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Laparoscopic versus open mesh repair for recurrent inguinal hernia: a meta-analysis of outcomes |
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| Authors: | Georgia Dedemadi George Sgourakis Arnold Radtke Alexandros Dounavis Ines Gockel Ioannis Fouzas Constantine Karaliotas Evangelos Anagnostou |
| Institution: | a Surgical Department of “A. Fleming” General Hospital, 14, 25th Martiou Str, 15127, Athens, Greece b 2nd Surgical Department and Surgical Oncology Unit of “Korgialenio-Benakio,” Red Cross Hospital, Athens, Greece c Department of General and Abdominal Surgery, Johannes Gutenberg University Hospital, Mainz, Germany d Organ Transplant Unit, Hippokration Hospital, Aristotle University Medical School, Thessaloniki, Greece |
| Abstract: | BackgroundThe objective of this study was to examine the outcomes of comparisons between laparoscopic and open mesh repairs in the setting of recurrent inguinal hernia.MethodsThe 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.ResultsSignificantly 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).ConclusionsLaparoscopic versus open mesh repair for recurrent inguinal hernia was equivalent in most of the analyzed outcomes. |
| 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 |
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