Treatment of Inguinal Hernia: Systematic Review and Updated Network Meta-analysis of Randomized Controlled Trials
| Autor: | Livia Manfredini, Marta Cavalli, Gianluca Bonitta, Davide Bona, Giampiero Campanelli, Piero Giovanni Bruni, Alberto Aiolfi, Simona Del Ferraro |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Visual analogue scale Network Meta-Analysis Hernia Inguinal law.invention Hematoma Postoperative Complications Randomized controlled trial law Recurrence medicine Humans Minimally Invasive Surgical Procedures Herniorrhaphy Pain Measurement Randomized Controlled Trials as Topic Pain Postoperative business.industry Chronic pain Length of Stay medicine.disease Surgery Inguinal hernia Seroma Meta-analysis Relative risk business |
| Zdroj: | Annals of surgery. 274(6) |
| ISSN: | 1528-1140 |
| Popis: | BACKGROUND Despite the advent of innovative surgical platforms and operative techniques, a definitive indication of the best surgical option for the treatment of unilateral primary inguinal hernia remains unsettled. Purpose was to perform an updated and comprehensive evaluation within the major approaches to inguinal hernia. METHODS Systematic review and network meta-analyses of randomized controlled trials (RCTs) compare Lichtenstein tension-free repair, laparoscopic transabdominal preperitoneal (TAPP) repair, and totally extraperitoneal repair (TEP). Risk ratio (RR) and weighted mean difference (WMD) were used as pooled effect size measures, whereas 95% credible intervals (CrI) were used to assess relative inference. RESULTS Thirty-five RCTs (7777 patients) were included. Overall, 3496 (44.9%) underwent Lichtenstein, 1269 (16.3%) TAPP, and 3012 (38.8%) TEP repair. The Visual Analogue Scale (VAS) was significantly lower for minimally invasive repair at |
| Databáze: | OpenAIRE |
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