Meta-analysis of randomized controlled trials comparing laparoscopic with open mesh repair of recurrent inguinal hernia

Karthikesalingam, A.; Markar, Sheraz R.; Holt, Peter; Praseedom, Raaj K.

doi:10.1002/bjs.6902

Cited by 145 publications

(112 citation statements)

References 27 publications

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“…A meta-analysis of four RCTs comparing endoscopic and open repairs for recurrent hernia after previous anterior repair confirms less postoperative pain and faster reconvalescence with the endoscopic repair, but at the expense of a longer operation time. However, one of these studies used in the open group a preperitoneal mesh according to the Stoppa technique [16]. Therefore, we performed for the endpoints recurrence and chronic pain (C3 years) a new meta-analysis (random model) only including the 3 studies comparing Lichtenstein vs. endoscopic repair and including another RCT published recently [17].…”

Section: Recurrent Hernias After Conventional Open Repairmentioning

confidence: 99%

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Miserez

Peeters

Aufenacker

et al. 2014

Hernia

337

226

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Purpose: In 2009, the European Hernia Society published the EHS Guidelines for the Treatment of Inguinal Hernia in Adult Patients. The Guidelines contain recommendations for the treatment of inguinal hernia from diagnosis till aftercare. The guidelines expired January 1, 2012. To keep them updated, a revision of the guidelines was planned including new level 1 evidence. Methods: The original Oxford Centre for Evidence-Based Medicine ranking was used. All relevant level 1A and level 1B literature from May 2008 to June 2010 was searched (Medline and Cochrane) by the Working Group members. All chapters were attributed to the two responsible authors in the initial guidelines document. One new chapter on fixation techniques was added. The quality was assessed by the Working Group members during a 2-day meeting and the data were analysed, especially with respect to any change in the level and/or text of any of the conclusions or recommendations of the initial guidelines. In the end, all relevant references published until January 1, 2013 were included. The final text was approved by all Working Group members. Results: For the following topics, the conclusions and/or recommendations have been changed: indications for treatment, treatment of inguinal hernia, day surgery, antibiotic prophylaxis, training, postoperative pain control and chronic pain. The addendum contains all current level 1 conclusions, Grade A recommendations and new Grade B recommendations based on new level 1 evidence (with the changes in bold). Conclusions: Despite the fact that the Working Group responsible for it tried to represent most kinds of surgeons treating inguinal hernias, such general guidelines inevitably must be fitted to the daily practice of every individual surgeon treating his/her patients. There is no doubt that the future of guideline implementation will strongly depend on the development of easy to use decision support algorithms tailored to the individual patient and on evaluating the effect of guideline implementation on surgical outcome. At the 35th International Congress of the EHS in Gdansk, Poland (May 12-15, 2013), it was decided that the EHS, IEHS and EAES will collaborate from now on with the final goal to publish new joint guidelines, most likely in 2015

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Section: Recurrent Hernias After Conventional Open Repairmentioning

confidence: 99%

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Miserez

Peeters

Aufenacker

et al. 2014

Hernia

337

226

View full text Add to dashboard Cite

show abstract

“…There are six meta-analyses available for comparison of laparo-endoscopic with open repair of recurrent inguinal hernias (5,6,7,8,9,10). The meta-analysis by Pisanu (8) contained the largest number of exclusively prospective randomized trials (RCTs) (11,12,13,14,15,16,17).…”

mentioning

confidence: 99%

TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

et al. 2017

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with regard to the intraoperative complications, complication-related reoperations, re-recurrences, pain at rest, pain on exertion, or chronic pain requiring treatment. The only difference identified was a significantly higher postoperative seroma rate after TAPP, which was influenced by the surgical technique, previous open primary operation and EHS-classification medial and responded to conservative treatment. Conclusion TEP and TAPP are equivalent surgical techniques for recurrent inguinal hernia repair following previous open primary operation. The choice of technique should be tailored to the surgeon's expertise.

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“…Duration of hospital stay is reportedly shorter in laparoscopic hernia repair compared with the conventional technique [15,21,24,25]. Mean hospital stay was reported as 2 days, 2.3 days and 2.7 days in the series of Carbajo et al [16], Heniford et al [4] and Lomanto et al [26], respectively.…”

Section: Discussionmentioning

confidence: 96%

“…Infections occur due to broad dissection for graft placement, wide skin incisions over prosthetic material and use of external drainage systems. Rate of wound infection requiring mesh removal is extremely low [21]. Skin pathogens are generally responsible from such infections.…”

Section: Discussionmentioning

confidence: 99%

“…Rate of wound complications and infection are reported to vary between 12-20% in hernia repair with prosthetic material [7] and increased complication parallels increased recurrence [2,5,15,22,23]. Large-scale studies conducted by experienced centers reported that rate of wound infection by laparoscopic hernia repair was 1.3-10.4% [21]. In our study, we observed no wound infection in patients who received laparoscopic hernia repair and in 1 (2.5%) patient who underwent conventional repair.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Incisional Hernia Repair: Laparoscopic or Open? A Randomized Clinical Trial

Erturk

2013

J Curr Surg

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Meta-analysis of randomized controlled trials comparing laparoscopic with open mesh repair of recurrent inguinal hernia

Abstract: Careful patient selection and surgeons' experience are important in the selection of technique for recurrent inguinal hernia repair.

Cited by 145 publications

References 27 publications

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

Update with level 1 studies of the European Hernia Society guidelines on the treatment of inguinal hernia in adult patients

TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

Incisional Hernia Repair: Laparoscopic or Open? A Randomized Clinical Trial

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