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Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-.

Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews.

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

Review published: 2010.

Bibliographic details: Dedemadi G, Sgourakis G, Radtke A, Dounavis A, Gockel I, Fouzas I, Karaliotas C, Anagnostou E.  Laparoscopic versus open mesh repair for recurrent inguinal hernia: a meta-analysis of outcomes. American Journal of Surgery 2010; 200(2): 291-297. [PubMed: 20678621]

Quality assessment

This review concluded that laparoscopic procedures were comparable with open mesh repair in most of the outcomes for recurrent inguinal hernia. These conclusions generally reflect the evidence presented, but a degree of caution might be required in interpreting the authors' conclusions given the small sizes of included studies and the possibility of language bias. Full critical summary

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.

2010 Elsevier Inc. All rights reserved.

CRD has determined that this article meets the DARE scientific quality criteria for a systematic review.

Copyright © 2012 University of York.

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