Junsheng Li1, Zhenling Ji, Tao Cheng. 1. Department of General Surgery, Affiliated Zhong-Da Hospital, Southeast University, 210009 Nanjing, Jiangsu, China. Lijunshenghd@126.com
Abstract
BACKGROUND: The aim of this article was to compare the outcomes of the open preperitoneal approaches and the Lichtenstein technique in the repair of inguinal hernias. METHODS: A systematic literature review was undertaken to identify studies comparing the outcomes of open preperitoneal and Lichtenstein techniques in the repair of inguinal hernias. RESULTS: The present meta-analysis pooled the effects of outcomes of a total of 2,860 patients enrolled into 10 randomized controlled trials and 2 comparative studies. The preperitoneal technique was associated with a lesser incidence of recurrence (odds ratio = .51; 95% confidence interval, .28-.92). However, statistically there was no difference in the incidence of chronic pain, hematoma, wound infection, testicular problem, urinary problem, numbness, inguinal parenthesis, and operative time. CONCLUSIONS: The open preperitoneal approach is a feasible alternative for the standard Lichtenstein procedure with similar complication rates and potentially less postoperative recurrence.
BACKGROUND: The aim of this article was to compare the outcomes of the open preperitoneal approaches and the Lichtenstein technique in the repair of inguinal hernias. METHODS: A systematic literature review was undertaken to identify studies comparing the outcomes of open preperitoneal and Lichtenstein techniques in the repair of inguinal hernias. RESULTS: The present meta-analysis pooled the effects of outcomes of a total of 2,860 patients enrolled into 10 randomized controlled trials and 2 comparative studies. The preperitoneal technique was associated with a lesser incidence of recurrence (odds ratio = .51; 95% confidence interval, .28-.92). However, statistically there was no difference in the incidence of chronic pain, hematoma, wound infection, testicular problem, urinary problem, numbness, inguinal parenthesis, and operative time. CONCLUSIONS: The open preperitoneal approach is a feasible alternative for the standard Lichtenstein procedure with similar complication rates and potentially less postoperative recurrence.