Single-center, single-blinded, randomized study of self-gripping versus sutured mesh in open inguinal hernia repair

Nikkolo, Ceith; Vaasna, T.; Murruste, Marko; Seepter, H.; Suumann, Jaanus; Tein, Andres; Kirsimägi, Ülle; Lepner, Urmas

doi:10.1016/j.jss.2014.09.017

Cited by 17 publications

(18 citation statements)

References 19 publications

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“…Of 2682 articles identified by the literature search, 51 were selected for full‐text assessment and 29 articles met the inclusion criteria. After removing duplicate articles, 25 were included in the meta‐analysis, representing 23 studies ( Fig . ).…”

Section: Resultsmentioning

confidence: 99%

“…One study had a multiarm trial design comparing cyanoacrylate glue fixation and ProGrip™ self‐gripping mesh with suture fixation of the mesh. Five studies reported on fibrin glue fixation, eight on cyanoacrylate glue fixation and 11 on the use of ProGrip™ self‐gripping mesh. Of the 23 articles included in the meta‐analysis, 15 provided the incidence of chronic pain at 12 months, according to the definition provided in the methods.…”

Section: Resultsmentioning

confidence: 99%

“…One study was excluded as it did not report on complications. Fifteen studies reported on haematoma formation, 12 on seroma formation and 11 on surgical‐site infection. Only studies that reported specifically on haematoma, seroma or surgical‐site infection were included in the meta‐analysis.…”

Section: Resultsmentioning

confidence: 99%

“…Fibrin glue, cyanoacrylate and ProGrip™ self-gripping mesh (Medtronic, Minneapolis, Minnesota, USA) were the three methods of self-adhering or self-gripping fixation encountered in the included studies. One study 45 17,26,28,31,34,35,38,40,44,45,47 on the use of ProGrip™ self-gripping mesh. Of the 23 articles included in the meta-analysis, 15 16,17,25,26,28,30,32 -34,38,39,43,45-47 provided the incidence of chronic pain at 12 months, according to the definition provided in the methods.…”

Section: Resultsmentioning

confidence: 99%

“…4). 26 Campanelli et al 16 Hoyuela et al 33 Moreno-Egea 39 Nikkolo et al 40 Paajanen et al 43 Pierides et al 44 Rönkä et al 45 Sanders et al 17 Bracale et al 25 Jorgensen et al 34 Campanelli et al 16 Hoyuela et al 33 Moreno-Egea 39 Nikkolo et al 40 Paajanen et al 43 Rönkä et al 45 Sanders et al 17 Reference Pain incidence…”

Section: Resultsunclassified

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Meta‐analysis of postoperative pain using non‐sutured or sutured single‐layer open mesh repair for inguinal hernia

et al. 2019

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Background Chronic postoperative pain occurs in up to 21·7 per cent of patients undergoing open inguinal hernia repair. Several mesh fixation techniques using glue or self‐gripping meshes have been developed to reduce postoperative pain. The aim of this meta‐analysis was to evaluate RCTs comparing adhesional/self‐gripping and sutured single‐layer open mesh fixations in the repair of inguinal herniation, with postoperative pain as endpoint. Methods PubMed, Embase and Cochrane CENTRAL databases were searched systematically for RCTs according to the PRISMA guidelines; the study was registered at PROSPERO (CRD42017056373). Different fixation methods were analysed. The primary outcome, chronic pain, was defined as a postoperative visual analogue scale (VAS) score of at least 3 at 12 months. Secondary outcomes were mean VAS score at 1 week and at 1 month after surgery. Results Twenty‐three studies including 5190 patients were included in the meta‐analysis. Adhesional (self‐adhering or glued) or self‐gripping fixation methods were associated with a significantly lower VAS score at 1 week (mean difference –0·49, 95 per cent c.i. ‐0·81 to –0·17; P = 0·003) and at 1 month (mean difference –0·31, –0·58 to –0·04; P = 0·02) after surgery than suture fixation, but the incidence of chronic pain after 12 months was similar in the two groups (odds ratio 0·70, 95 per cent c.i. 0·30 to 1·66). Differences in recurrences and complications between groups did not reach statistical significance. Conclusion There was no difference in the incidence of chronic pain 12 months after different mesh repair fixation techniques despite significant reductions in short‐term postoperative pain favouring a non‐sutured technique. There were no differences in recurrence rates or in rates of other complications at 1 year.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsunclassified

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Meta‐analysis of postoperative pain using non‐sutured or sutured single‐layer open mesh repair for inguinal hernia

et al. 2019

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Emerging Trends in Abdominal Wall Reinforcement: Bringing Bio‐Functionality to Meshes

Guillaume

Teuschl

Gruber-Blum

et al. 2015

Adv Healthcare Materials

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Abdominal wall hernia is a recurrent issue world-wide and requires the implantation of over 1 million meshes per year. Because permanent meshes such as polypropylene and polyester are not free of complications after implantation, many mesh modifications and new functionalities have been investigated over the last decade. Indeed, mesh optimization is the focus of intense development and the biomaterials utilized are now envisioned as being bioactive substrates that trigger various physiological processes in order to prevent complications and to promote tissue integration. In this context, it is of paramount interest to review the most relevant bio-functionalities being brought to new meshes and to open new avenues for the innovative development of the next generation of meshes with enhanced properties for functional abdominal wall hernia repair.

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Self-Gripping Mesh Repair in Primary Inguinal Hernia

Muzi

Cianfarani

Mosconi

et al. 2018

The Art of Hernia Surgery

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Single-center, single-blinded, randomized study of self-gripping versus sutured mesh in open inguinal hernia repair

Cited by 17 publications

References 19 publications

Meta‐analysis of postoperative pain using non‐sutured or sutured single‐layer open mesh repair for inguinal hernia

Meta‐analysis of postoperative pain using non‐sutured or sutured single‐layer open mesh repair for inguinal hernia

Emerging Trends in Abdominal Wall Reinforcement: Bringing Bio‐Functionality to Meshes

Self-Gripping Mesh Repair in Primary Inguinal Hernia

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