Cochrane · systematic review · CD011563
Mesh fixation techniques in primary ventral or incisional hernia repair
Mathes, T, Prediger, B, Walgenbach, M, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library
ColorectalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
56
current version
GRADE rated
47
No studies
9
Included studies
NR
No studies 9 · 16.1%Ungraded 0 · 0%Very low 28 · 50%Low 19 · 33.9%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Absorbable tacks compared to nonabsorbable tacks in primary ventral or incisional hernia repair
Population: People needing incisional hernia repair
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence (1 year to 31 (median) months) Absorbable tacks vs nonabsorbable tacks | RR 0.74 [0.17, 3.22] | 2 studies · 101 participants | Very low Downgraded: risk of bias, imprecision |
Early postoperative pain (VAS 0 ‐ 10, 1 day) Absorbable tacks vs nonabsorbable tacks | no estimate extracted | 1 study · 51 participants | Very low Downgraded: risk of bias, imprecision |
Early postoperative pain (VAS 0 ‐ 100, 2 days) Absorbable tacks vs nonabsorbable tacks | no estimate extracted | 1 study · 50 participants | Low Downgraded: risk of bias, imprecision |
Early postoperative pain (VAS 0 ‐ 10, 2 weeks) Absorbable tacks vs nonabsorbable tacks | no estimate extracted | NR | No studies |
Nonabsorbable tacks compared to nonabsorbable sutures in primary ventral or incisional hernia repair
Population: People with primary ventral or incisional hernia repair
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence (6 months) Nonabsorbable tacks vs nonabsorbable sutures | RR 1 [0.07, 14.79] | 1 study · 36 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Early postoperative pain (VAS 0 ‐ 10, 1 week) Nonabsorbable tacks vs nonabsorbable sutures | no estimate extracted | 1 study · 53 participants | Very low Downgraded: risk of bias, imprecision |
Chronic pain (VAS 0 ‐ 10, 6 to 12 months) Nonabsorbable tacks vs nonabsorbable sutures | no estimate extracted | 2 studies · 89 participants | Very low Downgraded: risk of bias, inconsistency |
Health‐related quality of life Nonabsorbable tacks vs nonabsorbable sutures | no estimate extracted | NR | No studies |
Absorbable tacks compared to absorbable sutures in primary ventral or incisional hernia repair
Population: People with primary ventral or incisional hernia repair
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence (1 year) Absorbable tacks vs absorbable sutures | no estimate extracted | 1 study · 48 participants | Very low Downgraded: risk of bias, imprecision |
Early postoperative pain (VAS 0 ‐ 10, sum 0 to 3 days) Absorbable tacks vs absorbable sutures | no estimate extracted | 1 study · 48 participants | Very low Downgraded: risk of bias, imprecision |
Chronic pain (VAS 0 ‐ 10, 6 months) Absorbable tacks vs absorbable sutures | no estimate extracted | 1 study · 48 participants | Very low Downgraded: risk of bias, imprecision |
Health‐related quality of life (6 months) Absorbable tacks vs absorbable sutures | no estimate extracted | 1 study · 48 participants | Very low Downgraded: risk of bias, imprecision |
Severe postoperative complications Absorbable tacks vs absorbable sutures | RR 1.43 [0.4, 5.04] | 1 study · 48 participants | Very low Downgraded: risk of bias, imprecision |
Nonabsorbable tacks plus nonabsorbable sutures compared to nonabsorbable sutures in primary ventral or incisional hernia repair
Population: People with primary ventral or incisional hernia repair
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence (2 years) Nonabsorbable tacks plus nonabsorbable sutures vs nonabsorbable sutures | RR 4.82 [0.24, 98.03] | 1 study · 106 participants | Very low Downgraded: risk of bias, imprecision |
Early postoperative pain (VAS 0 ‐ 10, 1 day) Nonabsorbable tacks plus nonabsorbable sutures vs nonabsorbable sutures | no estimate extracted | 1 study · 92 participants | Very low Downgraded: risk of bias, imprecision |
Chronic pain (VAS 0 ‐ 10, 3 months) Nonabsorbable tacks plus nonabsorbable sutures vs nonabsorbable sutures | no estimate extracted | 1 study · 92 participants | Low Downgraded: risk of bias, imprecision |
Seroma (7 days) Nonabsorbable tacks plus nonabsorbable sutures vs nonabsorbable sutures | RR 0.64 [0.25, 1.68] | 1 study · 106 participants | Very low Downgraded: risk of bias, imprecision |
Mesh infection (postoperative not specified) Nonabsorbable tacks plus nonabsorbable sutures vs nonabsorbable sutures | no estimate extracted | 1 study · 106 participants | Very low Downgraded: risk of bias, imprecision |
Absorbable tacks plus absorbable sutures compared to nonabsorbable tacks plus nonabsorbable sutures in primary ventral or incisional hernia repair
Population: People with primary ventral or incisional hernia repair
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence (2 years) Absorbable tacks plus absorbable sutures vs nonabsorbable tacks plus nonabsorbable sutures | no estimate extracted | 1 study · 77 participants | Very low Downgraded: risk of bias, imprecision |
Early postoperative pain Absorbable tacks plus absorbable sutures vs nonabsorbable tacks plus nonabsorbable sutures | no estimate extracted | NR | No studies |
Chronic pain (VAS 0 ‐ 10, 3 months) Absorbable tacks plus absorbable sutures vs nonabsorbable tacks plus nonabsorbable sutures | no estimate extracted | 1 study · 90 participants | Very low Downgraded: risk of bias, imprecision |
Chronic pain (VAS 0 ‐ 10, 6 months) Absorbable tacks plus absorbable sutures vs nonabsorbable tacks plus nonabsorbable sutures | no estimate extracted | 1 study · 90 participants | Low Downgraded: risk of bias, imprecision |
Health‐related quality of life Absorbable tacks plus absorbable sutures vs nonabsorbable tacks plus nonabsorbable sutures | no estimate extracted | NR | No studies |
Seroma (1 week) Absorbable tacks plus absorbable sutures vs nonabsorbable tacks plus nonabsorbable sutures | RR 0.71 [0.24, 2.08] | 1 study · 90 participants | Very low Downgraded: risk of bias, imprecision |
Nonabsorbable tacks compared to nonabsorbable tacks plus nonabsorbable sutures in primary ventral or incisional hernia repair
Population: People with primary ventral or incisional hernia repair
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence (3 months) Nonabsorbable tacks vs nonabsorbable tacks plus nonabsorbable sutures | no estimate extracted | 2 studies · 185 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Recurrence (2 years) Nonabsorbable tacks vs nonabsorbable tacks plus nonabsorbable sutures | RR 0.33 [0.04, 2.82] | 1 study · 63 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Early postoperative pain (VAS 0 ‐ 10, at rest, 4 hours) Nonabsorbable tacks vs nonabsorbable tacks plus nonabsorbable sutures | no estimate extracted | 1 study · 69 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Early postoperative pain (VAS 0 ‐ 10, coughing, 4 hours) Nonabsorbable tacks vs nonabsorbable tacks plus nonabsorbable sutures | no estimate extracted | 1 study · 69 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Chronic pain (VAS 0 ‐ 10, at rest, 3 months) Nonabsorbable tacks vs nonabsorbable tacks plus nonabsorbable sutures | no estimate extracted | 1 study · 59 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Chronic pain (VAS 0 ‐ 10, coughing, 3 months) Nonabsorbable tacks vs nonabsorbable tacks plus nonabsorbable sutures | no estimate extracted | 1 study · 59 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Chronic pain (VAS 0 ‐ 100, 3 month) Nonabsorbable tacks vs nonabsorbable tacks plus nonabsorbable sutures | no estimate extracted | 1 study · 116 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Health‐related quality of life Nonabsorbable tacks vs nonabsorbable tacks plus nonabsorbable sutures | no estimate extracted | NR | No studies |
Seroma (3 month) Nonabsorbable tacks vs nonabsorbable tacks plus nonabsorbable sutures | no estimate extracted | NR | No studies |
Nonabsorbable tacks plus absorbable sutures compared to nonabsorbable tacks only in primary ventral or incisional hernia repair
Population: People with primary ventral or incisional hernia repair
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence (3 month) Nonabsorbable tacks plus absorbable sutures vs nonabsorbable tacks only | RR 1.07 [0.07, 16.72] | 1 study · 116 participants | Very low Downgraded: risk of bias, imprecision |
Early postoperative pain Nonabsorbable tacks plus absorbable sutures vs nonabsorbable tacks only | no estimate extracted | NR | No studies |
Chronic pain (VAS 0 ‐ 100, 3 month) Nonabsorbable tacks plus absorbable sutures vs nonabsorbable tacks only | no estimate extracted | 1 study · 116 participants | Very low Downgraded: risk of bias, imprecision |
Health‐related quality of life Nonabsorbable tacks plus absorbable sutures vs nonabsorbable tacks only | no estimate extracted | NR | No studies |
Seroma (3 month) Nonabsorbable tacks plus absorbable sutures vs nonabsorbable tacks only | RR 3.21 [0.13, 77.22] | 1 study · 116 participants | Very low Downgraded: risk of bias, imprecision |
Haematoma (3 month) Nonabsorbable tacks plus absorbable sutures vs nonabsorbable tacks only | RR 1.07 [0.23, 5.09] | 1 study · 116 participants | Very low Downgraded: risk of bias, imprecision |
Nonabsorbable tacks plus absorbable sutures compared to nonabsorbable tacks plus nonabsorbable sutures in primary ventral or incisional hernia repair
Population: People with primary ventral or incisional hernia repair
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence (3 month) Nonabsorbable tacks plus absorbable sutures vs nonabsorbable tacks plus nonabsorbable sutures | RR 3 [0.12, 72.1] | 1 study · 112 participants | Very low Downgraded: risk of bias, imprecision |
Chronic pain (VAS 0 ‐ 100, 3 month) Nonabsorbable tacks plus absorbable sutures vs nonabsorbable tacks plus nonabsorbable sutures | no estimate extracted | 1 study · 112 participants | Low Downgraded: risk of bias, imprecision |
Health‐related quality of life Nonabsorbable tacks plus absorbable sutures vs nonabsorbable tacks plus nonabsorbable sutures | no estimate extracted | NR | No studies |
Seroma (3 month) Nonabsorbable tacks plus absorbable sutures vs nonabsorbable tacks plus nonabsorbable sutures | RR 3 [0.12, 72.1] | 1 study · 112 participants | Very low Downgraded: risk of bias, imprecision |
Haematoma (3 month) Nonabsorbable tacks plus absorbable sutures vs nonabsorbable tacks plus nonabsorbable sutures | RR 3 [0.32, 27.97] | 1 study · 112 participants | Very low Downgraded: risk of bias, imprecision |
Nonabsorbable tacks compared to fibrin sealant in primary ventral or incisional hernia repair
Population: People with primary ventral or incisional hernia repair
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence (1 year) Nonabsorbable tacks vs fibrin sealant | no estimate extracted | 2 studies · 88 participants | Very low Downgraded: imprecision, inconsistency |
Early postoperative pain (VAS 0 ‐ 100, 2 days) Nonabsorbable tacks vs fibrin sealant | no estimate extracted | 50 participants | Low Downgraded: imprecision, inconsistency |
Pain (up to 1 year) Nonabsorbable tacks vs fibrin sealant | no estimate extracted | 1 study · 50 participants | Low Downgraded: imprecision, inconsistency |
Health‐related quality of life (up to 1 year) Nonabsorbable tacks vs fibrin sealant | no estimate extracted | 1 study · 50 participants | Low Downgraded: imprecision, inconsistency |
Seroma (30 days) Nonabsorbable tacks vs fibrin sealant | RR 0.93 [0.54, 1.61] | 2 studies · 88 participants | Low Downgraded: imprecision, inconsistency |
Haematoma (30 days) Nonabsorbable tacks vs fibrin sealant | RR 0.75 [0.19, 2.91] | 1 study · 38 participants | Low Downgraded: imprecision, inconsistency |
Superficial infection (30 days) Nonabsorbable tacks vs fibrin sealant | RR 0.95 [0.52, 1.74] | 2 studies · 88 participants | Very low Downgraded: imprecision, inconsistency |
Absorbable tacks compared to fibrin sealant in primary ventral or incisional hernia repair
Population: People with primary ventral or incisional hernia repair
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence (1 year) Absorbable tacks vs fibrin sealant | RR 3 [0.13, 70.3] | 1 study · 50 participants | Low Downgraded: imprecision |
Early postoperative pain (VAS 0 ‐ 100, 2 days) Absorbable tacks vs fibrin sealant | no estimate extracted | 1 study · 50 participants | Low Downgraded: imprecision |
Pain (up to 1 year) Absorbable tacks vs fibrin sealant | no estimate extracted | 1 study · 50 participants | Low Downgraded: imprecision |
Health‐related quality of life (up to 1 year) Absorbable tacks vs fibrin sealant | no estimate extracted | 1 study · 50 participants | Low Downgraded: imprecision |
Infection (1 month) Absorbable tacks vs fibrin sealant | RR 1 [0.07, 15.12] | 1 study · 50 participants | Low Downgraded: imprecision |