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Updated: Mar 29, 2026
Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
Staple Fixation Against Adhesive Fixation in Laparoscopic Inguinal Hernia Repair: A Meta-Analysis of Randomized
Junsheng Li1, Zhenling Ji, Weiyu Zhang
1Department of General Surgery, Affiliated to Zhong-Da Hospital, Southeast University, Nanjing, P.R. China.
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.
