Does mesh offer an advantage over tissue in the open repair of umbilical hernias? A systematic review and meta-analysis.

Hernia : the Journal of Hernias and Abdominal Wall Surgery
N Aslani, C J Brown

Abstract

To determine the best surgical approach for the open repair of primary umbilical hernias. Studies were identified through searching MEDLINE, EMBASE, and the Cochrane database, as well as hand-searching references. Randomized controlled trials (RCTs) and observational studies comparing mesh to suture repair for primary umbilical hernias published between January 1965 and October 2009 were included. Data regarding the recurrence rate, complications, number of subjects, length of follow-up, size of hernia, and type of mesh were extracted. Log odds ratios were calculated and weighed by the Mantel-Haenszel method to obtain a pooled estimate with 95% confidence interval (CI). A fixed effects model was used. Three RCTs and ten observational studies were identified. The pooled odds ratio (OR) for RCTs was 0.09 in favor of mesh (95% CI 0.02-0.39). The pooled OR for observational studies was 0.40 in favor of mesh (95% CI 0.21-0.75). There was no difference in complication rates between mesh and tissue repair in RCTs or observational studies. The use of mesh in umbilical hernia repair results in decreased recurrence and similar wound complications rates compared to tissue repair for primary umbilical hernias.

References

Oct 2, 2001·The British Journal of Surgery·A ArroyoR Calpena
Sep 5, 2002·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A M Grant, UNKNOWN EU Hernia Trialists Collaboration
Dec 19, 2002·American Journal of Surgery·Byron E WrightJorge L Rodriguez
Jan 10, 2003·The Cochrane Database of Systematic Reviews·N W ScottA M Grant
Aug 28, 2003·Hernia : the Journal of Hernias and Abdominal Wall Surgery·L A IsraelssonA Wimo
Oct 10, 2003·The Surgical Clinics of North America·Ulrike Muschaweck
Oct 24, 2003·Surgical Endoscopy·H Lau, N G Patil
May 14, 2005·Hernia : the Journal of Hernias and Abdominal Wall Surgery·P SanjayA Woodward
Jun 24, 2005·American Journal of Surgery·Cafer PolatKayhan Ozkan
Jul 27, 2005·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J A HalmW F Weidema
Oct 31, 2006·American Journal of Surgery·Massimo AsolatiThomas Anthony
Feb 3, 2007·Hernia : the Journal of Hernias and Abdominal Wall Surgery·N A Abdel-BakiA H Abdel-Razek
Jul 20, 2007·The Cochrane Database of Systematic Reviews·F J Sanchez-ManuelJ L Seco-Gil
Feb 13, 2008·The Surgical Clinics of North America·Sharon Bachman, Bruce Ramshaw
Apr 18, 2008·Journal of Human Hypertension·M I Perez, V M Musini
Jul 23, 2008·The Cochrane Database of Systematic Reviews·Paul CoulthardHelen V Worthington
Jul 23, 2008·The Cochrane Database of Systematic Reviews·Dennis den HartogRobert W Kreis
Aug 9, 2008·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D den HartogR W Kreis
Oct 29, 2008·American Journal of Surgery·Buckminster FarrowCharles F Bellows
Jul 10, 2009·The Cochrane Database of Systematic Reviews·Ching-Chi ChiGudula Kirtschig
Jul 7, 2011·The British Journal of Dermatology·C-C ChiF Wojnarowska

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Citations

Jun 18, 2010·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F E MuysomsP Pletinckx
May 4, 2011·Hernia : the Journal of Hernias and Abdominal Wall Surgery·T BisgaardL N Jørgensen
Jun 27, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S S Bessa, A H Abdel-Razek
Sep 14, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J DalenbäckG Rimbäck
Apr 2, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·P C BennettE C Coveney
Apr 2, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·D C SteinemannD Hahnloser
May 16, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F E MuysomsM Miserez
Jun 25, 2013·Hernia : the Journal of Hernias and Abdominal Wall Surgery·F HelgstrandT Bisgaard
Sep 17, 2013·Langenbeck's Archives of Surgery·Mikkel WestenThue Bisgaard
May 6, 2014·American Journal of Surgery·Paul D ColavitaVedra A Augenstein
Jul 2, 2014·The Journal of Surgical Research·Rachel L BergerMike K Liang
Sep 24, 2015·The Indian Journal of Surgery·Jeroen E H PontenSimon W Nienhuijs
Feb 18, 2016·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A WinsnesK Strigård
Sep 17, 2013·The Surgical Clinics of North America·David B Earle, Jennifer A McLellan
Nov 17, 2012·American Journal of Surgery·Modesto J ColonCelia M Divino
Jun 11, 2015·American Journal of Surgery·Jie J YaoSergio Huerta
Mar 21, 2015·Hernia : the Journal of Hernias and Abdominal Wall Surgery·E ReynvoetF Berrevoet
Dec 18, 2012·BJOG : an International Journal of Obstetrics and Gynaecology·J Deprest, A Feola
Feb 13, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·J E H PontenS W Nienhuijs
Apr 4, 2015·Plastic and Reconstructive Surgery·Joanna C MennieDavid A Cromwell
Aug 26, 2014·The Journal of Surgical Research·Francisca García-MorenoJuan M Bellón
Aug 31, 2014·American Journal of Surgery·Mette W ChristoffersenThue Bisgaard
Jan 17, 2015·Frontiers in Surgery·Sanoop K ZachariahArun Joseph Parakkadath
Aug 16, 2014·International Urogynecology Journal·Teresa MascarenhasAlberto Freitas
Jun 24, 2016·Surgical Endoscopy·David S StrosbergDean Mikami
Jan 22, 2017·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A P JairamJ F Lange
Jun 14, 2018·Aesthetic Surgery Journal·Constant P van SchalkwykSteve Merten
Nov 30, 2018·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·T BisgaardL L Gluud
Jul 17, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·L Erritzøe-JervildT Bisgaard
Aug 29, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S Van Hoef, T Tollens
Oct 12, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·H AlkhatibD M Krpata
Jan 10, 2020·The British Journal of Surgery·N A HenriksenUNKNOWN European and Americas Hernia Societies (EHS and AHS)
Mar 13, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·S KoebeA Shada
Jan 18, 2020·Annals of the Royal College of Surgeons of England·I D SadienE Coveney

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