Long-term follow-up of anterior approach preperitoneal hernia repair using the Kugel patch

Zhou, Xiaoqi; Zhou, Shangjun; Zhang, Jifeng; Hu, Haoqiang; Zhang, Jianfeng; Cai, Weibin; Zhan, Ping

doi:10.1016/j.amjsurg.2016.02.026

Cited by 5 publications

(9 citation statements)

References 15 publications

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“…In total, 55 studies were included with 486 935 patients; of these, 43 870 were women. The study selection process is presented in the eFigure in the Supplement.…”

Section: Resultsmentioning

confidence: 99%

“…The study selection process is presented in the eFigure in the Supplement. The study characteristics and outcome variables are presented in Table 1 . Of the 55 included studies, there were 5 RCTs, 14 prospective cohort studies, 7 prospectively registered database studies, and 29 retrospective cohort studies.…”

Section: Resultsmentioning

confidence: 99%

“…The bias assessment for the RCTs is presented in the Figure and the bias assessment for the cohort studies is presented in Table 2 . For the RCTs, the overall risk of bias was either low or unknown, with most RCTs at low risk of selection bias, performance bias, and attrition bias.…”

Section: Resultsmentioning

confidence: 99%

“…All studies except 3 received the maximum score for the selection part. Comparability was irrelevant in this review and therefore excluded from Table 2 . Fourteen studies received 1 star or less from outcome parameters, mainly owing to a short and inadequate follow-up .…”

Section: Resultsmentioning

confidence: 99%

“…Study characteristics and outcome variables are presented in Table 1 . Most studies did not report the total number of hernias in women, but only the total number of female patients.…”

Section: Methodsmentioning

confidence: 99%

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Recurrence Rates After Repair of Inguinal Hernia in Women

et al. 2018

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ach year, more than 20 million procedures to repair inguinal hernia are performed worldwide. 1 The lifetime risk of developing an inguinal hernia is 27% for men compared with only 3% for women. 2 However, studies have reported that 8% to 16% of patients with inguinal hernia are females. 3,4 Nevertheless, to our knowledge, no randomized controlled trial (RCT) or systematic review has specifically addressed repair of groin hernia in women. 5 Guidelines for repair of inguinal hernias in women are based mainly on subgroup analyses of national database studies in which most patients were men. [5][6][7] Differences regarding pelvic and inguinal anatomy between men and women 8 could mean that the recurrence rate of inguinal hernias may differ, and recurrences after repair of inguinal hernia in women may be a previously undiagnosed femoral hernia. 9,10 Therefore, the rate and type of recurrence for in-guinal hernias needs to be assessed specifically in women. This study investigates rates and types of recurrences in women who underwent repair of a primary inguinal hernia. MethodsThis study was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guideline. 11 A detailed protocol was registered at the PROSPERO systematic review registration site (registration CRD42017081152). 12 Participants in the study were women age 18 years or older who had undergone repair of a primary unilateral or bilateral inguinal hernia. Studies including participants with solely recurrent inguinal hernias or solely femor-IMPORTANCE To our knowledge, a systematic review has not yet been performed that specifically addresses the management of inguinal hernia in women. Recurrence after repair of inguinal hernia is not unusual in women and may be a previously undiagnosed femoral hernia, which is rarely seen in men. OBJECTIVE To investigate rates and types of recurrences in women who had undergone repair of primary inguinal hernia.EVIDENCE REVIEW PubMed, Embase, and the Cochrane databases were searched in September 2017 for studies reporting recurrences after repair of primary inguinal hernia in women. Crude rates of recurrence (number of recurrences/number of women) were calculated after open and laparoscopic repairs, and the type of recurrent hernia was registered, if noted in the studies. This review is reported according to the PRISMA guideline. FINDINGS A total of 55 studies were included, comprising 43 870 women (mean age, 42-69 years; median age, 57 years). Five studies were randomized clinical trials, 14 were prospective cohort studies, 7 were prospective database studies, and 29 were retrospective cohort studies. Twenty studies reported recurrence after laparoscopic repair, with a crude recurrence rate of 1.2% (27 of 2257) (range, 0%-5%) and a median follow-up of 24 months. Thirty-seven studies reported open repair, with a crude recurrence rate of 2.4% (818 of 33 971) (range, 0%-12.5%) and a median follow-up of 36 months. The crude recurrence rate in randomized clinical trials and prospectiv...

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“…In total, 55 studies were included with 486 935 patients; of these, 43 870 were women. The study selection process is presented in the eFigure in the Supplement.…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…Study characteristics and outcome variables are presented in Table 1 . Most studies did not report the total number of hernias in women, but only the total number of female patients.…”

Section: Methodsmentioning

confidence: 99%

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