Laparoscopic versus open mesh repair for recurrent inguinal hernia: a meta-analysis of outcomes - 19/08/11
, George Sgourakis, M.D. b, Arnold Radtke, M.D. c, Alexandros Dounavis, M.D. a, Ines Gockel, M.D. c, Ioannis Fouzas, M.D. d, Constantine Karaliotas, M.D. b, Evangelos Anagnostou, M.D. a
Corresponding author. Tel.: +30-210-6033361; fax: +30-210-7514179Abstract |
Background |
The objective of this study was to examine the outcomes of comparisons between laparoscopic and open mesh repairs in the setting of recurrent inguinal hernia.
Methods |
The electronic databases MEDLINE, Embase, Pubmed, and the Cochrane Library were used to search for articles from 1990 to 2008. The present meta-analysis pooled the effects of outcomes of a total of 1,542 patients enrolled into 5 randomized controlled trials and 7 comparative studies, using classic and modern meta-analytic methods.
Results |
Significantly fewer cases of hematoma/seroma formation were observed in the laparoscopic group in comparison with the Lichtenstein group (odds ratio, .38; .15–.96; P = .04). A matter of great importance is the higher relative risk of overall recurrence in the transabdominal preperitoneal group compared with the totally extraperitoneal group (relative risk, 3.25; 1.32–7.9; P = .01).
Conclusions |
Laparoscopic versus open mesh repair for recurrent inguinal hernia was equivalent in most of the analyzed outcomes.
Le texte complet de cet article est disponible en PDF.Keywords : Meta-analysis, Evidence based, Publication bias, Recurrent inguinal hernia, Totally extraperitoneal, Transabdominal preperitoneal, OPM, Open preperitoneal mesh, Stoppa, Giant prosthetic reinforcement of the visceral sac, Lichtenstein procedure
Plan
| Georgia Dedemadi designed the study, analyzed data, and was responsible for acquisition of data; George Sgourakis designed the study, analyzed data, and was responsible for acquisition of data; Arnold Radtke analyzed data and was responsible for acquisition of data; Alexandros Dounavis designed study and was responsible for acquisition of data; Ines Gockel drafted the manuscript and was responsible for substantial review; Ioannis Fouzas was responsible for critical review and drafting the manuscript; Constantine Karaliotas designed the study and was responsible for critical revision; and Evangelos Anagnostou designed the study and was responsible for critical revision. All authors have read and approved the final version of the manuscript to be published. Georgia Dedemadi and George Sgourakis take responsibility for the integrity of the data and the accuracy of the data analysis. |
Vol 200 - N° 2
P. 291-297 - août 2010 Retour au numéro
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