ReviewHernia : the journal of hernias and abdominal wall surgery2026
Absorbable suture material in non-mesh inguinal hernia repair: a narrative review of Shouldice, Bassini, and Desarda techniques.
Review in Hernia : the journal of hernias and abdominal wall surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
1 citing paper in PubMed.
- Perioperative safety and long-term outcomes of mesh repair in nonagenarians undergoing elective inguinal hernia repair: a single-center retrospective study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTissue-based inguinal hernia repair is traditionally performed with non-absorbable sutures or wire. Interest exists in absorbable sutures, particularly long-term materials. This review summarizes evidence as a basis for potential future pilot studies in non-mesh techniques aiming to reduce foreign body load.
methodsA narrative literature review was conducted between October 2025 and January 2026 using a structured and transparent search strategy. Four investigators independently searched PubMed/MEDLINE for clinical studies on non-mesh inguinal hernia repair using absorbable sutures. Eligible studies were qualitatively synthesized, and levels of evidence were assessed using the Oxford Centre for Evidence-Based Medicine (OCEBM) classification. The search included title and abstract terms for Shouldice, Bassini, and Desarda.
resultsSixteen studies (1983-2023) were included, comprising randomized trials, prospective studies, and one registry analysis. In Shouldice Repair, recurrence ranged from 0.5% to 8.9% with 3-31 months follow-up, while registry data (9-year follow-up) showed increased reoperation risk versus non-absorbable sutures. Bassini repair using short-term absorbable sutures showed recurrence rates of 3.3% to 20%. Desarda repair demonstrated low recurrence rates (0-2.4%), particularly with long-term absorbable materials. Heterogeneity was substantial across design, materials, follow-up, and outcomes. Follow-up duration and reporting were inconsistent, limiting comparability and meta-analysis.
conclusionAvailable evidence indicates that absorbable sutures in established tissue-based inguinal hernia repair are associated with higher recurrence and cannot currently be recommended, particularly for Shouldice and Bassini repair. However, reducing permanent foreign body load remains important. Future research should focus on long-term or ultra-long-term absorbable sutures and hybrid approaches to enable durable, mesh-free repair without permanent foreign material.
Indexed as
Identifiers
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.