Staple Fixation Against Adhesive Fixation in Laparoscopic Inguinal Hernia Repair

The aim of this article was to compare the outcomes of tissue adhesive fixation and the staple fixation of meshes in laparoscopic inguinal hernia repair.A systematic literature review was undertaken to identify studies that compare adhesive fixation and staple fixation of meshes in laparoscopic inguinal hernia repair.The present meta-analysis pooled the effects of outcomes of a total of 1228 patients enrolled into 8 randomized controlled trials. Tissue adhesive fixation of the mesh was associated with less chronic postoperative pain after laparoscopic inguinal hernia repair compared with staple fixation (risk difference=-0.06; 95% confidence interval, -0.08, -0.04). However, statistically, there was no significant difference in the incidence of acute postoperative pain, recurrence, hematoma/seroma, and wound infection.The use of the tissue adhesive fixation method reduces the incidence of chronic postoperative pain after laparoscopic inguinal hernia repair, and without any changes in the other outcomes.