Recurrence rate after absorbable tack fixation of mesh in laparoscopic incisional hernia repair

Abstract

Absorbable tack fixation of the mesh was associated with a higher risk of recurrence than non-absorbable tacks for laparoscopic mesh repair of incisional hernia, but did not influence chronic pain.

Laparoscopic ventral hernia repair: outcomes in primary versus incisional hernias: no effect of defect closure

“…This concept has not been validated neither in regard of recurrence-or complication rates. In fact only one cohort study on incisional hernia based on questionnaires from a registry has been published; showing increased risk of recurrence with absorbable compared to permanent tacker of 28.5% vs. 18%, respectively [136]. The risk of prolonged pain after mesh fixation is still not solved, and the absorbable tacker fixation does not seem to improve this, according to this report.…”

“…We do not know if this actually decreases pain or has a negative impact on the long-term outcome. Only one study has been published on the subject, a register study indicating a higher risk of recurrence with absorbable tackers and no benefit regarding chronic pain [136].…”

Systematic review and network meta-analysis of methods of mesh fixation during laparoscopic ventral hernia repair

“…All studies used a minimum mesh overlap of 3–5 cm. Thirty studies reported the percentage of patients at last follow‐up, with a median of 98 (range 76–100) per cent. Follow‐up was given as either a mean or median value, with an overall median of 22 (range 6–64) months.…”

“…Six studies were available for network meta‐analysis, comparing sutures, fibrin glue, absorbable tacks, permanent tacks, and permanent tacks with sutures ( Fig . ).…”

“…Other patient factors such as smoking and healing may also have distorted the recurrence rate. Recurrences increase over time, and follow‐up must be long enough to assess the full effect of the repairs. For this review, a minimum of 6 months' follow‐up was chosen, even though the optimal time might be longer.…”