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. 2003 Jan 20;2003(1):CD001785. doi: 10.1002/14651858.CD001785

Comparison 4. Laparoscopic versus Open (Recurrent hernias).

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Duration of operation (minutes) 13 448 Mean Difference (IV, Fixed, 95% CI) 14.31 [10.77, 17.85]
1.1 TAPP versus Open 10 280 Mean Difference (IV, Fixed, 95% CI) 14.24 [9.48, 18.99]
1.2 TEP versus Open 4 168 Mean Difference (IV, Fixed, 95% CI) 14.40 [9.10, 19.70]
1.3 Miscellaneous Laparosopic versus Open 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
2 "Opposite" method initiated 8 268 Peto Odds Ratio (Peto, Fixed, 95% CI) 2.50 [0.64, 9.81]
2.1 TAPP versus Open 6 139 Peto Odds Ratio (Peto, Fixed, 95% CI) 6.86 [0.85, 55.10]
2.2 TEP versus Open 3 129 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.17 [0.19, 7.15]
2.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
3 Conversion 11 328 Peto Odds Ratio (Peto, Fixed, 95% CI) 3.91 [1.19, 12.82]
3.1 TAPP versus Open 9 203 Peto Odds Ratio (Peto, Fixed, 95% CI) 2.48 [0.24, 25.38]
3.2 TEP versus Open 3 125 Peto Odds Ratio (Peto, Fixed, 95% CI) 4.59 [1.15, 18.27]
3.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
4 Haematoma 10 383 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.60 [0.34, 1.06]
4.1 TAPP versus Open 9 266 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.24 [0.58, 2.62]
4.2 TEP versus Open 2 117 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.22 [0.09, 0.54]
4.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
5 Seroma 10 379 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.39 [0.67, 2.90]
5.1 TAPP versus Open 9 262 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.80 [0.79, 4.12]
5.2 TEP versus Open 2 117 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.57 [0.12, 2.70]
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 10 383 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.50 [0.17, 1.46]
6.1 TAPP versus Open 9 266 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.50 [0.17, 1.46]
6.2 TEP versus Open 2 117 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
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 8 358 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.22 [0.00, 13.53]
7.1 TAPP versus Open 7 241 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.22 [0.00, 13.53]
7.2 TEP versus Open 2 117 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 9 312 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
8.1 TAPP versus Open 8 189 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
8.2 TEP versus Open 2 123 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
8.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
9 Visceral injury 8 306 Peto Odds Ratio (Peto, Fixed, 95% CI) 5.47 [0.10, 293.66]
9.1 TAPP versus Open 7 183 Peto Odds Ratio (Peto, Fixed, 95% CI) 5.47 [0.10, 293.66]
9.2 TEP versus Open 2 123 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
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 9 361 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
10.1 TAPP versus Open 8 250 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
10.2 TEP versus Open 2 111 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) 11 367 Mean Difference (IV, Fixed, 95% CI) 0.01 [‐0.13, 0.15]
11.1 TAPP versus Open 10 279 Mean Difference (IV, Fixed, 95% CI) ‐0.00 [‐0.14, 0.14]
11.2 TEP versus Open 2 88 Mean Difference (IV, Fixed, 95% CI) 0.24 [‐0.45, 0.93]
11.3 Miscellaneous Laparosopic versus Open 0 0 Mean Difference (IV, Fixed, 95% CI) 0.0 [0.0, 0.0]
12 Time to return to usual activities (days) 10 262 Peto Odds Ratio (95% CI) 0.60 [0.46, 0.78]
12.1 TAPP versus Open 8 165 Peto Odds Ratio (95% CI) 0.62 [0.45, 0.87]
12.2 TEP versus Open 3 97 Peto Odds Ratio (95% CI) 0.55 [0.35, 0.89]
12.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (95% CI) 0.0 [0.0, 0.0]
13 Persisting pain 8 331 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.90 [0.50, 1.59]
13.1 TAPP versus Open 7 209 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.00 [0.44, 2.25]
13.2 TEP versus Open 2 122 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.80 [0.36, 1.81]
13.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
14 Persisting numbness 8 332 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.79 [0.39, 1.61]
14.1 TAPP versus Open 7 215 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.39 [0.13, 1.17]
14.2 TEP versus Open 2 117 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.33 [0.52, 3.38]
14.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
15 Hernia recurrence 11 387 Peto Odds Ratio (95% CI) 1.04 [0.45, 2.43]
15.1 TAPP versus Open 10 276 Peto Odds Ratio (95% CI) 0.99 [0.39, 2.51]
15.2 TEP versus Open 2 111 Peto Odds Ratio (95% CI) 1.33 [0.18, 10.06]
15.3 Miscellaneous Laparoscopic versus Open 0 0 Peto Odds Ratio (95% CI) 0.0 [0.0, 0.0]