@article{LS4798,
author = {Mirko Barone and Paolo Raimondi and Francesco Caldaralo and Annadomenica Cichella and Mouner Tannous and Franco Ciampaglia and Giuseppe Cipollone and Roberto Cotellese and Felice Mucilli and Paolo Innocenti and Nicola Di Bartolomeo},
title = {Laparoscopic approach to ventral incisional hernia: absorbable or non-absorbable tacks? —a meta-analysis},
journal = {Laparoscopic Surgery},
volume = {2},
number = {0},
year = {2018},
keywords = {},
abstract = {Background: To compare feasibility andeffectiveness of absorbable and non-absorbable mesh fixation techniques inlaparoscopic ventral incisional hernia repair.
Methods: A PubMed Embase, Google Scholarsystematic review was carried out. Primary and secondary endpoints wereconsidered. Odds ratio (OR) for each item was pooled and no bias according toQUADAS-2 tool and funnel plot asymmetry test were found.
Results: Five randomized controlled trials,including 1,091 patients, were enrolled. There was no difference between thetwo techniques in terms of postoperative morbidity (OR: 1.03, P=0.910), seromas(OR: 0.77, P=0.520), adhesion formations (OR: 0.49, P=0.560) and chronic pain(OR: 0.81, P=0.260). Risk of recurrence was significantly higher in theabsorbable group (OR: 1.67, P<0.001).
Conclusions: The adoption ofabsorbable or non-absorbable tack techniques does not influence patients’outcome. However, non-absorbable devices should be selected in high risk ofrecurrence cases.},
issn = {2616-4221}, url = {https://ls.amegroups.org/article/view/4798}
}