Long term outcomes of mesh versus non-mesh repair in inguinal hernia surgery: a systematic review of randomized case controlled study
DOI:
https://doi.org/10.56183/iberojhr.v4i1.620Palavras-chave:
Inguinal hernia. Mesh repair. Non-mesh repair. Hernioplasty. Herniorrhaphy. Long-term outcomes.Resumo
Inguinal hernia repair is a commonly performed surgical operation that is extensively conducted on a global scale. This study comprehensively investigates the enduring results of employing mesh versus non-mesh repair techniques in inguinal hernia surgery. The data was obtained by an extensive search of internet databases, such as Google Scholar, ColumbiaDoctors, and PubMed/MEDLINE. The search specifically targeted randomized controlled trials (RCTs) that were published in English. The review examined seven relevant trials, which were evaluated for recurrence rates, postoperative discomfort, and other clinical outcomes. The findings suggest that the use of mesh surgery is superior in preventing hernia recurrence compared to non-mesh repair, without any notable disparities in postoperative complications or discomfort. Research has demonstrated that the utilization of lightweight (LW) mesh can effectively decrease chronic pain and enhance the speed of recovery. However, because to discrepancies in study designs, surgical procedures, and patient demographics, additional consistent and comprehensive research is necessary to improve therapeutic regimens. Additional research should prioritize the investigation of these constraints, specifically in relation to extended-term results and the influence of surgical proficiency on improving clinical judgment and patient welfare.
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Copyright (c) 2024 Héctor Josué Ruano Imbaquingo, Iber Ivan Zambrano Zambrano, Patricio Xavier Duran Saraguro, Carla Beatríz Delgado Figueroa, Diego Alberto Vargas Corredor, Joselyn Janeth Pilay Anchundia, Mishel Del Cisne Guaman
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