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https://hdl.handle.net/2440/39614
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Type: | Journal article |
Title: | Laparoscopic versus open groin hernia repair: meta-analysis of randomised trials based on individual patient data |
Author: | Fingerhut, A. Go, P. Grant, A. Kingsnorth, A. Merello, J. O'Dwyer, P. Payne, J. McCormack, K. Ross, S. Scott, N. Vale, L. Aitola, P. Anderberg, B. Arvidsson, D. Barkun, J. Barth Jnr, R. Bay-Nielsen, M. Beets, G. Bittner, R. Bringman, S. et al. |
Citation: | Hernia, 2002; 6(1):2-10 |
Publisher: | Springer France |
Issue Date: | 2002 |
ISSN: | 1265-4906 1248-9204 |
Organisation: | The EU Hernia Trialists Collaboration |
Statement of Responsibility: | The EU Hernia Trialists Collaboration |
Abstract: | The EU Hernia Trialists Collaboration was established to provide reliable evaluation of newer methods of groin hernia repair. It involved 70 investigators in 20 countries. The aim was to perform systematic reviews and enhance the value of individual studies by reanalysis of data from randomised controlled trials in meta-analyses. Forty-one eligible trials of laparoscopic versus open groin hernia repair were identified involving 7161 participants (with individual patient data available for 4165). Meta-analysis was performed, using individual patient data where possible. Operation times for laparoscopic repair were longer and there was a higher risk of rare serious complications. Return to usual activities was faster, and there was less persisting pain and numbness. Hernia recurrence was less common than after open non-mesh repair but not different to open mesh methods. The review showed that laparoscopic repair takes longer and has more serious complications, but recovery is quicker with less persisting pain. Reduced hernia recurrence was related to the use of mesh rather than the method of mesh placement. |
Keywords: | EU Hernia Trialists Collaboration Humans Hernia, Inguinal Recurrence Postoperative Complications Laparoscopy Time Factors |
DOI: | 10.1007/s10029-002-0050-8 |
Published version: | http://dx.doi.org/10.1007/s10029-002-0050-8 |
Appears in Collections: | Aurora harvest Surgery publications |
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