Preliminary results of meta-analysis of laparoscopic and open inguinal hernia repair
Paper
Paper/Presentation Title | Preliminary results of meta-analysis of laparoscopic and open inguinal hernia repair |
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Presentation Type | Paper |
Authors | Burstow, Matthew John (Author), Yunus, Rossita Mohamad (Author), Khan, Shahjahan (Author), Memon, Breda (Author) and Memon, Muhammed Ashraf (Author) |
Editors | Amin, Zeinab and Hadi, Ali S. |
Journal or Proceedings Title | Proceedings of the 10th Islamic Countries Conference on Statistical Sciences |
Journal Citation | 1, pp. 106-118 |
Number of Pages | 13 |
Year | 2010 |
Place of Publication | Lahore, Pakistan |
ISBN | 9789774163658 |
Web Address (URL) of Paper | https://old.isoss.net/downloads/ProcICCSX-1.pdf |
Web Address (URL) of Conference Proceedings | https://isoss.net/organization-2/ |
Conference/Event | 10th Islamic Countries Conference on Statistical Sciences |
Event Details | 10th Islamic Countries Conference on Statistical Sciences Parent Islamic Countries Conference on Statistical Sciences (ICCS) Delivery In person Event Date 20 to end of 23 Dec 2009 Event Location Cairo, Egypt |
Abstract | Purpose: The aim was to conduct a meta-analysis of the randomized evidence to determine the relative merits of laparoscopic inguinal herniorrhaphy (LIHR) and open inguinal herniorrhaphy (OIHR). Data Sources and Review Methods: A search of the Medline, Embase, Science Citation Index, Current Contents and PubMed databases identified all randomized clinical trials (RCTs) that compared LIHR and OIHR published in the English literature between January 1990 and January 2007. The six outcome variables analysed were operating time, hospital stay, return to normal activity, return to work, total complications and recurrence rate. Random effects meta-analyses were performed using odds ratios and weighted mean differences. Results: Fifty-nine trials were considered suitable for the meta-analysis. A total of 8092 patients underwent LIHR and 8580 had OIHR. For three of the six outcomes the summary point estimates favoured LIHR over OIHR; there was a significant reduction of 34% in the relative odds of postoperative complications, 4.99 days in time to return to normal activity and 6.39 days in time to return to work. However, there was a significant increase of 14.08 min in the mean operating time for LIHR. The relative odds of short term recurrence increased by 20 percent for Conclusions: Based on this meta-analysis, LIHR offers patients a number of benefits over OIHR at the expense of longer operating time but comparable recurrence rate and hospital stay. |
Keywords | laparoscopic inguinal herniorrhaphy; OHIR; open inguinal herniorrhaphy; hospital stay |
ANZSRC Field of Research 2020 | 490501. Applied statistics |
320226. Surgery | |
420306. Health care administration | |
Byline Affiliations | Department of Health, Queensland |
Department of Mathematics and Computing | |
University of Queensland |
https://research.usq.edu.au/item/q035y/preliminary-results-of-meta-analysis-of-laparoscopic-and-open-inguinal-hernia-repair
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