Comparison of short- to mid-term efficacy of nonfixation and permanent tack fixation in laparoscopic total extraperitoneal hernia repair: A systematic review and meta-analysis
Journal
Tzu Chi Medical Journal
Journal Volume
31
Journal Issue
4
Pages
244-253
Date Issued
2019
Author(s)
Abstract
OBJECTIVE: We systematically reviewed the literature and pooled data for a meta-analysis to compare the efficacy and safety of mesh fixation and nonfixation in laparoscopic total extraperitoneal (TEP) hernia repair. MATERIALS AND METHODS: , version 5.2.6) was used for statistical analysis. RESULTS: = 0.03). CONCLUSION: For patients with a nonrecurrent uncomplicated hernia defect with the size <3 cm, nonfixation yielded comparable efficacy with mesh fixation, but less short-term postoperative pain, and a lower risk of urine retention. In addition, the nonfixation method involved a shorter operative time and lower costs. However, no difference in the incidence of chronic pain was observed.
SDGs
Publisher
Wolters Kluwer Medknow Publications
Type
journal article