Laparoscopic versus open mesh repair for recurrent inguinal hernia: a meta-analysis of outcomes.
Τίτλος | Laparoscopic versus open mesh repair for recurrent inguinal hernia: a meta-analysis of outcomes. |
Publication Type | Journal Article |
Year of Publication | 2010 |
Authors | Dedemadi, G., Sgourakis G., Radtke A., Dounavis A., Gockel I., Fouzas I., Karaliotas C., & Anagnostou E. |
Journal | Am J Surg |
Volume | 200 |
Issue | 2 |
Pagination | 291-7 |
Date Published | 2010 Aug |
ISSN | 1879-1883 |
Λέξεις κλειδιά | Aged, Female, Hernia, Inguinal, Humans, Laparoscopy, Male, Middle Aged, Recurrence, Surgical Mesh, Treatment Outcome |
Abstract | 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. |
DOI | 10.1016/j.amjsurg.2009.12.009 |
Alternate Journal | Am. J. Surg. |
PubMed ID | 20678621 |