Laparoscopic versus open mesh repair for recurrent inguinal hernia: a meta-analysis of outcomes

被引：33

作者：

Dedemadi, Georgia ^{[1
]}

Sgourakis, George ^{[2
,3
]}

Radtke, Arnold ^{[4
]}

Dounavis, Alexandros ^{[1
]}

Gockel, Ines ^{[4
]}

Fouzas, Ioannis ^{[5
]}

Karaliotas, Constantine ^{[2
,3
]}

Anagnostou, Evangelos ^{[1
]}

机构：

[1] A Fleming Gen Hosp, Dept Surg, Athens 15127, Greece

[2] Red Cross Hosp, Dept Surg 2, Athens, Greece

[3] Red Cross Hosp, Surg Oncol Unit Korgialenio Benakio, Athens, Greece

[4] Johannes Gutenberg Univ Hosp, Dept Gen & Abdominal Surg, Mainz, Germany

[5] Aristotle Univ Thessaloniki, Sch Med, Hippokrat Hosp, Organ Transplant Unit, GR-54006 Thessaloniki, Greece

来源：

AMERICAN JOURNAL OF SURGERY | 2010年 / 200卷 / 02期

关键词：

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; TENSION-FREE REPAIR; PREPERITONEAL MESH; LOCAL-ANESTHESIA; LICHTENSTEIN; GROIN; HERNIORRHAPHY; EXPERIENCE; TRIALS;

D O I：

10.1016/j.amjsurg.2009.12.009

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

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. (C) 2010 Elsevier Inc. All rights reserved.

引用

页码：291 / 297

页数：7

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