Meta‑analysis of single-incision laparoscopic versus multi-trocar laparoscopic totally extraperitoneal inguinal hernia repair

Whether single-incision laparoscopic totally extraperitoneal (SIL-TEP) inguinal hernia repair is similar or superior to multi-trocar laparoscopic totally extraperitoneal (MTL-TEP) inguinal hernia repair is controversial. We conducted this meta-analysis to compare the safety, efficacy and cosmetic ef...

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Bibliographic Details
Published in:Updates in surgery 2023-12, Vol.75 (8), p.2133-2145
Main Authors: Wang, Deng-Chao, Fu, Jun-Wen, Jiang, Tao, Chen, Wen-Xing, Yu, Miao
Format: Article
Language:English
Subjects:
2022110085
Hernia, Inguinal - surgery
Herniorrhaphy - methods
Humans
INPLASY2022110085
Laparoscopy - methods
Length of Stay
Medicine
Medicine & Public Health
Review Article
Surgery
Surgical Instruments
Treatment Outcome
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Summary:Whether single-incision laparoscopic totally extraperitoneal (SIL-TEP) inguinal hernia repair is similar or superior to multi-trocar laparoscopic totally extraperitoneal (MTL-TEP) inguinal hernia repair is controversial. We conducted this meta-analysis to compare the safety, efficacy and cosmetic effect of the two surgical methods. We systematically searched the Cochrane Library, Embase database and PubMed database for published studies on SIL-TEP and MTL-TEP inguinal hernia repair. The studies were screened and evaluated for quality according to the inclusion and exclusion criteria, and RevMan 5.3 software was used for meta-analysis. Twenty studies were included, including 7 randomized controlled studies and 13 nonrandomized controlled studies. Meta-analysis revealed no significant difference between SIL-TEP and MTL-TEP inguinal hernia repair in terms of unilateral operation time ( P  = 0.12), bilateral operation time ( P  = 0.72), pain score on the first day after operation ( P  = 0.61], chronic pain rate ( P  = 0.61), total complication rate ( P  = 0.26), hospital stay ( P  = 0.72), and recurrence rate ( P  = 0.83), but the cosmetic effect score ( P  = 0.002) was higher in the former. These findings demonstrate that SIL-TEP inguinal hernia repair is safe, reliable and feasible. In addition, it can result in a better cosmetic effect of the incision than MTL-TEP inguinal hernia repair. SIL-TEP inguinal hernia repair should be considered for patients with stricter cosmetic requirements. Clinical trial registration : INPLASY2022110085.
ISSN:2038-131X
2038-3312
DOI:10.1007/s13304-023-01634-0