Definition of Mesh Weight and Pore Size in Groin Hernia Repair: A Systematic Scoping Review of Randomised Controlled Trials
Introduction: Groin hernia literature often uses the terms light- and heavyweight and small or large pores to describe meshes. There is no universal definition of these terms, and the aim of this scoping review was to assess how mesh weight and pore sizes are defined in the groin hernia literature.M...
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Format: | Article |
Language: | English |
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Frontiers Media S.A.
2023-04-01
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Series: | Journal of Abdominal Wall Surgery |
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Online Access: | https://www.frontierspartnerships.org/articles/10.3389/jaws.2023.11179/full |
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author | Can Deniz Deveci Stina Öberg Jacob Rosenberg |
author_facet | Can Deniz Deveci Stina Öberg Jacob Rosenberg |
author_sort | Can Deniz Deveci |
collection | DOAJ |
description | Introduction: Groin hernia literature often uses the terms light- and heavyweight and small or large pores to describe meshes. There is no universal definition of these terms, and the aim of this scoping review was to assess how mesh weight and pore sizes are defined in the groin hernia literature.Methods: In this systematic scoping review, we searched PubMed, Embase, and Cochrane CENTRAL. We included randomised controlled trials with adults undergoing groin hernia repair with the Lichtenstein or laparoscopic techniques using a flat permanent polypropylene or polyester mesh. Studies had to use the terms lightweight, mediumweight, or heavyweight to be included, and the outcome was to report how researchers defined these terms as well as pore sizes.Results: We included 48 studies with unique populations. The weight of lightweight meshes ranged from 28 to 60 g/m2 with a median of 39 g/m2, and the pore size ranged from 1.0 to 4.0 mm with a median of 1.6 mm. The weight of heavyweight meshes ranged from 72 to 116 g/m2 with a median of 88 g/m2, and the pore size ranged from 0.08 to 1.8 mm with a median of 1.0 mm. Only one mediumweight mesh was used weighing 55 g/m2 with a pore size of 0.75 mm.Conclusion: There seems to be a consensus that meshes weighing less than 60 g/m2 are defined as lightweight and meshes weighing more than 70 g/m2 are defined as heavyweight. The weight terms were used independently of pore sizes, which slightly overlapped between lightweight and heavyweight meshes. |
first_indexed | 2024-04-09T18:16:47Z |
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id | doaj.art-93f5095eec51485c88e6df8c9c3e0f39 |
institution | Directory Open Access Journal |
issn | 2813-2092 |
language | English |
last_indexed | 2024-04-09T18:16:47Z |
publishDate | 2023-04-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Journal of Abdominal Wall Surgery |
spelling | doaj.art-93f5095eec51485c88e6df8c9c3e0f392023-04-13T04:11:06ZengFrontiers Media S.A.Journal of Abdominal Wall Surgery2813-20922023-04-01210.3389/jaws.2023.1117911179Definition of Mesh Weight and Pore Size in Groin Hernia Repair: A Systematic Scoping Review of Randomised Controlled TrialsCan Deniz DeveciStina ÖbergJacob RosenbergIntroduction: Groin hernia literature often uses the terms light- and heavyweight and small or large pores to describe meshes. There is no universal definition of these terms, and the aim of this scoping review was to assess how mesh weight and pore sizes are defined in the groin hernia literature.Methods: In this systematic scoping review, we searched PubMed, Embase, and Cochrane CENTRAL. We included randomised controlled trials with adults undergoing groin hernia repair with the Lichtenstein or laparoscopic techniques using a flat permanent polypropylene or polyester mesh. Studies had to use the terms lightweight, mediumweight, or heavyweight to be included, and the outcome was to report how researchers defined these terms as well as pore sizes.Results: We included 48 studies with unique populations. The weight of lightweight meshes ranged from 28 to 60 g/m2 with a median of 39 g/m2, and the pore size ranged from 1.0 to 4.0 mm with a median of 1.6 mm. The weight of heavyweight meshes ranged from 72 to 116 g/m2 with a median of 88 g/m2, and the pore size ranged from 0.08 to 1.8 mm with a median of 1.0 mm. Only one mediumweight mesh was used weighing 55 g/m2 with a pore size of 0.75 mm.Conclusion: There seems to be a consensus that meshes weighing less than 60 g/m2 are defined as lightweight and meshes weighing more than 70 g/m2 are defined as heavyweight. The weight terms were used independently of pore sizes, which slightly overlapped between lightweight and heavyweight meshes.https://www.frontierspartnerships.org/articles/10.3389/jaws.2023.11179/fullinguinal herniagroin herniafemoral hernialightweight meshheavyweight mesh |
spellingShingle | Can Deniz Deveci Stina Öberg Jacob Rosenberg Definition of Mesh Weight and Pore Size in Groin Hernia Repair: A Systematic Scoping Review of Randomised Controlled Trials Journal of Abdominal Wall Surgery inguinal hernia groin hernia femoral hernia lightweight mesh heavyweight mesh |
title | Definition of Mesh Weight and Pore Size in Groin Hernia Repair: A Systematic Scoping Review of Randomised Controlled Trials |
title_full | Definition of Mesh Weight and Pore Size in Groin Hernia Repair: A Systematic Scoping Review of Randomised Controlled Trials |
title_fullStr | Definition of Mesh Weight and Pore Size in Groin Hernia Repair: A Systematic Scoping Review of Randomised Controlled Trials |
title_full_unstemmed | Definition of Mesh Weight and Pore Size in Groin Hernia Repair: A Systematic Scoping Review of Randomised Controlled Trials |
title_short | Definition of Mesh Weight and Pore Size in Groin Hernia Repair: A Systematic Scoping Review of Randomised Controlled Trials |
title_sort | definition of mesh weight and pore size in groin hernia repair a systematic scoping review of randomised controlled trials |
topic | inguinal hernia groin hernia femoral hernia lightweight mesh heavyweight mesh |
url | https://www.frontierspartnerships.org/articles/10.3389/jaws.2023.11179/full |
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