title: A meta-analysis examining the use of tacker mesh fixation versus glue mesh fixation in laparoscopic inguinal hernia repair.
abstract: BACKGROUND
  The aim of this study was to systematically analyze the randomized trials comparing tacker mesh fixation with glue mesh fixation (GMF) in laparoscopic inguinal hernia repair (LIHR).
  
  
  METHODS
  Standard electronic database were searched to retrieve relevant randomized trials comparing tacker mesh fixation with GMF in LIHR, which were analyzed systematically using RevMan.
  
  
  RESULTS
  Five randomized controlled trials encompassing 1,001 patients were retrieved from the electronic databases. In a random-effects model, operating time, postoperative pain, postoperative complications, length of hospital stay and risk for hernia recurrence were statistically comparable between the 2 techniques of mesh fixation in LIHR. However, GMF was associated with a reduced risk for developing chronic groin pain.
  
  
  CONCLUSIONS
  GMF in LIHR does not increase the risk for hernia recurrence and reduces the risk for developing chronic groin pain. It is comparable with tacker mesh fixation in terms of operation time, postoperative pain, postoperative complications, length of hospital stay, and risk for hernia recurrence.
authors: Department of General and Laparoscopic Colorectal Surgery, Worthing Hospital, Worthing, West Sussex BN11 2DH, UK. surgeon1wrh@hotmail.com
authors: Muhammad S
authors: MS
authors: Sajid
authors: Nikhil
authors: N
authors: Ladwa
authors: Lorain
authors: L
authors: Kalra
authors: Malcolm
authors: M
authors: McFall
authors: Mirza K
authors: MK
authors: Baig
authors: Parv
authors: P
authors: Sains
mesh_terms: D059350:Chronic Pain / Q000209:etiology*; D006119:Groin; D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D010535:Laparoscopy; D007902:Length of Stay; D016017:Odds Ratio; D061646:Operative Time; D010149:Postoperative Pain / Q000209:etiology*; D016032:Randomized Controlled Trials as Topic; D012008:Recurrence; D018570:Risk Assessment; D012307:Risk Factors; D013526:Surgical Mesh / Q000009:adverse effects