Cochrane · systematic review · CD011517
Mesh versus non‐mesh for inguinal and femoral hernia repair
Lockhart, K, Dunn, D, Teo, S, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library
ColorectalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
9
current version
GRADE rated
8
No studies
1
Included studies
NR
No studies 1 · 11.1%Ungraded 0 · 0%Very low 1 · 11.1%Low 5 · 55.6%Moderate 1 · 11.1%High 1 · 11.1%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Mesh compared to non‐mesh repair for inguinal and femoral hernia repair
Population: adults undergoing inguinal and femoral hernia repair
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Hernia recurrence Mesh vs non‐mesh repair | RR 0.46 [0.26, 0.8] | 21 studies · 5575 participants | Moderate Downgraded: inconsistency |
Surgical complications ‐ neurovascular or visceral injury Mesh vs non‐mesh repair | RR 0.61 [0.49, 0.76] | 24 studies · 6293 participants | High |
Surgical complications ‐ wound infection Mesh vs non‐mesh repair | RR 1.29 [0.89, 1.86] | 21 studies · 4540 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Surgical complications ‐ wound dehiscence Mesh vs non‐mesh repair | RR 0.55 [0.12, 2.48] | 2 studies · 329 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Mortality (within 30 days post‐surgery) Mesh vs non‐mesh repair | no estimate extracted | NR | No studies |
Duration of surgery (minutes) Mesh vs non‐mesh repair | no estimate extracted | 20 studies · 4148 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Duration of postoperative stay (days) Mesh vs non‐mesh repair | no estimate extracted | 12 studies · 2966 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Time to return to full ADLs (days) Mesh vs non‐mesh repair | no estimate extracted | 10 studies · 3183 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Conversion from laparoscopic to open approach Mesh vs non‐mesh repair | no estimate extracted | 5 studies · 1680 participants | Low Downgraded: risk of bias, imprecision, inconsistency |