Mesh Versus Suture in Elective Repair of Umbilical Hernia: Systematic Review and Meta-analysis

Overview

Journal BJS Open

Publisher Oxford University Press

Specialty General Surgery

Date 2020 Apr 7

PMID 32250556

Citations 8

Authors

L J Madsen

E Oma

L N Jorgensen

K K Jensen

Affiliations

Soon will be listed here.

Abstract

Background: Mesh repair of umbilical hernia has been associated with a reduced recurrence rate compared with suture closure, but potentially at the expense of increased postoperative complications and chronic pain. The objective of this systematic review and meta-analysis was to examine the outcomes after elective open mesh and suture repair for umbilical hernia in adults.

Methods: A literature search was conducted to identify studies presenting original data on elective open mesh and suture repair of umbilical hernia. The primary outcome was hernia recurrence. Secondary outcomes included surgical-site infection (SSI), seroma, haematoma and chronic pain. Meta-analyses were undertaken.

Results: The search resulted in 5353 hits and led to 14 studies being included (6 RCTs and 8 observational studies) describing a total of 2361 patients. Compared with suture, mesh repair was associated with a lower risk of recurrence (risk ratio (RR) 0·48, 95 per cent c.i. 0·30 to 0·77), with number needed to treat 19 (95 per cent c.i. 14 to 31). Mesh repair was associated with a higher risk of seroma (RR 2·37, 1·45 to 3·87), with number needed to harm 30 (17 to 86). There was no significant difference in the risk of SSI, haematoma or chronic pain.

Conclusion: The use of mesh in elective repair of umbilical hernia reduced the risk of recurrence compared with suture closure without altering the risk of chronic pain.

Citing Articles

Onlay mesh versus suture repair for smaller umbilical hernias in adults-early results from SUMMER trial: randomized clinical trial.

Bergstrom M, Widhe B, Granasen G, Lof Granstrom A, Ohlsson J, Schult S BJS Open. 2025; 9(1).

PMID: 40037347 PMC: 11879325. DOI: 10.1093/bjsopen/zrae173.

Surgical practices in emergency umbilical hernia repair and implications for trial design.

Walshaw J, Smart N, Blencowe N, Lee M Hernia. 2024; 28(6):2333-2341.

PMID: 39305352 PMC: 11530507. DOI: 10.1007/s10029-024-03165-y.

Mesh versus suture for elective primary umbilical hernia open repair: a systematic review and meta-analysis.

Dias Rasador A, da Silveira C, Lima D, Nogueira R, Malcher F, Sreeramoju P Hernia. 2024; 28(6):2069-2078.

PMID: 39001938 DOI: 10.1007/s10029-024-03106-9.

The role of computed tomography in acute bowel obstruction due to a supravesical hernia: a case report from Nepal.

Panthi A, Thapaliya I, Khadka L, Bhusal M, Dev S, Jha S Ann Med Surg (Lond). 2024; 86(7):4268-4273.

PMID: 38989232 PMC: 11230816. DOI: 10.1097/MS9.0000000000002222.

Repair of umbilical hernias concomitant to other procedures is safe: a propensity score-matched database study.

Hegstad B, Jensen T, Helgstrand F, Henriksen N Hernia. 2024; 28(4):1093-1101.

PMID: 38488931 DOI: 10.1007/s10029-024-02977-2.

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