
In a recent systematic review and meta-analysis titled "Mesh versus suture for elective primary umbilical hernia open repair: a systematic review and meta-analysis," published in 2024, in the surgical journal, Hernia, researchers Ana Caroline Dias Rasador and colleagues from the United States and Brazil, analyzed the effectiveness and complications of mesh versus suture repair in elective umbilical hernia repairs (UHR). The study specifically focused on long-term outcomes, excluding emergency and recurrent hernia cases, and provided a more refined analysis based on hernia defect size.
The researchers looked at 2895 studies from inception until October 2023. The studies were screened and 56 were reviewed. 12 studies were chosen and comprised 2,926 patients in total. Their findings indicated that mesh repair significantly reduces the risk of hernia recurrence compared to suture repair, even for smaller defects under 2 cm. The risk reduction for recurrence was notable, supporting current guidelines that recommend mesh for defects larger than 1 cm. No differences in complication rates were found between mesh and suture repair when analyzing data from randomized controlled trials.
The study confirms mesh repair as the superior choice for reducing hernia recurrence.
**Citation:**
Dias Rasador, A.C., da Silveira, C.A.B., Lima, D.L. et al. Mesh versus suture for elective primary umbilical hernia open repair: a systematic review and meta-analysis. Hernia 28, 2069–2078 (2024). https://doi.org/10.1007/s10029-024-03106-9. Published: 13 July 2024.
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