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. 2008 Jul 16;2008:0412.
Ref (type) Population Outcome, Interventions Results and statistical analysis Effect size Favours
Haematoma

Systematic review
1677 people
12 RCTs in this analysis
Haematoma
with TAPP laparoscopic repair
with open mesh repair

RR 0.76
95% CI 0.62 to 0.94
Data analysed using fixed-effects model; see further information on studies for full details
Result was heavily influenced by 1 RCT, and the difference was not significant when this trial was removed
Small effect size TAPP laparoscopic repair
Seroma

Systematic review
1672 people
12 RCTs in this analysis
Seroma
with TAPP laparoscopic repair
with open mesh repair

RR 1.97
95% CI 1.27 to 3.07
Data analysed using fixed-effects model; see further information on studies for full details
Small effect size open mesh repair
Numbness

Systematic review
1483 people
8 RCTs in this analysis
Numbness
with TAPP laparoscopic repair
with open mesh repair

RR 0.26
95% CI 0.17 to 0.40
Data analysed using fixed-effects model; see further information on studies for full details
Moderate effect size TAPP laparoscopic repair

RCT
3-armed trial
66 people Numbness
with TAPP laparoscopic repair
with open mesh repair
Absolute results not reported

Statistical analysis not reported
Infection

Systematic review
1756 people
12 RCTs in this analysis
Infection
with TAPP laparoscopic repair
with open mesh repair

RR 0.41
95% CI 0.26 to 0.44
Data analysed using fixed-effects model; see further information on studies for full details
Result was heavily influenced by 1 RCT, and the difference was not significant when this trial was removed
Moderate effect size TAPP laparoscopic repair
Adverse effects (general)

RCT
50 people Adverse effects
with TAPP laparoscopic repair
with open mesh repair
Postoperative pain

RCT
50 people Postoperative pain (0 = least pain; 100 = most severe pain) at 24 hours
20.92 with TAPP laparoscopic repair
37.24 with open mesh repair

P <0.05
Effect size not calculated TAPP laparoscopic repair

RCT
3-armed trial
280 people with primary hernias Absence of postoperative pain
84% with TAPP laparoscopic repair
68% with open mesh repair

P <0.01
Effect size not calculated TAPP laparoscopic repair