作者
Umberto Bracale, Paolo Melillo, Davide Piaggio, Leandro Pecchia, Diego Cuccurullo, Marco Milone, Giovanni Domenico De Palma, Giuseppe Cavallaro, Giampiero Campanelli, Giovanni Merola, Cesare Stabilini
发表日期
2019/1/9
来源
International Journal of Surgery
出版商
Elsevier
简介
Background
Current guidelines state that the Shouldice technique has lower recurrence rates than other suture repairs and therefore is strongly recommended in non-mesh inguinal hernia repair. Recently a new tissue repair technique has been proposed by Desarda and studied in trials against Lichtenstein technique.
Methods
The present study was performed according to the PRISMA Statement for Network Meta-analysis and the AMSTAR 2 checklist. The method of network meta-analysis was chosen to evaluate randomized controlled trial published on tissue repair and comparing Lichtenstein respectively with Desarda and Shouldice techniques. The following parameters: operative time, recurrence, complications (general, intraoperative, Surgical Surgical Site Occurrences), VAS score on postoperative day 1, numbness, chronic pain and return to daily activities.
Results
Fourteen RCTs, involving 2791 patients …
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U Bracale, P Melillo, D Piaggio, L Pecchia… - International Journal of Surgery, 2019