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 |
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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 |