Skip to main content
. 2003 Jan 20;2003(1):CD001785. doi: 10.1002/14651858.CD001785

Comparison 1. Laparoscopic versus Open.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Duration of operation (minutes) 35 6482 Mean Difference (IV, Fixed, 95% CI) 14.81 [13.98, 15.64]
1.1 TAPP versus Open 27 3978 Mean Difference (IV, Fixed, 95% CI) 17.49 [16.45, 18.53]
1.2 TEP versus Open 9 2384 Mean Difference (IV, Fixed, 95% CI) 9.94 [8.54, 11.34]
1.3 Miscellaneous Laparosopic versus Open 1 120 Mean Difference (IV, Fixed, 95% CI) 14.93 [3.99, 25.87]
2 "Opposite" method initiated 22 4161 Peto Odds Ratio (Peto, Fixed, 95% CI) 4.11 [2.55, 6.62]
2.1 TAPP versus Open 16 1859 Peto Odds Ratio (Peto, Fixed, 95% CI) 5.96 [2.20, 16.18]
2.2 TEP versus Open 7 2302 Peto Odds Ratio (Peto, Fixed, 95% CI) 3.67 [2.13, 6.33]
2.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
3 Conversion 35 6671 Peto Odds Ratio (Peto, Fixed, 95% CI) 6.73 [4.42, 10.24]
3.1 TAPP versus Open 26 3999 Peto Odds Ratio (Peto, Fixed, 95% CI) 4.85 [2.29, 10.29]
3.2 TEP versus Open 11 2672 Peto Odds Ratio (Peto, Fixed, 95% CI) 7.80 [4.71, 12.95]
3.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
4 Haematoma 31 5754 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.72 [0.60, 0.87]
4.1 TAPP versus Open 24 3407 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.84 [0.66, 1.06]
4.2 TEP versus Open 9 2347 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.55 [0.41, 0.75]
4.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
5 Seroma 27 5087 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.58 [1.20, 2.08]
5.1 TAPP versus Open 20 2800 Peto Odds Ratio (Peto, Fixed, 95% CI) 2.03 [1.45, 2.82]
5.2 TEP versus Open 8 2287 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.92 [0.57, 1.50]
5.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
6 Wound/superficial infection 28 5565 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.45 [0.32, 0.65]
6.1 TAPP versus Open 21 3358 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.43 [0.29, 0.65]
6.2 TEP versus Open 8 2207 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.53 [0.26, 1.11]
6.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
7 Mesh/deep infection 22 4654 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.65 [0.07, 6.58]
7.1 TAPP versus Open 17 2662 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.65 [0.07, 6.58]
7.2 TEP versus Open 6 1992 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
7.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
8 Vascular injury 25 5256 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.38 [0.44, 4.29]
8.1 TAPP versus Open 19 2980 Peto Odds Ratio (Peto, Fixed, 95% CI) 2.61 [0.65, 10.53]
8.2 TEP versus Open 7 2276 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.38 [0.05, 2.74]
8.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
9 Visceral injury 21 4914 Peto Odds Ratio (Peto, Fixed, 95% CI) 5.76 [1.53, 21.68]
9.1 TAPP versus Open 17 2844 Peto Odds Ratio (Peto, Fixed, 95% CI) 9.36 [2.29, 38.26]
9.2 TEP versus Open 5 2070 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.13 [0.00, 6.78]
9.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
10 Port site hernia 22 4822 Peto Odds Ratio (Peto, Fixed, 95% CI) 6.97 [1.40, 34.77]
10.1 TAPP versus Open 18 2870 Peto Odds Ratio (Peto, Fixed, 95% CI) 6.97 [1.40, 34.77]
10.2 TEP versus Open 5 1952 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
10.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
11 Length of stay (days) 35 6249 Mean Difference (IV, Fixed, 95% CI) ‐0.04 [‐0.08, ‐0.00]
11.1 TAPP versus Open 26 3564 Mean Difference (IV, Fixed, 95% CI) 0.07 [0.02, 0.11]
11.2 TEP versus Open 10 2563 Mean Difference (IV, Fixed, 95% CI) ‐0.33 [‐0.40, ‐0.25]
11.3 Miscellaneous Laparosopic versus Open 1 122 Mean Difference (IV, Fixed, 95% CI) ‐0.09 [‐0.41, 0.23]
12 Time to return to usual activities (days) 19 2608 Peto Odds Ratio (95% CI) 0.56 [0.51, 0.61]
12.1 TAPP versus Open 14 1678 Peto Odds Ratio (95% CI) 0.58 [0.53, 0.65]
12.2 TEP versus Open 6 930 Peto Odds Ratio (95% CI) 0.51 [0.45, 0.59]
12.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (95% CI) 0.0 [0.0, 0.0]
13 Persisting pain 20 4500 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.54 [0.46, 0.64]
13.1 TAPP versus Open 15 2494 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.62 [0.49, 0.79]
13.2 TEP versus Open 6 2006 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.47 [0.36, 0.60]
13.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
14 Persisting numbness 15 3043 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.38 [0.29, 0.49]
14.1 TAPP versus Open 12 2137 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.23 [0.16, 0.33]
14.2 TEP versus Open 4 906 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.57 [0.41, 0.80]
14.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
15 Hernia recurrence 37 6642 Peto Odds Ratio (95% CI) 0.81 [0.61, 1.08]
15.1 TAPP versus Open 27 3889 Peto Odds Ratio (95% CI) 0.76 [0.52, 1.09]
15.2 TEP versus Open 12 2753 Peto Odds Ratio (95% CI) 0.91 [0.57, 1.46]
15.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (95% CI) 0.0 [0.0, 0.0]