data extraction of included studies were applied by 2
      independent authors. Statistical analysis was performed using RevMan 5.2
      software. RESULTS: Thirteen RCTs with 2375 patients were eligible for inclusion. 
      Eight trials compared synthetic glue with suture fixation and 5 compared
      biological glue with suture fixation. The results showed that there was a lower
      incidence of early chronic pain (subgroup analysis, biological glue versus
      sutures, odds ratio (OR) = 0.41; 95% confidence interval (CI), 0.19-0.90; P =
      .03), and hematoma (subgroup analysis, synthetic glue versus sutures, OR = 0.56; 
      95% CI, 0.34-0.95; P = .03) in the glue fixation group. Suture mesh fixation
      method cost more time in operation than glue (mean difference = -4.60, 95% CI
      -7.60 to -1.60; P = .003). There was no evidence of an increase in chronic pain
      or recurrence rates with glue fixation method in the long-term follow-up.
      CONCLUSIONS: Mesh fixation with glue compared with sutures in Lichtenstein repair
      inguinal hernia is faster and less painful, without an increasing in terms of
      recurrence rates in the long term.
FAU - Lin, Hongwei
AU  - Lin H
AD  - Department of Gastrointestinal Surgery.
FAU - Zhuang, Zhuonan
AU  - Zhuang Z
AD  - Department of Gastrointestinal Surgery.
FAU - Ma, Tianyi
AU  - Ma T
AD  - Department of Gastrointestinal Surgery.
FAU - Sun, Xiaowen
AU  - Sun X
AD  - Department of Gastrointestinal Surgery.
FAU - Huang, Xin
AU  - Huang X
AD  - Department of Hepatopancreatobiliary Surgery, Beijing Tsinghua Changgung
      Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.
FAU - Li, Yuanxin
AU  - Li Y
AD  - Department of Gastrointestinal Surgery.
LA  - eng
PT  - Journal Article
PT  - Meta-Analysis
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
RN  - 0 (Adhesives)
SB  - AIM
SB  - IM
MH  - Adhesives/administration & dosage/*adverse effects
MH  - Adult
MH  - Female
MH  - Hernia, Inguinal/*surgery
MH  - Herniorrhaphy/*instrumentation/methods
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Operative Time
MH  - Pain, Postoperative/etiology
MH  - Randomized Controlled Trials as Topic
MH  - Recurrence
MH  - *Surgical Mesh
MH  - Suture Techniques/*adverse effects
MH  - Sutures
MH  - Treatment Outcome
EDAT- 2018/04/06 06:00
MHDA- 2018/04/17 06:00
CRDT- 2018/04/06 06:00
PHST- 2018/04/06 06:00 [entrez]
PHST- 2018/04/06 06:00 [pubmed]
PHST- 2018/04/17 06:00 [medline]
AID - 10.1097/MD.0000000000010227 [doi]
AID - 00005792-201804060-00011 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Apr;97(14):e0227. doi: 10.1097/MD.0000000000010227.