Comparison of glue versus suture mesh fixation for primary open inguinal hernia mesh repair by Lichtenstein technique: a systematic review and meta-analysis

Phoa, S.L.A.; Chan, Kwai S.; Lim, Sioh Huang; Oo, Aung Myint; Shelat, Vishal G

doi:10.1007/s10029-022-02571-4

Cited by 7 publications

(11 citation statements)

References 73 publications

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“…In addition, symptoms of gallstones such as nausea, vomiting, and inability to enjoy meals result in inferior quality 21 of life compared to groin discomfort or pain from a hernia. Further, groin hernia is mostly an affair of men while gallstone is more common in women 22 . This gender difference also could have contributed to the results; however, this audit cannot confirm these observations.…”

Section: Discussionmentioning

confidence: 72%

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Before and after COVID‐19 pandemic: impact on hepatobiliary and pancreatic surgical services in a Singapore Tertiary Hospital

Lim,

Teo

et al. 2023

ANZ Journal of Surgery

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BackgroundReallocation of healthcare resources to prioritize the COVID‐19 pandemic‐related incremental healthcare needs resulted in longer waiting times for routine elective clinical services.AimsWe aimed to analyze the effects of the pandemic on the hepatopancreatobiliary (HPB) unit's surgical workload.MethodsThe HPB unit's surgical workload for the months of January‐June from 2019 to 2022 was extracted, retrospectively compared, and analyzed. This study was registered in ClinicalTrials.gov (NCT05572866) and complies with the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines.ResultsBenign elective surgeries were impacted adversely, with elective gallbladder operations decreasing by 45.2% (146 in 2019 vs 80 in 2020, p = 0.89) before slowly increasing to 120 cases in 2021 and rebounding to 179 cases in 2022 (p = 0.001).Elective oncology operations paradoxically increased, with liver resections rising by 12.9% (31 in 2019 vs 35 in 2020, p = 0.002) and maintaining 37 cases in 2021 (p = 0.0337) and 34 cases in 2022 (p = 0.69). Elective pancreatic resections increased by 171.4% (7 in 2019 vs 19 in 2020, p < 0.0001) and were maintained at 15 cases in 2021 (p = 0.013) and 18 cases in 2022 (p = 0.022).The overall emergency workload decreased from 2019 (n = 198) to 2020 (n = 129) to 2021 (n = 122) before recovering to baseline in 2022 (n = 184). The month‐on‐month volume generally showed similar trends compared to the other years except for February 2022 and May 2021.ConclusionThis audit shows that despite large‐scale disruption of the local healthcare system, essential surgeries can still proceed with careful resource planning by steadfast and vigilant clinical teams.

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Section: Discussionmentioning

confidence: 72%

“…Further, groin hernia is mostly an affair of men while gallstone is more common in women. 22 This gender difference also could have contributed to the results; however, this audit cannot confirm these observations.…”

Section: Hernia Cases (Elective and Emergency)mentioning

confidence: 78%

Before and after COVID‐19 pandemic: impact on hepatobiliary and pancreatic surgical services in a Singapore Tertiary Hospital

Lim,

Teo

et al. 2023

ANZ Journal of Surgery

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“…Glue fixation had a shorter operating time and lower hematoma formation than suture fixation. Chronic pain and seroma formation were comparable [81]. In PP HWM or LWM, neither mechanical nor glue fixation improves the outcome of laparoscopic IHR.…”

Section: Mesh Fixationmentioning

confidence: 82%

“…Early and late recurrence, chronic pain, and seroma formation were comparable between glue and suture fixation in open Lichtenstein IHR patients. Glue fixation had a shorter operating time and lower hematoma formation than suture fixation [90]. Intractable inguinal pain following laparoscopic inguinal hernia repair may be treated by laparoscopic mesh removal [91].…”

Section: Painmentioning

confidence: 99%

A Narrative Review on Polypropylene Mesh Complications in Inguinal Hernia Repair - is Titanized Mesh an Option?

2022

J Surg

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Introduction: Since the introduction of mesh in Inguinal Hernia Repair (IHR) the recurrence rate was lowered. Instead, postoperative pain which may be related to mesh side effects e.g. fibrosis, foreign body reaction, erosion and migration, and infection, has been recognized as the relevant outcome factor. The long-term effects of mesh and composite mesh need to be analyzed.Methods: Pubmed, google scholar search using the search terms: polypropylene mesh, titanized mesh, TiMesh ® ; about polypropylene mesh the following terms: adhesion, erosion, infection, shrinkage, migration, seroma, degradation, pain; biocompatibility, foreign body reaction. Also, a bibliography of relevant articles and product-related information was searched.Results: Mesh properties are determined by tensile strength, pore size, weight, reactivity and biocompatibility, elasticity, constitution, and shrinkage. PolyPropylene Mesh (PP) is associated with actual and long-term complications more than expected. These complications are associated with mesh structure-lightweight meshes showed fewer risks for complication as infection, pain, mesh migration, foreign body response, erosion, adhesion, shrinkage, pain, seroma, and recurrence. TiMesh ® showed an advantage in in-vitro and animal studies which were supported by clinical studies. There is a shorter convalescence, and lesser foreign material sensitivity with comparable results in complications (Chronic pain, infection, recurrence). Conclusion:Polypropylene mesh has been successful in inguinal hernia repair for decades. However, in recent years complications of PP became evident in scientific reports and the public. Complications seem to be related to the material and structure of the mesh but also to the surgeon's expertise and patient's characteristics. It became evident that more complications appear long-term. The true rate of complications could be higher. There are a few clinical reports on titanium-coated mesh (TiMesh) in TAPP and TEP inguinal hernia repair. Experience with TiMesh in laparoscopic procedures long-term and open IHR are missing. Especially about the long-term effects of coating PP with titanium we need to have a better understanding of the interaction of soft tissue and mesh. There are promising results of pure titanium mesh for inguinal hernia repair which need to be confirmed in further controlled clinical studies.

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“…The current meta-analysis evidence of mesh fixation in OHR suggested that glue was superior to suture mesh at shorter operative time and reduced pain, but had no effect on long-term hernia recurrence, while chronic groin pain was equivocal. For SGM, no difference was found in the use of mesh fixation compared to suture or compared to flat mesh itself [ 9 – 19 , 32 – 34 ]. In LHR, glue was more useful than tack in reducing chronic groin pain, but there was no difference in hernia recurrence [ 34 – 40 ].…”

Section: Discussionmentioning

confidence: 99%

Cost-effectiveness analysis of mesh fixation techniques for laparoscopic and open inguinal hernia surgeries

Techapongsatorn

Tansawet

Pattanaprateep

et al. 2022

BMC Health Serv Res

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Purpose This study reports economic evaluation of mesh fixation in open and laparoscopic hernia repair from a prospective real-world cohort study, using cost-effectiveness analysis (CEA) and cost-utility analysis (CUA). Methods A prospective real-world cohort study was conducted in two university-based hospitals in Thailand from November 2018 to 2019. Patient data on hernia features, operative approaches, clinical outcomes, associated cost data, and quality of life were collected. Models were used to determine each group’s treatment effect, potential outcome means, and average treatment effects. An incremental cost-effectiveness ratio was used to evaluate the incremental risk of hernia recurrences. Results The 261 patients in this study were divided into six groups: laparoscopic with tack (LT, n = 47), glue (LG, n = 26), and self-gripping mesh (LSG, n = 30), and open with suture (OS, n = 117), glue (OG, n = 18), and self-gripping mesh (OSG, n = 23). Hernia recurrence was most common in LSG. The mean utility score was highest in OG and OSG (both 0.99). Treatment costs were generally higher for laparoscopic than open procedures. The cost-effectiveness plane for utility and hernia recurrence identified LSG as least cost effective. Cost-effectiveness acceptability curves identified OG as having the highest probability of being cost effective at willingness to pay levels between $0 and $3,300, followed by OSG. Conclusion Given the similarity of hernia recurrence among all major procedures, the cost of surgery may impact the decision. According to our findings, open hernia repair with adhesive or self-gripping mesh appears most cost-effective.

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Comparison of glue versus suture mesh fixation for primary open inguinal hernia mesh repair by Lichtenstein technique: a systematic review and meta-analysis

Cited by 7 publications

References 73 publications

Before and after COVID‐19 pandemic: impact on hepatobiliary and pancreatic surgical services in a Singapore Tertiary Hospital

Before and after COVID‐19 pandemic: impact on hepatobiliary and pancreatic surgical services in a Singapore Tertiary Hospital

A Narrative Review on Polypropylene Mesh Complications in Inguinal Hernia Repair - is Titanized Mesh an Option?

Cost-effectiveness analysis of mesh fixation techniques for laparoscopic and open inguinal hernia surgeries

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