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Purpose <p>The optimal suture material for laparoscopic inguinal hernia repair in children remains controversial. This study aimed to compare the outcomes of absorbable sutures (AS) versus non-absorbable sutures (NAS), focusing on recurrence and suture-related complications.</p> Methods <p>A systematic literature search was conducted in PubMed, Web of Science, and the Cochrane Library. Studies comparing AS and NAS in pediatric patients were included. Meta-analyses were performed using fixed- or random-effects models to calculate odds ratios (ORs) with 95% confidence intervals (CIs).</p> Results <p>Four studies comprising 2803 patients in the AS group and 3507 in the NAS group were included. No significant differences were observed between AS and NAS for postoperative hydrocele (OR = 5.12, 95% CI 0.61–42.67; <i>P</i> = 0.13) or wound infection (OR = 0.94, 95% CI 0.44–2.01; <i>P</i> = 0.91). Suture knot reaction was significantly lower in the AS group (OR = 0.03, 95% CI 0.01–0.15; <i>P</i> &lt; 0.0001). However, recurrence risk was significantly higher in the AS group (OR = 7.80, 95% CI 2.14–28.45; <i>P</i> = 0.002).</p> Conclusions <p>Absorbable sutures significantly reduce suture knot reactions but are associated with a higher risk of recurrence compared to non-absorbable sutures. No significant differences were found for hydrocele or wound infection. Suture selection should balance these risks based on clinical priorities.</p>

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Absorbable versus non-absorbable suture in percutaneous laparoscopic inguinal hernia repair in children: a systematic review and meta-analysis

  • 期刊论文

  • 发表日期：

    2026年8月3日

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  • Mingjie Shi,
  • Dazhou Wu,
  • Xuefeng Miao,
  • Hongzhou Ye

摘要

Purpose

The optimal suture material for laparoscopic inguinal hernia repair in children remains controversial. This study aimed to compare the outcomes of absorbable sutures (AS) versus non-absorbable sutures (NAS), focusing on recurrence and suture-related complications.

Methods

A systematic literature search was conducted in PubMed, Web of Science, and the Cochrane Library. Studies comparing AS and NAS in pediatric patients were included. Meta-analyses were performed using fixed- or random-effects models to calculate odds ratios (ORs) with 95% confidence intervals (CIs).

Results

Four studies comprising 2803 patients in the AS group and 3507 in the NAS group were included. No significant differences were observed between AS and NAS for postoperative hydrocele (OR = 5.12, 95% CI 0.61–42.67; P = 0.13) or wound infection (OR = 0.94, 95% CI 0.44–2.01; P = 0.91). Suture knot reaction was significantly lower in the AS group (OR = 0.03, 95% CI 0.01–0.15; P < 0.0001). However, recurrence risk was significantly higher in the AS group (OR = 7.80, 95% CI 2.14–28.45; P = 0.002).

Conclusions

Absorbable sutures significantly reduce suture knot reactions but are associated with a higher risk of recurrence compared to non-absorbable sutures. No significant differences were found for hydrocele or wound infection. Suture selection should balance these risks based on clinical priorities.