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- W2382812920 abstract "Objective To compare the effectiveness in total extraperitoneal inguinal hernioplasty (TEP) with or without mesh fixation using staples.Methods PubMed, Cochrane Library, EMBASE, SCI, China Journal Full-text Database, Chinese Biomedical Database, Chinese Scientific Journals Full-text Database, and WanFang Database Online were used to search the published clinical randomized controlled trials and semi-randomized controlled trials about TEP with or without mesh fixation by staples.All the related data that matched our standards were abstracted for meta-analysis by RevMan 5.0.The evaluation criteria included operative time, hospital length of stay, return to activity, seroma, pain and hospital cost.Results 562 patients of 6 RCTs were included.Compared with TEP with mesh fixation, TEP without mesh fixation had no significant difference in operative time [WMD=-3.07, 95%CI (-6.94, 0.80)], return to activity [WMD=-0.13, 95%CI (-0.45, 0.19)], seroma [OR=0.86, 95%CI (0.32, 2.35)],pain score [WMD=-0.16, 95%CI(-0.38, 0.06)] and chronic pain [OR=1.62, 95%CI (0.41, 6.39)], but hospital length of stay [SMD=-0.55,95%CI(-0.88,-0.22)] and hospital cost [SMD=-1.41, 95%CI (-2.54,-0.28)] was significantly lower.Conclusion Current evidence suggests that there was no significant difference in total extraperitoneal inguinal hernioplasty (TEP) with or without mesh fixation using staples.However, TEP without mesh fixation was associated with less hospital length of stay and hospital cost.Further high-quality, long follow-up period RCTs should be carried out to provide more reliable evidence." @default.
- W2382812920 created "2016-06-24" @default.
- W2382812920 creator A5036408821 @default.
- W2382812920 date "2010-01-01" @default.
- W2382812920 modified "2023-09-25" @default.
- W2382812920 title "Laparoscopic Totally Extraperitoneal Hernia Repair with or without Mesh Fixation:A Systematic Review" @default.
- W2382812920 hasPublicationYear "2010" @default.
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