Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Absorbable Meshes in Inguinal Hernia Surgery: A Systematic Review and Meta-Analysis

Research output: Contribution to journalReviewResearchpeer-review

DOI

  1. A Comparative Study of Single-Port Laparoscopic Surgery Versus Robotic-Assisted Laparoscopic Surgery for Rectal Cancer

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Closure of the fascial defect during laparoscopic umbilical hernia repair: a randomized clinical trial

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Incidence of Inguinal Hernia after Radical Prostatectomy: A Systematic Review and Meta-Analysis

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Kønsmodificerende kirurgi i Danmark

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Outcome Measures in Gender-Confirming Chest Surgery: A Systematic Scoping Review

    Research output: Contribution to journalReviewResearchpeer-review

View graph of relations

PURPOSE: Absorbable meshes used in inguinal hernia repair are believed to result in less chronic pain than permanent meshes, but concerns remain whether absorbable meshes result in an increased risk of recurrence. The aim of this study was to present an overview of the advantages and limitations of fully absorbable meshes for the repair of inguinal hernias, focusing mainly on postoperative pain and recurrence.

METHODS: This systematic review with meta-analyses is based on searches in PubMed, Embase, Cochrane, and Psychinfo. Included study designs were case series, cohort studies, randomized controlled trials (RCTs), and non-RCTs. Studies had to include adult patients undergoing an inguinal hernia repair with a fully absorbable mesh.

RESULTS: The meta-analyses showed no difference in recurrence rates (median 18 months follow-up) and chronic pain rates (1 year follow-up) between absorbable- and permanent meshes. Crude chronic pain rates for the RCTs were 2.1% for the absorbable meshes and 7.6% for the permanent meshes. For the absorbable meshes, medial hernias were more susceptible for recurrence compared with lateral hernias ( P < .0005). None of the studies reported allergic reactions or other serious adverse events related to the absorbable mesh.

CONCLUSIONS: Patients with an absorbable mesh seem to have less chronic pain following inguinal hernia surgery compared with permanent meshes, without increased risk of recurrence.

Original languageEnglish
JournalSurgical Innovation
Volume24
Issue number3
Pages (from-to)289-298
Number of pages10
ISSN1553-3506
DOIs
Publication statusPublished - Jun 2017

    Research areas

  • Journal Article

ID: 51710463