Background
Methods
Eligibility criteria and search
Inclusion and exclusion criteria
Study selection
Quality assessment
Data extraction
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Study characteristics: authors, year of publication, location of study, number of participating clinics, study period, other repair techniques included in the study, follow-up.
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Patient characteristics: number of patients, gender, age.
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Perioperative parameters: type of anesthesia, duration of operation, length of hospital stay.
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Outcome: acute postoperative pain, hematoma, seroma, wound infection, testicular atrophy, urinary retention, scrotal or genital neuralgia and numbness, scrotal or genital swelling, time to return to work, chronic inguinal pain, recurrence (whether it was reported early or late).
Statistical analysis
Results
Eligible studies
Author | Abbas et al. [12] | Anadol et al. [13] | Hamza et al. [14] | Heikkinen et al. [15] | Picchio et al. [19] | Pokorny et al. [20] | Salma et al. [21] | |
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Year | 2012 | 2004 | 2010 | 1998 | 1998 | 1999 | 2008 | 2015 |
Country | Egypt | Turkey | Egypt | Finland | Germany | Latvia | Austria | Pakistan |
Multicenter | no | no | no | no | no | no | yes | no |
Period | May 2008-Sept 2011 | N/A | N/A | Dec 1994-Jun 1995 | Jul 1995-Jun 1996 | Nov 1996-Dec 1997 | 1998–2002 | Jan 2009 - Dec 2009 |
Other repair techniques | no | no | pre-peritoneal, TEP | no | Shouldice | no | Shouldice, Bassini, TEP | no |
Number of patients | ||||||||
Lichtenstein | 97 | 25 | 25 | 20 | 93 | 52 | 69 | 30 |
TAPP | 88 | 25 | 25 | 18 | 94 | 52 | 93 | 30 |
Agea, year, ±SD/ (range) | ||||||||
Lichtenstein | 34.6 ± 11.2 | 41.2 ± 10.9 | 35.12 ± 10.11 | 55.5b (26–69) | 53b (26–74) | 55.2 ± 12.4 | 52 (19–84) | N/A |
TAPP | 35.9 ± 12.104 | 41.8 ± 10.8 | 36.73 ± 12.06 | 51.0b (34–68) | 53b (30–74) | 57.7 ± 11.0 | 49 (21–78) | N/A |
Gender (m/f) | ||||||||
Lichtenstein | 94/3 | 25/0 | 25/0 | 20/0 | 93/0 | 40/12 | 64/5 | 30/0 |
TAPP | 86/2 | 25/0 | 25/0 | 17/1 | 94/0 | 37/15 | 86/7 | 30/0 |
Anesthesia | both: GA + LA | both: GA | N/A | open: LA, laparoscopic: GA | both: GA | open: LA, laparoscopic: GA | both: GA | N/A |
F/Ua, months (range) | 17.9b (8–30) | 13.5 (8–28) | up to 24 weeks | 17b
| 1 | up to 36 | 36.9 h | |
Jadad-Score | 3 | 3 | 3 | 2 | 3 | 2 | 2 | 2 |
Operation time
Acute postoperative pain
VAS | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|
Author | Operation | VAS | 0–12 h | p | 12–24 h | p | 24–48 h | p | 48–72 h | p |
Anadol et al. [13] | ||||||||||
Lichtenstein | 100-point | 54.12 ± 13.06 | <0.005 | 37.24 ± 11.38 | <0.003 | 17.36 ± 4.52 | NS | 13.12 ± 5.95 | NS | |
TAPP | 38.96 ± 8.21 | 20.92 ± 8.73 | 14.72 ± 7.03 | 9.44 ± 4.23 | ||||||
Picchio et al. [19] | ||||||||||
Lichtenstein | 10-point | N/A | N/A | 2.7 (range 1–5) | 0.14 | 1.8 (range 1–4) | <0.03 | N/A | N/A | |
TAPP | 3.1 (range 1–7) | 2.3 (range 1–6) | ||||||||
Salma et al. [21] | ||||||||||
Lichtenstein | 10-point | 6.23 ± 1.87 | 0.005 | N/A | N/A | N/A | N/A | N/A | N/A | |
TAPP | 4.43 ± 1.59 |