Self-gripping mesh versus sutured mesh in open inguinal hernia repair: system review and meta-analysis.
BACKGROUND
The objective of this article was to compare the outcomes of self-gripping mesh (GM) with sutured mesh (SM) in open inguinal hernia repair.


METHODS
A systematic review and meta-analysis were taken to compare the outcomes of GM and SM in open inguinal hernia repair.


RESULTS
A 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.


CONCLUSIONS
The 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.
Department of Geriatrics Surgery, the Second Xiangya Hospital, Central South University, No. 139, Middle Renmin Road, Changsha, Hunan 410011, P.R. China.
Zhixue
Z
Fang
Department of Geriatrics Surgery, the Second Xiangya Hospital, Central South University, No. 139, Middle Renmin Road, Changsha, Hunan 410011, P.R. China.
Jianping
J
Zhou
Department of Geriatrics Surgery, the Second Xiangya Hospital, Central South University, No. 139, Middle Renmin Road, Changsha, Hunan 410011, P.R. China. Electronic address: feng.ren1988@outlook.com.
Feng
F
Ren
Department of Geriatrics Surgery, the Second Xiangya Hospital, Central South University, No. 139, Middle Renmin Road, Changsha, Hunan 410011, P.R. China.
Dongcai
D
Liu
D006552:Hernia, Inguinal / Q000601:surgery*; D059685:Herniorrhaphy / Q000295:instrumentation* / Q000379:methods; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology; D012008:Recurrence; D013526:Surgical Mesh; D016896:Treatment Outcome
Open inguinal hernia repair; Self-gripping mesh; Sutured mesh