2012
DOI: 10.1007/s00464-012-2179-6
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Lightweight versus heavyweight mesh in laparoscopic inguinal hernia repair: a meta-analysis

Abstract: Both mesh options appear to result in similar long- and short-term postoperative outcomes. Further long-term analysis may guide surgeon selection of mesh weight for laparoscopic inguinal hernia repair.

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Cited by 74 publications
(49 citation statements)
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“…There is no sufficient evidence for such recommendation in endoscopic groin hernia repair, as recently shown in a meta-analysis of eight RCTs (6 TEP, 2 TAPP) with a mean follow-up of 2-60 months [27], both with respect to shortor long-term outcome. Only one study by Bittner et al [28] concerning small hernias (B3 cm), not included in the meta-analysis, showed some minor benefits with an ''extralight'' mesh (less analgesics, less impairment in physical activities).…”
Section: Materials Reduced (Or Lightweight Large Pore) Meshesmentioning
confidence: 99%
“…There is no sufficient evidence for such recommendation in endoscopic groin hernia repair, as recently shown in a meta-analysis of eight RCTs (6 TEP, 2 TAPP) with a mean follow-up of 2-60 months [27], both with respect to shortor long-term outcome. Only one study by Bittner et al [28] concerning small hernias (B3 cm), not included in the meta-analysis, showed some minor benefits with an ''extralight'' mesh (less analgesics, less impairment in physical activities).…”
Section: Materials Reduced (Or Lightweight Large Pore) Meshesmentioning
confidence: 99%
“…Biomechanical properties such as weight, surface area, pore size and the structure of the mesh combined with its chemical properties, seem to influence the risk of meshrelated post-operative complications of shrinkage, migration, infection and nerve damage (9)(10)(11)(12).…”
Section: Introductionmentioning
confidence: 99%
“…Other studies reporting on mesh types in endoscopic repair showed absent or slight differences in comfort [16]. Then again, in open repair, evidence is available that lightweight meshes provide better results.…”
Section: Discussionmentioning
confidence: 96%
“…Lightweight meshes are, therefore, recommended as the material of choice in primary open inguinal hernioplasty [15]. In a recent metaanalysis of eight randomized controlled trials comparing lightweight versus heavyweight mesh in laparoscopic hernia repair [16], the benefit of lightweight meshes was not reproduced, although the quality of several studies was hampered by small sample size [8,17,18] or missing data regarding the endpoint of interest, i.e. chronic pain after 3 months [9,19].…”
mentioning
confidence: 99%