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During laparoscopic hernia repair, hernia sac transection associated with shorter hospital stay compared to hernia sac reduction
![During laparoscopic hernia repair, hernia sac transection associated with shorter hospital stay compared to hernia sac reduction During laparoscopic hernia repair, hernia sac transection associated with shorter hospital stay compared to hernia sac reduction](https://medicaldialogues.in/h-upload/2023/08/29/750x450_217895-217645-a-dissection-of-the-hernia-sac-b-a-continuous-suture-repair-c-a-continuous-suture.webp)
During laparoscopic hernia repair, hernia sac transection associated with shorter hospital stay compared to hernia sac reduction suggests a new study published in the BMC Surgery.
Researchers conducted a systematic review and meta-analysis according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) 2020 and AMSTAR 2 (Assessing the Methodological Quality of Systematic Reviews) guidelines. We used the RevMan 5.4 statistical package from the Cochrane collaboration for meta-analysis. A random effects model was used.
Results
The literature search yielded six eligible studies including 2941 patients: 821 patients in the TS group and 2120 patients in the RS group. In the pooled analysis, the TS group was associated with a lower incidence of seroma (OR = 1.71; 95% CI [1.22, 2.39], p = 0.002) and shorter hospital stay (MD = -0.07; 95% CI [-0.12, -0.02], p = 0.008). There was no significant difference between the two groups in terms of morbidity (OR = 0.87; 95% CI [0.34, 2.19], p = 0.76), operative time (MD = -4.39; 95% CI [-13.62, 4.84], p = 0.35), recurrence (OR = 2.70; 95% CI [0.50, 14.50], p = 0.25), and Postoperative pain.
This meta-analysis showed that hernia sac transection is associated with a lower seroma rate and shorter hospital stay with similar morbidity, operative time, recurrence, and postoperative pain compared to the reduction of the hernia sac.
Reference:
Chaouch, M.A., Hussain, M.I., Gouader, A. et al. A systematic review and meta-analysis of hernia sac management in laparoscopic groin hernia mesh repair: reduction or transection?. BMC Surg 23, 249 (2023). https://doi.org/10.1186/s12893-023-02147-8
Keywords:
During, laparoscopic, hernia, repair, hernia, sac, transection. associated, shorter, hospital, stay, compared, hernia sac, reduction, Chaouch, M.A., Hussain, M.I., Gouader, A, BMC Surgery
Dr. Shravani Dali has completed her BDS from Pravara institute of medical sciences, loni. Following which she extensively worked in the healthcare sector for 2+ years. She has been actively involved in writing blogs in field of health and wellness. Currently she is pursuing her Masters of public health-health administration from Tata institute of social sciences. She can be contacted at editorial@medicaldialogues.in.
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: editorial@medicaldialogues.in. Contact no. 011-43720751