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World Journal of Surgery
Published in: World Journal of Surgery 10/2013

01-10-2013

Glue Versus Suture Fixation of Mesh During Open Repair of Inguinal Hernias: A Systematic Review and Meta-analysis

Authors: Hugh Shunsuke Colvin, Ahsan Rao, Marta Cavali, Giampiero Campanelli, Amin Ibrahim Amin

Published in: World Journal of Surgery | Issue 10/2013

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Abstract

Background

Glue fixation of mesh has been explored for some time as a strategy for reducing postoperative chronic groin pain. Previous studies have come to different conclusions about the superiority of one method over another. We conducted a meta-analysis of randomized control trials comparing the performance of glue versus suture fixation of mesh in open inguinal hernioplasty.

Methods

Studies published up to November 2012 were searched using PubMed, EMBASE, MEDLINE, Cochrane Library, and the international standard randomised controlled trials number (ISRCTN) register. Mean differences (MDs) were derived from secondary continuous outcomes and pooled risk ratios (RRs) for categoric outcomes. Meta-analysis was conducted utilizing the random-effects and fixed-effects models as appropriate.

Results

Ten randomized controlled studies were selected, with a total of 1,623 patients. Glue fixation for open inguinal hernioplasty reduced chronic groin pain (RR 0.46, 95 % confidence interval (CI) 0.22–0.97), hematoma (RR 0.56, 95 % CI 0.34–0.90), acute postoperative pain (MD −7.92, 95 % CI, −13.17 to −2.66), and time taken to return to normal activities (MD −1.39, 95 % CI, −2.58 to −0.21). There was no evidence of an increase in adverse outcomes including recurrence with glue fixation (RR 0.83, 95 % CI 0.30–2.35).

Conclusions

Glue fixation of mesh for open inguinal hernioplasty is superior in many outcomes including the reduction of chronic groin pain. Glue fixation was not associated with an increased risk of hernia recurrence.
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Metadata
Title
Glue Versus Suture Fixation of Mesh During Open Repair of Inguinal Hernias: A Systematic Review and Meta-analysis
Authors
Hugh Shunsuke Colvin
Ahsan Rao
Marta Cavali
Giampiero Campanelli
Amin Ibrahim Amin
Publication date
01-10-2013
Publisher
Springer US
Published in
World Journal of Surgery / Issue 10/2013
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI
https://doi.org/10.1007/s00268-013-2140-4

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