Suture cruroplasty versus mesh hiatal herniorrhaphy for large hiatal hernias (HHs): an updated meta-analysis and systematic review of randomized controlled trials
Article
Article Title | Suture cruroplasty versus mesh hiatal herniorrhaphy for large hiatal hernias (HHs): an updated meta-analysis and systematic review of randomized controlled trials |
---|---|
ERA Journal ID | 16878 |
Article Category | Article |
Authors | Memon, Muhammed A. (Author), Siddaiah-Subramanya, Manjunath (Author), Yunus, Rossita M. (Author), Memon, Breda (Author) and Khan, Shahjahan (Author) |
Journal Title | Surgical Laparoscopy, Endoscopy and Percutaneous Techniques |
Journal Citation | 29 (4), pp. 221-232 |
Number of Pages | 12 |
Year | 2019 |
Publisher | Lippincott Williams & Wilkins |
Place of Publication | United States |
ISSN | 1530-4515 |
1534-4908 | |
Digital Object Identifier (DOI) | https://doi.org/10.1097/SLE.0000000000000655 |
Web Address (URL) | https://journals.lww.com/surgical-laparoscopy/Abstract/2019/08000/Suture_Cruroplasty_Versus_Mesh_Hiatal.1.aspx |
Abstract | Background: To explore the clinical outcomes, safety and effectiveness of suture cruroplasty versus mesh repair for large hiatal hernias (HHs) by an updated meta-analysis. Material and Methods: Randomized controlled trials evaluating the effects of these 2 treatment modalities were searched from PubMed and other electronic databases between January 1991 and July 2018. The outcome variables analyzed included operating time, complications, recurrence of HH or wrap migration, reoperation, hospital stay and quality of life. Results: Five randomized controlled trials totaling 478 patients (suture=222, mesh=256) were analyzed. For reoperation variable, the odds ratio was significantly 3.26 times higher for the suture group. For recurrence of HH, the odds ratio for the suture group was nonsignificantly 1.65 times higher compared with the mesh group. Comparable effects were noted for all other variables. Conclusions: Mesh repair seems to be superior to suture cruroplasty for large HH repair. Therefore, the routine use of mesh may be advantageous in selected cases. |
Keywords | hiatal, hernia, paraoesophageal, sliding, prostheticreinforcement, mesh, suture cruroplasty, laparoscopic method,randomized controlled trials, human. |
ANZSRC Field of Research 2020 | 420299. Epidemiology not elsewhere classified |
320226. Surgery | |
Public Notes | Files associated with this item cannot be displayed due to copyright restrictions. |
Byline Affiliations | South East Queensland Surgery, Australia |
University of Queensland | |
University of Malaya, Malaysia | |
School of Agricultural, Computational and Environmental Sciences | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q54q0/suture-cruroplasty-versus-mesh-hiatal-herniorrhaphy-for-large-hiatal-hernias-hhs-an-updated-meta-analysis-and-systematic-review-of-randomized-controlled-trials
168
total views8
total downloads0
views this month0
downloads this month