{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T16:29:58Z","timestamp":1788020998328,"version":"build-2784847793"},"reference-count":44,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T00:00:00Z","timestamp":1705622400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Currently, groin hernia repair is mostly performed with application of mesh prostheses fixed with or without suture. However, views on safety and efficacy of different surgical approaches are still partly discordant. In this multicentre retrospective study, three sutureless procedures, i.e., mesh fixation with glue, application of self-gripping mesh, and Trabucco\u2019s technique, were compared in 1034 patients with primary unilateral non-complicated inguinal hernia subjected to open anterior surgery. Patient-related features, comorbidities, and drugs potentially affecting the intervention outcomes were also examined. The incidence of postoperative complications, acute and chronic pain, and time until discharge were assessed. A multivariate logistic regression was used to compare the odds ratio of the surgical techniques adjusting for other risk factors. The application of standard\/heavy mesh, performed in the Trabucco\u2019s technique, was found to significantly increase the odds ratio of hematomas (p = 0.014) and, most notably, of acute postoperative pain (p &lt; 0.001). Among the clinical parameters, antithrombotic therapy and large hernia size were independent risk factors for hematomas and longer hospital stay, whilst small hernias were an independent predictor of pain. Overall, our findings suggest that the Trabucco\u2019s technique should not be preferred in patients with a large hernia and on antithrombotic therapy.<\/jats:p>","DOI":"10.3390\/jcm13020589","type":"journal-article","created":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T09:46:39Z","timestamp":1705657599000},"page":"589","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Sutureless Repair for Open Treatment of Inguinal Hernia: Three Techniques in Comparison"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8999-1386","authenticated-orcid":false,"given":"Enke","family":"Baldini","sequence":"first","affiliation":[{"name":"Department of Surgery, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1943-4952","authenticated-orcid":false,"given":"Eleonora","family":"Lori","sequence":"additional","affiliation":[{"name":"Department of Surgery, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carola","family":"Morini","sequence":"additional","affiliation":[{"name":"Department of Surgery, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6944-1750","authenticated-orcid":false,"given":"Luigi","family":"Palla","sequence":"additional","affiliation":[{"name":"Department of Public Health and Infectious Diseases, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9116-0733","authenticated-orcid":false,"given":"Diego","family":"Coletta","sequence":"additional","affiliation":[{"name":"United Hospitals of Northern Marche (AOORMN)\u2014Pesaro, 61121 Pesaro, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe M.","family":"De Luca","sequence":"additional","affiliation":[{"name":"Unit of Academic General Surgery \u201cV. Bonomo\u201d, University of Bari, 70124 Bari, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giorgio","family":"Giraudo","sequence":"additional","affiliation":[{"name":"Department of Surgery, Santa Croce e Carle Hospital (ASO) of Cuneo, 12100 Cuneo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6137-5143","authenticated-orcid":false,"given":"Sergio G.","family":"Intini","sequence":"additional","affiliation":[{"name":"Department of Surgery, S. Maria Della Misericordia Hospital, ASUFC of Udine, 33100 Udine, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bruno","family":"Perotti","sequence":"additional","affiliation":[{"name":"Department of Surgery, Versilia Hospital of Viareggio, 55049 Camaiore, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angelo","family":"Sorge","sequence":"additional","affiliation":[{"name":"Day Surgery P.O.S. Giovanni Bosco, 80144 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giampaolo","family":"Sozio","sequence":"additional","affiliation":[{"name":"Department of Surgery, Alta Val D\u2019Elsa Hospital of Poggibonsi\u2014Siena, 53036 Poggibonsi, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0972-1627","authenticated-orcid":false,"given":"Marco","family":"Arganini","sequence":"additional","affiliation":[{"name":"Department of Surgery, Versilia Hospital of Viareggio, 55049 Camaiore, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elsa","family":"Beltrami","sequence":"additional","affiliation":[{"name":"Department of Surgery, Santa Croce e Carle Hospital (ASO) of Cuneo, 12100 Cuneo, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1545-0779","authenticated-orcid":false,"given":"Daniele","family":"Pironi","sequence":"additional","affiliation":[{"name":"Department of Surgery, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Massimo","family":"Ranalli","sequence":"additional","affiliation":[{"name":"Department of Surgery, Alta Val D\u2019Elsa Hospital of Poggibonsi\u2014Siena, 53036 Poggibonsi, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cecilia","family":"Saviano","sequence":"additional","affiliation":[{"name":"Day Surgery P.O.S. Giovanni Bosco, 80144 Naples, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto","family":"Patriti","sequence":"additional","affiliation":[{"name":"United Hospitals of Northern Marche (AOORMN)\u2014Pesaro, 61121 Pesaro, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sofia","family":"Usai","sequence":"additional","affiliation":[{"name":"Department of Surgery, \u201cSapienza\u201d University of Rome, 00161 Rome, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Vernaccini","sequence":"additional","affiliation":[{"name":"Department of Surgery, S. Maria Della Misericordia Hospital, ASUFC of Udine, 33100 Udine, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Vittore","sequence":"additional","affiliation":[{"name":"Unit of Academic General Surgery \u201cV. 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