Is Desarda technique suitable to emergency inguinal hernia surgery? A systematic review and meta-analysis.

Autor:	Ndong A; Department of Surgery, Gaston Berger University, Saint-Louis, Senegal., Tendeng JN; Department of Surgery, Gaston Berger University, Saint-Louis, Senegal., Diallo AC; Department of Surgery, Gaston Berger University, Saint-Louis, Senegal., Diao ML; Department of Surgery, Gaston Berger University, Saint-Louis, Senegal., Diop S; Department of Surgery, Gaston Berger University, Saint-Louis, Senegal., Dia DA; Department of Surgery, Gaston Berger University, Saint-Louis, Senegal., Ma Nyemb PM; Department of Surgery, Gaston Berger University, Saint-Louis, Senegal., Konaté I; Department of Surgery, Gaston Berger University, Saint-Louis, Senegal.
Jazyk:	angličtina
Zdroj:	Annals of medicine and surgery (2012) [Ann Med Surg (Lond)] 2020 Dec 02; Vol. 60, pp. 664-668. Date of Electronic Publication: 2020 Dec 02 (Print Publication: 2020).
DOI:	10.1016/j.amsu.2020.11.086
Abstrakt:	Background: Despite the fact that Lichtenstein is the gold standard for uncomplicated inguinal hernia, the use of mesh in an emergency context remains controversial. Pure tissue repairs have an essential role in the management of incarcerated or strangulated inguinal hernia. To date, there has been little agreement on what is the best surgical technique suitable for emergency hernia surgery. This systematic review aims to evaluate the efficacy and safety of the pure tissue Desarda technique for emergency inguinal hernia repair. Methods: A complete search of electronic databases including PubMed/Medline, Web of Science, Embase and, Cochrane library was realized. Newcastle-Ottawa-Scale (NOS) (selection and outcome criteria) was used for quality assessment of included studies. The pooled prevalence of post-operative complications (surgical site infection, hematoma/seroma, chronic pain and, recurrence rate) was estimated. Results: We included 5 studies from different countries. There were 2 randomized controlled trial and 3 observational cohort studies. Totally, there were 199 patients with a mean age of 57.6 years. Male patients were predominant (n = 196). The pooled prevalence of surgical site infection and hematoma/seroma was respectively 16.56% (95% CI: 11.74-22.39) and 12.43% (95%CI: 6.90-20.108). The pooled prevalence of chronic pain and recurrence was respectively 4.35% (95% CI: 1.04-11.47) and 2.10% (95%CI: 0.61-5.14). Conclusions: In summary, Desarda technique is feasible in emergency context with good results. We found any particularly important rate of complications considering the surgery in emergency context. Further studies should be realized to raise the level of evidence. Competing Interests: The authors declare that they have no conflicts of interests. (© 2020 The Author(s).)
Databáze:	MEDLINE
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