• Am. J. Surg. · May 2014

    Review Meta Analysis Comparative Study

    Self-gripping mesh versus sutured mesh in open inguinal hernia repair: system review and meta-analysis.

    • Zhixue Fang, Jianping Zhou, Feng Ren, and Dongcai Liu.
    • Department of Geriatrics Surgery, the Second Xiangya Hospital, Central South University, No. 139, Middle Renmin Road, Changsha, Hunan 410011, P.R. China.
    • Am. J. Surg. 2014 May 1;207(5):773-81.

    BackgroundThe objective of this article was to compare the outcomes of self-gripping mesh (GM) with sutured mesh (SM) in open inguinal hernia repair.MethodsA systematic review and meta-analysis were taken to compare the outcomes of GM and SM in open inguinal hernia repair.ResultsA total of 1,353 patients in 6 randomized controlled trials and 2 observational studies were reviewed (666 patients in GM group; 687 patients in SM group). The 2 groups did not significantly differ in chronic groin pain (P = .23) or recurrence (P = .59). The operating time was significantly shorter in GM group (P < .00001). There was no significant difference in infection (P = .18), seromas (P = .35), hematomas (P = .87), or discomfort (P = .58) between the 2 groups.ConclusionsThe data showed that GM was equivalent to SM in open inguinal hernia repair. However, this new mesh still needs to be confirmed in large, multi-center, well-designed randomized controlled trials.Copyright © 2014 Elsevier Inc. All rights reserved.

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