Is it safe not to fix the mesh in an open incisional hernia repair? Literature review

Abstract Introduction Review the articles with incisional hernia repair without mesh fixation in open hernia repair. Methods A systematic search of the literature published from 01/01/2008 to 31/12/2023 was performed using Medline PubMed, Cochrane Library, and Google Scholar databases. The search us...

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Main Authors: Gintaras Varanauskas, Gintautas Brimas
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Surgery
Subjects:
Online Access:https://doi.org/10.1186/s12893-025-02894-w
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author Gintaras Varanauskas
Gintautas Brimas
author_facet Gintaras Varanauskas
Gintautas Brimas
author_sort Gintaras Varanauskas
collection DOAJ
description Abstract Introduction Review the articles with incisional hernia repair without mesh fixation in open hernia repair. Methods A systematic search of the literature published from 01/01/2008 to 31/12/2023 was performed using Medline PubMed, Cochrane Library, and Google Scholar databases. The search used the keywords: incisional hernia, open mesh repair, and without mesh fixation. Results Nine publications were identified for the present analysis. The quality of each study was assessed. Information about operative methods, main results, conclusions, and recommendations was collected. Conclusions According to the results and findings of reviewed articles, postoperative abdominal wall hernia repair without mesh suturing is safe and can improve postoperative results. Still, there is insufficient evidence to determine whether it is associated with better outcomes than hernia repair with mesh fixation. Further clinical studies are needed to clarify whether this method is clinically essential.
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spelling doaj-art-b23ccb975d6047bda9ec727fd3eab8002025-08-20T03:10:07ZengBMCBMC Surgery1471-24822025-04-012511810.1186/s12893-025-02894-wIs it safe not to fix the mesh in an open incisional hernia repair? Literature reviewGintaras Varanauskas0Gintautas Brimas1Faculty of Medicine, Vilnius UniversityFaculty of Medicine, Vilnius UniversityAbstract Introduction Review the articles with incisional hernia repair without mesh fixation in open hernia repair. Methods A systematic search of the literature published from 01/01/2008 to 31/12/2023 was performed using Medline PubMed, Cochrane Library, and Google Scholar databases. The search used the keywords: incisional hernia, open mesh repair, and without mesh fixation. Results Nine publications were identified for the present analysis. The quality of each study was assessed. Information about operative methods, main results, conclusions, and recommendations was collected. Conclusions According to the results and findings of reviewed articles, postoperative abdominal wall hernia repair without mesh suturing is safe and can improve postoperative results. Still, there is insufficient evidence to determine whether it is associated with better outcomes than hernia repair with mesh fixation. Further clinical studies are needed to clarify whether this method is clinically essential.https://doi.org/10.1186/s12893-025-02894-wIncisional herniaOpen mesh hernia repairWithout mesh fixation
spellingShingle Gintaras Varanauskas
Gintautas Brimas
Is it safe not to fix the mesh in an open incisional hernia repair? Literature review
BMC Surgery
Incisional hernia
Open mesh hernia repair
Without mesh fixation
title Is it safe not to fix the mesh in an open incisional hernia repair? Literature review
title_full Is it safe not to fix the mesh in an open incisional hernia repair? Literature review
title_fullStr Is it safe not to fix the mesh in an open incisional hernia repair? Literature review
title_full_unstemmed Is it safe not to fix the mesh in an open incisional hernia repair? Literature review
title_short Is it safe not to fix the mesh in an open incisional hernia repair? Literature review
title_sort is it safe not to fix the mesh in an open incisional hernia repair literature review
topic Incisional hernia
Open mesh hernia repair
Without mesh fixation
url https://doi.org/10.1186/s12893-025-02894-w
work_keys_str_mv AT gintarasvaranauskas isitsafenottofixthemeshinanopenincisionalherniarepairliteraturereview
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