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首页> 外文期刊>Surgical Endoscopy >Lightweight versus heavyweight mesh in laparoscopic inguinal hernia repair: A meta-analysis
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Lightweight versus heavyweight mesh in laparoscopic inguinal hernia repair: A meta-analysis

机译：轻型与重型网片在腹腔镜腹股沟疝修补术中的荟萃分析

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Background: Reinforcement of inguinal hernia repair with prosthetic mesh is standard practice but can cause considerable pain and stiffness around the groin and affect physical functioning. This has led to various types of mesh being engineered, with a growing interest in lighter-weight mesh. Minimally invasive approaches have also significantly reduced postoperative recovery from inguinal hernia repair. The aim of this systematic review was to compare the outcomes after laparoscopic inguinal repair using new lightweight or traditional heavyweight mesh in published randomised controlled trials. Methods: Medline, Embase, trial registries, conference proceedings, and reference lists were searched for controlled trials of heavyweight versus lightweight mesh for laparoscopic repair of inguinal hernias. The primary outcomes were recurrence and chronic pain. Secondary outcomes were visual analogue pain score at 7 days postoperatively, seroma formation, and time to return to work. Risk differences were calculated for categorical outcomes and standardised mean differences for continuous outcomes. Results: Eight trials were included in the analysis of 1,667 hernias in 1,592 patients. Mean study follow-up was between 2 and 60 months. There was no effect on recurrence [pooled analysis risk difference 0.00 (95% CI-0.01 to 0.01), p = 0.86] or chronic pain [pooled analysis risk difference -0.02 (95% CI-0.04 to 0.00); p = 0.1]. Lightweight and heavyweight mesh repair had similar outcomes with regard to postoperative pain, seroma development, and time to return to work. Conclusion: Both mesh options appear to result in similar long- and short-term postoperative outcomes. Further longterm analysis may guide surgeon selection of mesh weight for laparoscopic inguinal hernia repair.
机译：背景：人工网状加固腹股沟疝是标准做法，但会在腹股沟周围引起相当大的疼痛和僵硬，并影响身体功能。这导致了各种类型的网格的设计，对轻质网格的兴趣日益浓厚。微创方法也大大减少了腹股沟疝修补术的术后恢复。该系统评价的目的是比较已发表的随机对照试验中使用新的轻质或传统重量级网片进行腹腔镜腹股沟腹股沟修补术后的结果。方法：检索Medline，Embase，试验登记，会议记录和参考文献清单，以比较腹腔镜修复腹股沟疝的重量级和轻型网状对照试验。主要结果是复发和慢性疼痛。次要结果是术后7天的视觉模拟疼痛评分，血清肿形成和恢复工作时间。计算分类结果的风险差异，并计算连续结果的标准化均值差异。结果：八项试验被纳入分析1,592例患者的1,667疝。平均研究随访时间为2至60个月。对复发[合并分析风险差异0.00（95％CI-0.01至0.01），p = 0.86]或慢性疼痛[合并分析风险差异-0.02（95％CI-0.04至0.00））无影响。 p = 0.1]。在术后疼痛，血清肿发展和恢复工作时间方面，轻型和重型网状修复的结果相似。结论：这两种网格选项似乎都导致相似的长期和短期术后结果。进一步的长期分析可能会指导外科医生选择腹腔镜腹股沟疝修补术的网眼重量。

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