Self-fixating mesh and sutured mesh in open inguinal hernia repair：a Meta-analysis
10.3969/j.issn.2095-4344.2015.34.027
- VernacularTitle:自固定补片与普通缝合补片用于开放式腹股沟疝修补的Meta分析
- Author:
Jiasheng WANG
;
Lei YANG
;
Xiaolan KANG
;
Yong CHEN
- Publication Type:Journal Article
- Keywords:
Hernia,Inguinal;
Meta-Analysis;
Evidence-Based Medicine
- From:
Chinese Journal of Tissue Engineering Research
2015;(34):5552-5558
- CountryChina
- Language:Chinese
-
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 folowing electronic databases: Cochrane library, PubMed, EMBASE, Medline, Ovid, CNKI, Wanfang and FMJS. The Literature published before December 2014 was searched. Perspective randomized controled 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 folows: 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.
