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Published on: September 11, 2021
Is it safe not to fix the mesh in an open incisional hernia repair? Literature review
Gintaras Varanauskas1, Gintautas Brimas2
1Faculty of Medicine, Vilnius University, Vilnius, Lithuania. gintaras.varanauskas@gmail.com.
Introduction:
Review the articles with incisional hernia repair without mesh fixation in open hernia repair.
Methods:
A systematic search of the literature published from 01/01/2008 to 31/12/2023 was performed using Medline PubMed, Cochrane Library, and Google Scholar databases. The search used the keywords: incisional hernia, open mesh repair, and without mesh fixation.
Results:
Nine publications were identified for the present analysis. The quality of each study was assessed. Information about operative methods, main results, conclusions, and recommendations was collected.
Conclusions:
According to the results and findings of reviewed articles, postoperative abdominal wall hernia repair without mesh suturing is safe and can improve postoperative results. Still, there is insufficient evidence to determine whether it is associated with better outcomes than hernia repair with mesh fixation. Further clinical studies are needed to clarify whether this method is clinically essential.
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