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Treatment of inguinal hernia. Systematic review and updated network meta-analysis of randomized controlled trials.
1 January 2022
Randomized clinical trials Hernia
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Effect of hernia mesh weights on postoperative patient-related and clinical outcomes after open ventral hernia repair. A randomized clinical trial.
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This study evaluated two different weights of hernia mesh in 350 procedures. Compared with standard mesh, medium weight polypropylene mesh did not reduce postoperative pain, quality of life or hernia recurrence after one year: 7 versus 8 per cent.
Comment: The weight of mesh seems unimportant.
Biologic vs synthetic mesh for single-stage repair of contaminated ventral hernias. A randomized clinical trial.
Rosen MJ, Krpata DM, Petro CC, Carbonell A, Warren J, Poulose BK
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Synthetic mesh significantly reduced the risk of hernia recurrence after two years compared to biological mesh (5.6 versus 20.5 per cent, P=0.01), as well as being cheaper, in this study of 253 procedures.
Comment: No need for biological mesh in this situation; does it have a role at all?
Effect of intraoperative urinary catheter use on postoperative urinary retention after laparoscopic inguinal hernia repair. A randomized clinical trial.
Fafaj A, Lo Menzo E, Alaedeen D, Petro CC, Rosenblatt S, Szomstein S
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Comment: It’s time to stop using a catheter routinely in those who can void urine spontaneously preoperatively.
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