Is it safe not to fix the mesh in an open incisional hernia repair? Literature review.

IF 1.6 3区医学 Q2 SURGERY

BMC Surgery Pub Date : 2025-04-11 DOI:10.1186/s12893-025-02894-w

Gintaras Varanauskas, Gintautas Brimas

引用次数: 0

Abstract

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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在开放性切口疝修补术中不固定补片安全吗？文献综述。

前言：回顾了开放性疝修补术中切口疝修补术不带补片固定的文献。方法：系统检索2008年1月1日至2023年12月31日发表的文献，分别使用Medline PubMed、Cochrane Library和谷歌Scholar数据库。搜索关键词：切口疝，开放式补片修复，无补片固定。结果：本分析确定了9份出版物。评估了每项研究的质量。收集有关手术方法、主要结果、结论和建议的信息。结论：根据文献综述的结果和发现，术后腹壁疝修补无需补片缝合是安全的，可以改善术后效果。然而，没有足够的证据来确定它是否比补片固定疝修补术有更好的结果。需要进一步的临床研究来阐明这种方法在临床上是否必要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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