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

Conclusion

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.

You may also be interested in

Scientific Surgery

Open preperitoneal inguinal hernia repair, TREPP versus TIPP in a randomized clinical trial. Ann Surg 2021; 274: 698-704.

Authors: Bökkerink W, Koning G, Vriens PW, Mollen R, Harker M, Noordhof RK et al.

Scientific Surgery

Impact of mesh and fixation on chronic inguinal pain in Lichtenstein hernia repair: 5-year outcomes from the Finn Mesh Study. World J Surgery 2021; 45: 459–464.

Authors: Matikainan M, Vironen J, Kossi J, Hulmi T, Hertsi M, Rantanen T et al.

Scientific Surgery

Heavyweight mesh is superior to lightweight mesh in laparo-endoscopic inguinal hernia repair. A meta-analysis and trial sequential analysis of randomized controlled trials. Ann Surg 2021; 273: 890-899.

Authors: Bakker W, Aufenacker TJ, Boschman JS, Burgmans JP

Scientific Surgery

Robotic inguinal vs transabdominal laparoscopic inguinal hernia repair. The RIVAL randomized clinical trial. JAMA Surg 2020; 155: 380-387.

Authors: Prabhu A, Carbonell A, Hope W, Warren J, Higgins R, Jacob B et al.

Scientific Surgery

Electrospun P(LLA-CL) nanoscale fibrinogen patch vs porcine small intestine submucosa graft repair of inguinal hernia in adults: a randomized, single-blind, controlled, multicenter, noninferiority trial. J Am Coll Surg 2019; 229: 541–551

Authors: Li S, Xiao S, Yang L, Hua L, Qiu Z, Hu X et al.

Scientific Surgery

Local vs. other forms of anesthesia for open inguinal hernia repair: A meta-analysis of randomized controlled trials. Am J Surg 2019; 218: 1008-1015

Authors: Argo M, Favela J, Huerta S

Scientific Surgery

Open inguinal hernia repair: a network meta-analysis comparing self-gripping mesh, suture fixation, and glue fixation. World J Surg 2019; 43: 447–456.

Authors: Rausa E, Asti E, Kelly ME, Aiolfi A, Lovece A, Bonitta G et al.

Scientific Surgery

Cost-effectiveness of randomized study of laparoscopic versus open bilateral inguinal hernia repair. Ann Surg 2018; 268: 725-730.

Authors: Ielpo B, Nuñez-Alfonsel J, Hipolito D, Diaz E, Fabra I, Caruso R et al.

Scientific Surgery

A prospective randomized study comparing laparoscopic transabdominal preperitoneal (TAPP) versus Lichtenstein repair for bilateral inguinal hernias. Surgery 2018; 216: 78-83.

Authors: lelpo B, Duran H, Diaz E, Fabra I, Caruso R, Malavé L et al.

Scientific Surgery

Chronic pain after mesh versus nonmesh repair of inguinal hernias: A systematic review and a network meta-analysis of randomized controlled trials. Surgery 2018; 163: 1151–1159.

Authors: Öberg S, Andreson K, Klausen TW, Rosenberg J

Scientific Surgery

Higher recurrence rate after endoscopic totally extraperitoneal (TEP) inguinal hernia repair with ultrapro lightweight mesh: 5-year results of a randomized controlled trial (TULP-trial). Ann Surg 2018; 268: 241-246.

Authors: Roos M, Bakker WJ, Schouten N, Voorbrood C, Clevers GJ, Verleisdonk EJ et al.

Scientific Surgery

Groin pain characteristics and recurrence rates: three-year results of a randomized controlled trial comparing self-gripping Progrip mesh and sutured polypropylene mesh for open inguinal hernia repair. Ann Surg 2018; 267: 1029-1033.

Authors: Zwaans WA, Verhagen T, Wouters L, Loos M, Roumen R, Scheltinga M et al.