Cochrane · systematic review · CD015160

Mesh versus non‐mesh for emergency groin hernia repair

Sæter, AH, Fonnes, S, Li, S, et al. · Cochrane Database of Systematic Reviews · 2023 · 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
7
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 2 · 28.6%Very low 5 · 71.4%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

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

Summary of findings table ‐ mesh repair vs. non‐mesh repair for adult patients with incarcerated or strangulated groin hernia

Population: adult patients with incarcerated or strangulated groin hernia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Surgical site infections within 30 days of repair
Summary of findings table ‐ mesh repair vs non‐mesh repair
RR 1.66 [0.96, 2.88]2 studies · 454 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Mortality within 30 days of repair
Summary of findings table ‐ mesh repair vs non‐mesh repair
RR 1.38 [0.58, 3.28]1 study · 208 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Complications classified by the Clavien‐Dindo Classification within 30 days of repair
Summary of findings table ‐ mesh repair vs non‐mesh repair
no estimate extracted0 studies · 0 participantsUngraded
Clinical recurrence or reoperation for recurrence within 30 days of repair
Summary of findings table ‐ mesh repair vs non‐mesh repair
no estimate extracted3 studies · 200 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Clinical recurrence or reoperation for recurrence within one year of repair
Summary of findings table ‐ mesh repair vs non‐mesh repair
RR 0.19 [0.04, 1.03]2 studies · 104 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Reoperation due to complications (e.g. infection, seroma, bleeding) within 30 days of repair
Summary of findings table ‐ mesh repair vs non‐mesh repair
no estimate extracted0 studies · 0 participantsUngraded
Mesh removal within 30 days of repair
Summary of findings table ‐ mesh repair vs non‐mesh repair
no estimate extracted5 studies · 402 participantsVery low
Downgraded: risk of bias, imprecision, indirectness