Staple Fixation Against Adhesive Fixation in Laparoscopic Inguinal Hernia Repair: A Meta-Analysis of Randomized Controlled Trials

被引：21
作者：
Li, Junsheng [1 ]
Ji, Zhenling [1 ]
Zhang, Weiyu [1 ]
机构：
[1] Southeast Univ, Affiliated Zhong Da Hosp, Dept Gen Surg, Nanjing 210009, Jiangsu, Peoples R China
来源：
SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES | 2015年 / 25卷 / 06期
关键词：
TRANSABDOMINAL PREPERITONEAL HERNIOPLASTY; MESH FIXATION; CHRONIC PAIN; FIBRIN GLUE; COMPARING FIBRIN; HERNIORRHAPHY; HYPOESTHESIA; STRENGTH; SEALANT;
D O I：
10.1097/SLE.0000000000000214
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
Purpose: The aim of this article was to compare the outcomes of tissue adhesive fixation and the staple fixation of meshes in laparoscopic inguinal hernia repair. Materials and Methods: A systematic literature review was undertaken to identify studies that compare adhesive fixation and staple fixation of meshes in laparoscopic inguinal hernia repair. Results: The present meta-analysis pooled the effects of outcomes of a total of 1228 patients enrolled into 8 randomized controlled trials. Tissue adhesive fixation of the mesh was associated with less chronic postoperative pain after laparoscopic inguinal hernia repair compared with staple fixation (risk difference= 0.06; 95% confidence interval, 0.08, 0.04). However, statistically, there was no significant difference in the incidence of acute postoperative pain, recurrence, hematoma/seroma, and wound infection. Conclusion: The use of the tissue adhesive fixation method reduces the incidence of chronic postoperative pain after laparoscopic inguinal hernia repair, and without any changes in the other outcomes. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.
引用
收藏
页码：471 / 477
页数：7
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