TY - JOUR
T1 - Laparoscopic versus open groin hernia repair
T2 - Meta-analysis of randomised trials based on individual patient data
AU - The EU Hernia Trialists Collaboration
AU - Coala Trial Steering Committee
AU - Grant, A. M.
AU - Fingerhut, Abe
AU - Go, Peter
AU - Grant, Adrian
AU - Kingsnorth, Andrew
AU - Merello, Jesu’s
AU - O’Dwyer, Paddy
AU - Payne, John
AU - McCormack, Kirsty
AU - Ross, Sue
AU - Scott, Neil
AU - Vale, Luke
AU - Aitola, Petri
AU - Anderberg, Bo
AU - Arvidsson, Dag
AU - Barkun, Jeffrey
AU - Barth Jnr, Richard
AU - Bay-Nielsen, Morten
AU - Beets, Geerard
AU - Bittner, Reinhard
AU - Bringman, Sven
AU - Callesen, Torben
AU - Castoro, Carlo
AU - Dirksen, Carmen
AU - Filipi, Charles
AU - Fitzgibbons, Robert
AU - Friis, Esbern
AU - Girão, Ricardo
AU - Graham, Paul
AU - Hatzitheoklitos, Efthimios
AU - Hauters, Philippe
AU - Heikkinen, Timo
AU - Jeekel, Hans
AU - Johansson, Bo
AU - Juul, Poul
AU - Kald, Anders
AU - Kehlet, Henrik
AU - Khoury, Najib
AU - Klingler, Anton
AU - Köninger, J.
AU - Kozol, Robert
AU - Leibl, Bernhard
AU - Macintyre, Ian
AU - Maddern, Guy
AU - McGillicuddy, James
AU - Millat, Bertrand
AU - Nilsson, Erik
AU - Nordin, Pär
AU - Paganini, Alessandro
AU - Pappalardo, Giuseppe
PY - 2002
Y1 - 2002
N2 - The EU Hernia Trialists Collaboration was established to provide reliable evaluation of newer methods of groin hernia repair. It involved 70 investigators in 20 countries. The aim was to perform systematic reviews and enhance the value of individual studies by reanalysis of data from randomised controlled trials in meta-analyses. Forty-one eligible trials of laparoscopic versus open groin hernia repair were identified involving 7161 participants (with individual patient data available for 4165). Meta-analysis was performed using individual patient data where possible. Operation times for laparoscopic repair were longer and there was a higher risk of rare serious complications. Return to usual activities was faster, and there was less persisting pain and numbness. Hernia recurrence was less common than after open non-mesh repair but not different to open mesh methods. The review showed that laparoscopic repair takes longer and has more serious complications, but recovery is quicker with less persisting pain. Reduced hernia recurrence was related to the use of mesh rather than the method of mesh placement.
AB - The EU Hernia Trialists Collaboration was established to provide reliable evaluation of newer methods of groin hernia repair. It involved 70 investigators in 20 countries. The aim was to perform systematic reviews and enhance the value of individual studies by reanalysis of data from randomised controlled trials in meta-analyses. Forty-one eligible trials of laparoscopic versus open groin hernia repair were identified involving 7161 participants (with individual patient data available for 4165). Meta-analysis was performed using individual patient data where possible. Operation times for laparoscopic repair were longer and there was a higher risk of rare serious complications. Return to usual activities was faster, and there was less persisting pain and numbness. Hernia recurrence was less common than after open non-mesh repair but not different to open mesh methods. The review showed that laparoscopic repair takes longer and has more serious complications, but recovery is quicker with less persisting pain. Reduced hernia recurrence was related to the use of mesh rather than the method of mesh placement.
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U2 - 10.1007/s10029-002-0050-8
DO - 10.1007/s10029-002-0050-8
M3 - Review article
C2 - 12090575
AN - SCOPUS:0036271375
VL - 6
SP - 2
EP - 10
JO - Hernia : the journal of hernias and abdominal wall surgery
JF - Hernia : the journal of hernias and abdominal wall surgery
SN - 1265-4906
IS - 1
ER -