Meta-analysis on clinical efficacies of laparoscopic and traditional open surgery for patients with external abdominal hernia
Objective To systematically evaluate the clinical efficacies of laparoscopic and traditional open surgery for patients with abdominal external hernia,and to provide support for seeking better treatment methods and evidence-based medicine.Methods The authors comprehensively searched the literatures on external abdominal hernia published at home and abroad from the establishment of these databases to January 3,2023,and searched for the randomized controlled trials about laparoscopic treatment(experimental group)and traditional open surgery(control group)of patients with external abdominal hernia.A total of 468 relevant literatures were collected.Data extraction and quality evaluation were conducted for the clinical studies that met the inclusion criteria;meta-analysis was performed on the included literatures using the Review Manager 5.4 software.Results Finally,13 literatures were included,with a total of 1 044 patients,including 527 in the experimental group and 517 in the control group.The results of meta-analysis showed that the hospitalization time in the experimental group was shorter than that in the control group,with a statistical difference(SMD=-2.16,95％CI-2.36--1.96,Z=21.20,P＜0.000 01).The incidence of clinical complications in the experimental group was lower than that in the control group,with a statistical difference(OR=0.21,95％CI 0.13-0.34,Z=6.25,P＜0.000 01).The incidence of postoperative infection in the experimental group was lower than that in the control group(P＜0.000 01).Compared with the control group,the experimental group had more advantages in improving postoperative urinary retention,postoperative pain,and hematoma(all P＜0.000 01).Conclusion Compared with traditional open surgery,laparoscopic hernia repair shortens the hospitalization time,reduces postoperative complications,and improves the patients'quality of life.
万方数据
维普
