Background: The fundamental mechanism of abdominal wall hernia formation is the loss of structural integrity at the musculotendinous layer.
The idea of the Laparoscopic inguinal hernia repair is to repair the defect and put artificial/biological mesh.
There is too many types of meshes differs from shape ,size and material of the mesh .
Objective: To assess laparoscopic inguinal hernia repair using two different meshes: The conventional polyprolene mesh and the three-dimensional (3D) mesh, as regard the operative application time and post-operative complications including seroma , chronic pain, ,and recurrence using meta-analysis approach.
Patients and Methods: In our study ten trials included, three trials regarding 3d mesh versus conventional mesh in laparoscopic inguinal hernia repair , three trials regarding 3d mesh and four trials regarding polyprolene mesh.
Data Sources: Medline databases (PubMed, Medscape, ScienceDirect. EMF-Portal) and all materials available in the Internet till 2021.
Results: There is significant heterogeneity among trials (P = 0.002, I2 = 84%), mean difference 1.17, 95% CI -2.18, 4.52 and there is no statistically significance z=0.49.
Conclusion: There is no difference between conventional polyprolene and 3d mesh regarding intra-operative difficulties (operative time) and post-operative complications (chronic pain, recurrence, operative time and seroma).