'Mesh hiatal hernioplasty' versus 'suture cruroplasty' in laparoscopic para-oesophageal hernia surgery; a systematic review and meta-analysis
| Autor: | Y. K. S. Viswanath, Andy Gilliam, Anil Reddy, Reece-Bolton Obuobi, Rajeev Sathasivam, Venkat Shanmugam, Gopinath Bussa, Prem Thambi, Talvinder Gill |
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| Rok vydání: | 2018 |
| Předmět: |
Reoperation
medicine.medical_specialty Operative Time lcsh:Surgery law.invention Hiatal hernia Postoperative Complications Randomized controlled trial Suture (anatomy) law Recurrence medicine Humans Laparoscopy Herniorrhaphy Randomized Controlled Trials as Topic medicine.diagnostic_test Sutures business.industry Suture Techniques lcsh:RD1-811 Surgical Mesh medicine.disease Databases Bibliographic Surgery Observational Studies as Topic Surgical mesh Hernia Hiatal Treatment Outcome Meta-analysis Inclusion and exclusion criteria Complication business |
| Zdroj: | Asian Journal of Surgery, Vol 42, Iss 1, Pp 53-60 (2019) BASE-Bielefeld Academic Search Engine |
| ISSN: | 0219-3108 |
| Popis: | Summary: In laparoscopic ‘paraoesophageal hernia’ (POH) repair, non-absorbable suture materials have been used to close the crural defects. More recently, various types of prosthetic mesh have been utilized to repair the defect. We conducted a systematic review with meta-analysis of the recent and up to-date studies incorporating 942 POH repairs. We examined the rates of recurrence, reoperation, and complication rates alongside operative time of these two techniques in the management POH. Randomized controlled trials (RCT) and observational studies comparing mesh hiatal hernioplasty versus Suture cruroplasty for Paraoesophageal hernia were selected by searching Medline, Embase, and Cochrane Central database published between January 1995 and December 2016. Predefined inclusion and exclusion criteria were applied to select the studies. The outcome variables analysed are recurrence of hiatal hernia, reoperation, operative time and complications. Nine studies (RCTs = 4 and Observational studies = 5) were analysed totalling 942 patients (Mesh = 517, Suture cruroplasty = 425). The pooled effect size for recurrence favoured mesh repair over suture cruroplasty (OR 0.48, 95% CI 0.32, 0.73, P |
| Databáze: | OpenAIRE |
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