Peer-reviewed veterinary case report
How does mesh affect inguinal hernia repair success?
By Kc G et al.·2026·University of Arkansas for Medical Sciences, United States·View original on Europe PMC →
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Original publication title: Comparative analysis of reintervention rates in mesh versus no-mesh inguinal hernia repair using electronic health records.
Plain-English summary
Inguinal hernias, which are common and often need surgery to fix, can be repaired using a mesh material or without it. A study looked at over 1,500 adults who had this surgery between October 2015 and September 2023 to see how often they needed another surgery afterward. Out of these patients, about 2.6% required a second surgery, with slightly fewer in the mesh group compared to the no-mesh group, but the difference wasn't significant. Overall, while using mesh seemed to be linked to fewer repeat surgeries, the results weren't strong enough to say for sure that it makes a big difference.
Abstract
<h4>Purpose</h4>Inguinal hernias are common surgical conditions requiring repair. Mesh reinforcement is widely used to reduce recurrence, but claims data often lack mesh usage and surgical technique information. This study evaluates the impact of mesh use and procedural and device characteristics on inguinal hernia repair reinterventions using clinical notes from electronic health records (EHR).<h4>Methods</h4>A retrospective cohort study was conducted among adult patients who underwent inguinal hernia repair between October 2015 and September 2023 with 1-year follow-up. Logistic regression was used to estimate the odds of reintervention.<h4>Results</h4>There were 1598 patients with 1154 (72.22%) receiving mesh and 444 (27.78%) undergoing no-mesh repairs. 42 patients (2.63%) required reintervention, with 2.34% and 3.38% in the mesh and no mesh group respectively (p = 0.38). Adjusted analyses showed no significant difference in reintervention rates (OR: 0.71, p = 0.32).<h4>Conclusion</h4>Mesh use in inguinal hernia repair was associated with a lower reintervention rate, though not statistically significant.
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Search related cases →Original publication on Europe PMC: https://europepmc.org/article/MED/41825184