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

ABSTRACT:

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

SUBMITTER: van Steensel S 

PROVIDER: S-EPMC6551402 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature