The international surgical journal with global reach

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Lightweight mesh is recommended in open (Lichtenstein) hernia repair: a systematic review and meta-analysis. Surgery 2020; 167: 581-589.

Published: 22nd July 2020

Authors: Bakker WJ, Aufenacker TJ, Boschman JS, Burgmans JPJ


The authors included 21 RCTs involving 4576 hernia repairs. There was no difference in hernia recurrence rates (risk ratio 1.22, 95 per cent confidence interval 0.76 to 1.96) or severe pain (0.73, 0.38 to 1.41). Lightweight mesh reduced any pain after surgery, and the feeling of a foreign body.

Pubmed Link