A meta-analysis examining the use of tacker fixation versus no-fixation of mesh in laparoscopic inguinal hernia repair M.S. Sajid, N. Ladwa, L. Kalra,

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A meta-analysis examining the use of tacker fixation versus no-fixation of mesh in laparoscopic inguinal hernia repair M.S. Sajid, N. Ladwa, L. Kalra, K. Hutson, P. Sains, M.K. Baig International Journal of Surgery Volume 10, Issue 5, Pages 224-231 (January 2012) DOI: 10.1016/j.ijsu.2012.03.001 Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 1 PRISMA flow chart showing trial selection methodology. International Journal of Surgery 2012 10, 224-231DOI: (10.1016/j.ijsu.2012.03.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 2 Strength and summary of the evidence analysed on GradePro®. International Journal of Surgery 2012 10, 224-231DOI: (10.1016/j.ijsu.2012.03.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 3 Forest plot for operation time in all trials following the use of tacker mesh fixation (TMF) and no-mesh fixation (NMF) in laparoscopic inguinal hernia repair. Standardised mean differences are shown with 95 per cent confidence intervals. International Journal of Surgery 2012 10, 224-231DOI: (10.1016/j.ijsu.2012.03.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 4 Forest plot for post-operative pain following the use of tacker mesh fixation (TMF) and no-mesh fixation (NMF) in laparoscopic inguinal hernia repair. Standardised mean differences are shown with 95 per cent confidence intervals. International Journal of Surgery 2012 10, 224-231DOI: (10.1016/j.ijsu.2012.03.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 5 Forest plot for post-operative complications following the use of tacker mesh fixation (TMF) and no-mesh fixation (NMF) in laparoscopic open inguinal hernia repair. Risk ratios are shown with 95 per cent confidence intervals. International Journal of Surgery 2012 10, 224-231DOI: (10.1016/j.ijsu.2012.03.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 6 Forest plot for chronic groin pain following the use of tacker mesh fixation (TMF) and no-mesh fixation (NMF) in laparoscopic open inguinal hernia repair. Risk ratios are shown with 95 per cent confidence intervals. International Journal of Surgery 2012 10, 224-231DOI: (10.1016/j.ijsu.2012.03.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 7 Forest plot for recurrence following the use of tacker mesh fixation (TMF) and no-mesh fixation (NMF) in laparoscopic open inguinal hernia repair. Risk ratios are shown with 95 per cent confidence intervals. International Journal of Surgery 2012 10, 224-231DOI: (10.1016/j.ijsu.2012.03.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions

Fig. 8 Forest plot for length of hospital stay following the use of tacker mesh fixation (TMF) and no-mesh fixation (NMF) in laparoscopic inguinal hernia repair. Standardised mean differences are shown with 95 per cent confidence intervals. International Journal of Surgery 2012 10, 224-231DOI: (10.1016/j.ijsu.2012.03.001) Copyright © 2012 Surgical Associates Ltd Terms and Conditions