Transabdominal Pre-Peritoneal Versus Open Repair for Primary Unilateral Inguinal Hernia: A Meta-analysis

World Journal of Surgery
James J WuMichael R Cox

Abstract

Recent NICE guidelines recommend open surgical approaches for the treatment of primary unilateral inguinal hernias. However, many surgeons perform a laparoscopic approach based on the advantages of less post-operative pain and faster recovery. Our aim was to examine current evidence comparing transabdominal pre-peritoneal (TAPP) laparoscopic repair and open surgical repair for primary inguinal hernias. A systematic search of six electronic databases was conducted for randomised controlled trials (RCTs) comparing TAPP and open repair for primary unilateral inguinal hernia. A random-effects model was used to combine the data. A total of 13 RCTs were identified, with 1310 patients receiving TAPP repair and 1331 patients receiving open repair. There was no significant difference between the two groups for rates of haematoma (RR 0.92; 95% CI 0.49-1.71; P = 0.78), seroma (RR 1.90; 95% CI 0.87-4.14; P = 0.10), urinary retention (RR 0.99; 95% CI 0.36-2.76; P = 0.99), infection (RR 0.61; 95% CI 0.29-1.28; P = 0.19), and hernia recurrence (RR 0.67; 95% CI 0.42-1.07; P = 0.10). TAPP repair had a significantly lower rate of paraesthesia (RR 0.20; 95% CI 0.08-0.50; P = 0.0005), shorter bed stay (2.4 ± 1.4 vs 3.1 ± 1.6 days, P = 0.0006), and...Continue Reading

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Citations

May 9, 2018·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Christopher G YheulonSteven S Davis
Jan 15, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Arielle J PerezFrancisco Schlottmann
May 17, 2019·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A AiolfiD Bona
Aug 19, 2020·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Alberto SartoriJacopo Andreuccetti
Feb 26, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·C JinJ Chen
Nov 3, 2020·Hernia : the Journal of Hernias and Abdominal Wall Surgery·Nikolaos KoliakosEmmanouil Pikoulis
Feb 2, 2021·World Journal of Clinical Cases·Masahiro YuraMotohito Nakagawa
Jan 6, 2021·Surgical Endoscopy·Matthew MadionRana M Higgins
Mar 10, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Raquel Nogueira C L LimaFlavio Malcher

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