Table 1 A summary table depicting the randomised controlled trials undertaken to date comparing differing mesh fixation techniques in laparoscopic incisional hernia repair using intraperitoneal (IPOM) mesh
Author | Year | Number | Comparison | Result | Conclusion |
|---|---|---|---|---|---|
Wassenaar et al. [11] | 2010 | 199 | 3 groups: 1) Absorbable sutures with tacks, 2) Double crown with tacks, 3) Nonabsorbable sutures with tacks No FASCIAL CLOSURE | No difference with any group | More tacks with DC group and it was quicker (p = 0.03) |
Muysoms et al. [12] | 2013 | 76 | Double crown technique DC v sutures and single crown technique SC | DC group operating time was shorter (p = 0.014), DC also had a reduced pain score at 4 weeks and at coughing (p = 0.028/p = 0.013), also at 3 months (p = 0.036) | DC technique was quicker and provided less pain up to 3 months but there was no difference in recurrence |
Bansal et al. [13] | 2012 | 110 | Tack v suture fixation | Higher cost with tacks (P < 0.001). Suture fixation more cost effective than tacks Qol No difference | Early post op pain preferredwith suture, but no other differences were noted |