The DOI matches its Crossref record; 29 of the 29 references it cites were found in a registry or an index.
Meta-analysis of randomized controlled trials comparing laparoscopic with open mesh repair of recurrent inguinal hernia
Abstract
Background: Although there is plentiful evidence regarding the use of laparoscopic surgery for primary inguinal hernia, there is a paucity of literature concerning its role after recurrence. There has been no quantitative review of the evidence, despite suggestions that pooled analysis of existing data is required. Methods: Medline, Embase, trial registries, conference proceedings and reference lists were searched for controlled trials of laparoscopic versus conventional open surgery for mesh repair of recurrent hernia. The primary outcomes were recurrence and chronic pain. Secondary outcomes were operating time, visual analogue pain score, superficial wound infection, haematoma or seroma formation, time to return to normal activities and serious complications requiring operation. Pooled odds ratios were calculated for categorical outcomes and weighted mean differences for continuous outcomes. Results: Four trials were included in the analysis. There was no effect on recurrence or chronic pain. Laparoscopic surgery was associated with significantly less postoperative pain, a quicker return to normal activities and fewer wound infections, at the cost of a longer operating time. There was no difference in haematoma formation or the need for additional operations. Conclusion: Careful patient selection and surgeons' experience are important in the selection of technique for recurrent inguinal hernia repair.
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A meta-analysis by Karthikesalingam et al. found no significant difference in chronic pain incidence between laparoscopic and open-mesh repair of recurrent inguinal hernia.
“Still, another meta-analysis by Karthikesalingam et al. did not find any significant difference in the incidence of chronic pain following the laparoscopic or open-mesh repair of a recurrent inguinal hernia.”
From Chronic postsurgical pain: current evidence for prevention and management (2018) · cites this paper as [11]
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Cites
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Flagged first, then by citations
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Cited by
Sorted by citations
Dechartres, A., Boutron, I., Trinquart, L., Charles, P., & Ravaud, P. (2011) · Annals of Internal Medicine · doi:10.7326/0003-4819-155-1-201107050-00006 · Cited by 307
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Metadata
- Authors
- Karthikesalingam, A., Markar, S. R., Holt, P. J. E., & Praseedom, R. K.
- Affiliations
- St George's, University of London (GB)
- Cambridge University Hospitals NHS Foundation Trust (GB)
- Corresponding author
- Karthikesalingam, A
- Venue
- Journal of British Surgery
- Publisher
- Oxford University Press (OUP)
- Published
- 2010-01-01
- Volume
- 97
- Issue
- 1
- Pages
- 4-11
- ISSN
- 0007-1323 (ISSN-L)
- 1365-2168
- OpenAlex
- W2029576491
- Cited by
- 173
- References
- 29
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 7 · 2023: 12 · 2022: 12 · 2021: 9 · 2020: 8 · 2019: 6 · 2018: 27 · 2017: 9 · 2016: 11 · 2015: 11 · 2014: 5 · 2013: 12 · 2012: 15
- FWCI
- 1.76
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- British journal of surgery (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute for Health and Care Research (CL-2007-16-002)
- Topics
- Health Sciences › Medicine › Surgery › Hernia repair and management
- Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
- Health Sciences › Medicine › Surgery › Hip disorders and treatments
- Keywords
- recurrent inguinal hernia, laparoscopic hernia repair, open hernia repair, mesh repair, postoperative pain, wound infection, recurrence, return to normal activity, operative time, hematoma, seroma
- MeSH terms
- Hematoma, Hernia, Inguinal, Humans, Length of Stay, Pain Measurement, Postoperative Pain, Laparoscopy, Recurrence, Reoperation, Surgical Mesh, Surgical Wound Infection, Randomized Controlled Trials as Topic, Treatment Outcome, Seroma
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