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

Comparison 5. TAPP versus Open (Recurrent hernias).

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Duration of operation (minutes) 10 303 Mean Difference (IV, Fixed, 95% CI) 15.55 [10.99, 20.11]
1.1 TAPP versus Mesh 5 188 Mean Difference (IV, Fixed, 95% CI) 12.32 [6.64, 18.00]
1.2 TAPP versus Non‐Mesh 4 93 Mean Difference (IV, Fixed, 95% CI) 23.79 [13.67, 33.91]
1.3 TAPP versus Mixed Open 2 22 Mean Difference (IV, Fixed, 95% CI) 18.22 [6.52, 29.92]
2 "Opposite" method initiated 6 139 Peto Odds Ratio (Peto, Fixed, 95% CI) 6.86 [0.85, 55.10]
2.1 TAPP versus Mesh 3 104 Peto Odds Ratio (Peto, Fixed, 95% CI) 6.86 [0.85, 55.10]
2.2 TAPP versus Non‐Mesh 2 25 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
2.3 TAPP versus Mixed Open 1 10 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
3 Conversion 9 226 Peto Odds Ratio (Peto, Fixed, 95% CI) 2.66 [0.37, 19.24]
3.1 TAPP versus Mesh 4 111 Peto Odds Ratio (Peto, Fixed, 95% CI) 5.71 [0.35, 94.25]
3.2 TAPP versus Non‐Mesh 4 93 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.25 [0.08, 20.37]
3.3 TAPP versus Mixed Open 2 22 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
4 Haematoma 9 289 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.26 [0.60, 2.63]
4.1 TAPP versus Mesh 4 182 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.04 [0.43, 2.54]
4.2 TAPP versus Non‐Mesh 4 93 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.70 [0.42, 6.84]
4.3 TAPP versus Mixed Open 2 14 Peto Odds Ratio (Peto, Fixed, 95% CI) 4.95 [0.09, 283.86]
5 Seroma 9 285 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.80 [0.79, 4.12]
5.1 TAPP versus Mesh 4 178 Peto Odds Ratio (Peto, Fixed, 95% CI) 2.06 [0.83, 5.11]
5.2 TAPP versus Non‐Mesh 4 93 Peto Odds Ratio (Peto, Fixed, 95% CI) 2.14 [0.21, 22.16]
5.3 TAPP versus Mixed Open 2 14 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.07 [0.00, 3.98]
6 Wound/superficial infection 9 289 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.50 [0.17, 1.46]
6.1 TAPP versus Mesh 4 182 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.45 [0.14, 1.44]
6.2 TAPP versus Non‐Mesh 4 93 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.18 [0.00, 9.42]
6.3 TAPP versus Mixed Open 2 14 Peto Odds Ratio (Peto, Fixed, 95% CI) 4.95 [0.09, 283.86]
7 Mesh/deep infection 7 264 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.15 [0.00, 7.71]
7.1 TAPP versus Mesh 4 182 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
7.2 TAPP versus Non‐Mesh 2 68 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.15 [0.00, 7.71]
7.3 TAPP versus Mixed Open 2 14 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
8 Vascular injury 8 212 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
8.1 TAPP versus Mesh 3 103 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
8.2 TAPP versus Non‐Mesh 4 93 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
8.3 TAPP versus Mixed Open 2 16 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
9 Visceral injury 7 206 Peto Odds Ratio (Peto, Fixed, 95% CI) 5.47 [0.10, 293.66]
9.1 TAPP versus Mesh 3 103 Peto Odds Ratio (Peto, Fixed, 95% CI) 5.47 [0.10, 293.66]
9.2 TAPP versus Non‐Mesh 4 93 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
9.3 TAPP versus Mixed Open 1 10 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
10 Port site hernia 8 273 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
10.1 TAPP versus Mesh 3 165 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
10.2 TAPP versus Non‐Mesh 4 93 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
10.3 TAPP versus Mixed Open 2 15 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.0 [0.0, 0.0]
11 Length of stay (days) 10 302 Mean Difference (IV, Fixed, 95% CI) 0.04 [‐0.10, 0.17]
11.1 TAPP versus Mesh 5 190 Mean Difference (IV, Fixed, 95% CI) 0.02 [‐0.13, 0.17]
11.2 TAPP versus Non‐Mesh 4 92 Mean Difference (IV, Fixed, 95% CI) 0.08 [‐0.25, 0.41]
11.3 TAPP versus Mixed Open 2 20 Mean Difference (IV, Fixed, 95% CI) 0.5 [‐0.85, 1.85]
12 Time to return to usual activities (days) 8 178 Peto Odds Ratio (95% CI) 0.63 [0.47, 0.86]
12.1 TAPP versus Mesh 5 114 Peto Odds Ratio (95% CI) 0.55 [0.37, 0.80]
12.2 TAPP versus Non‐Mesh 3 57 Peto Odds Ratio (95% CI) 0.70 [0.41, 1.20]
12.3 TAPP versus Mixed Open 1 7 Peto Odds Ratio (95% CI) 7.98 [1.02, 62.27]
13 Persisting pain 6 223 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.99 [0.44, 2.25]
13.1 TAPP versus Mesh 3 153 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.22 [0.49, 3.03]
13.2 TAPP versus Non‐Mesh 2 53 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.18 [0.00, 9.42]
13.3 TAPP versus Mixed Open 2 17 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.48 [0.05, 4.40]
14 Persisting numbness 7 231 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.31 [0.11, 0.89]
14.1 TAPP versus Mesh 4 162 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.18 [0.05, 0.69]
14.2 TAPP versus Non‐Mesh 2 53 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.16 [0.02, 1.70]
14.3 TAPP versus Mixed Open 2 16 Peto Odds Ratio (Peto, Fixed, 95% CI) 4.79 [0.38, 60.76]
15 Hernia recurrence 10 299 Peto Odds Ratio (95% CI) 0.91 [0.37, 2.24]
15.1 TAPP versus Mesh 5 190 Peto Odds Ratio (95% CI) 1.20 [0.43, 3.32]
15.2 TAPP versus Non‐Mesh 4 93 Peto Odds Ratio (95% CI) 0.31 [0.04, 2.26]
15.3 TAPP versus Mixed Open 2 16 Peto Odds Ratio (95% CI) 0.0 [0.0, 0.0]