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Am J Surg. 2012 Nov;204(5):769-78. doi: 10.1016/j.amjsurg.2012.02.010. Epub 2012 May 22.

Comparison of open preperitoneal and Lichtenstein repair for inguinal hernia repair: a meta-analysis of randomized controlled trials.

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  • 1Department of General Surgery, Affiliated Zhong-Da Hospital, Southeast University, 210009 Nanjing, Jiangsu, China. Lijunshenghd@126.com

Abstract

BACKGROUND:

The aim of this article was to compare the outcomes of the open preperitoneal approaches and the Lichtenstein technique in the repair of inguinal hernias.

METHODS:

A systematic literature review was undertaken to identify studies comparing the outcomes of open preperitoneal and Lichtenstein techniques in the repair of inguinal hernias.

RESULTS:

The present meta-analysis pooled the effects of outcomes of a total of 2,860 patients enrolled into 10 randomized controlled trials and 2 comparative studies. The preperitoneal technique was associated with a lesser incidence of recurrence (odds ratio = .51; 95% confidence interval, .28-.92). However, statistically there was no difference in the incidence of chronic pain, hematoma, wound infection, testicular problem, urinary problem, numbness, inguinal parenthesis, and operative time.

CONCLUSIONS:

The open preperitoneal approach is a feasible alternative for the standard Lichtenstein procedure with similar complication rates and potentially less postoperative recurrence.

Copyright © 2012 Elsevier Inc. All rights reserved.

PMID:
22621832
[PubMed - indexed for MEDLINE]
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