Nonabsorbable tacks plus nonabsorbable sutures vs nonabsorbable sutures
- Mesh fixation techniques in primary ventral or incisional hernia repair 2021 · Cochrane Headline outcomes onlyno estimate extracted1 study · 106 participantsVery low
Glue showed no clear difference in mesh/deep infection compared with suture (low certainty).
Single‐incision slings showed no clear difference in number of women with mesh exposure, extrusion or erosion in any area compared with retropubic minimally‐invasive slings (low certainty).
It is very uncertain whether single‐incision slings changes number of women requiring repeat continence surgery or mesh revision compared with retropubic minimally‐invasive slings (very low certainty).
Single‐incision slings leads to lower number of women with mesh exposure, extrusion or erosion in any area compared with transobturator minimally‐invasive slings (high certainty).
Single‐incision slings showed no clear difference in number of women requiring repeat continence surgery or mesh revision compared with transobturator minimally‐invasive slings (low certainty).
Single‐incision slings showed no clear difference in number of women with mesh exposure, extrusion or erosion in any area compared with autologous fascial slings (low certainty).
It is very uncertain whether vaginal hysterectomy changes mesh exposure compared with sacral hysteropexy/cervicopexy (uterine prolapse) (very low certainty).
It is very uncertain whether vaginal hysteropexy changes mesh exposure (1‐4 years) compared with sacral hysteropexy (uterine prolapse) (very low certainty).
Absorbable showed no clear difference in suture/mesh exposure compared with non absorbable sutures (low certainty).
It is very uncertain whether prophylactic antibiotics (single or combined drugs) changes number of mesh exposures within six weeks after the operation compared with placebo or no treatment (very low certainty).
Laparoscopic colposuspension may leads to lower subjective cure within 18 months: laparoscopic colposuspension using… compared with midurethral sling procedures (low certainty).
It is very uncertain whether laparoscopic colposuspension changes subjective cure within 18 months: laparoscopic colposuspension using… compared with open colposuspension (very low certainty).
It is very uncertain whether laparoscopic colposuspension with sutures changes subjective cure within 18 months compared with laparoscopic colposuspension with mesh and staples (very low certainty).
The review found no eligible studies for this question.
It is very uncertain whether laparoscopic colposuspension with sutures changes repeat continence surgery: compared with laparoscopic colposuspension with mesh and staples (very low certainty).
Laparoscopic colposuspension with sutures may leads to higher adverse effects: perioperative complications (number of events) compared with laparoscopic colposuspension with mesh and staples (low certainty).
The review found no eligible studies for this question.
Laparoscopic colposuspension with sutures showed no clear difference in adverse effects: de novo detrusor overactivity (urodynamic diagnosis) compared with laparoscopic colposuspension with mesh and staples (low certainty).