Fijación del material protésico en la hernioplastia inguinal abierta: sutura vs. cola sintética

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

“…Sozen et al [12] did not report that their study was a randomized control trial but indicated through personal communication that patient selection was done with a computer program—hence its inclusion in the meta‐analysis. A few studies included the cost of the glue and suture materials per procedure: fibrin glue was reported to cost €200 [14], NBCA €100–165 [17, 19], and suture €4 [17].…”

“…Seven studies reported that there were no postoperative complications that required further surgery [14–16, 18, 20–22]. The other studies did not mention any complications requiring further surgery [17, 19, 23].…”

“…For example, the number of patients required to demonstrate a 50 % RR difference with a baseline hernia recurrence rate of 2 %, with a significance level of 95 % and power of 80 % would be at least 4,534 patients [37]. Second, although the reporting of chronic groin pain did not demonstrate significant heterogeneity, the definition of chronic groin pain in terms of when and how it was measured was variable among the studies, as were the types of mesh used, which can have a bearing on chronic groin pain [14][15][16][17][18][19][20][21][22][23]. Third, when considering postoperative hematoma, some of the common risk factors for hematoma were not mentioned in the included randomized control trials, such as use of antiplatelet and anticoagulation agents.…”

“…Ten studies underwent meta-analysis for hematoma [14][15][16][17][18][19][20][21][22][23]. There was no heterogeneity among the studies (v 2 = 6.13, df = 7, p = 0.53, I 2 = 0 %).…”

“…Ten studies underwent meta-analysis for wound infection [14][15][16][17][18][19][20][21][22][23]. The included studies did not necessarily differentiate between superficial and deep infection, so all were amalgamated.…”