Recurrence Rates after Primary Femoral Hernia Open Repair a Systematic Review.

IF 1.2 4区 医学 Q3 SURGERY
Surgical Innovation Pub Date : 2024-10-01 Epub Date: 2024-08-03 DOI:10.1177/15533506241273398
Lucia Romano, Fabiana Fiasca, Antonella Mattei, Giada Di Donato, Andrea Venturoni, Mario Schietroma, Antonio Giuliani
{"title":"Recurrence Rates after Primary Femoral Hernia Open Repair a Systematic Review.","authors":"Lucia Romano, Fabiana Fiasca, Antonella Mattei, Giada Di Donato, Andrea Venturoni, Mario Schietroma, Antonio Giuliani","doi":"10.1177/15533506241273398","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Femoral hernia accounts for 22% of groin hernia operations in women and for 1.1% in men. Numerous surgical approaches have been reported but there is no consensus. Many of the recurrence rates are reported in old literature, while recent reports are scarce. The aim of the present study was to review rates of recurrences in patients who underwent open repair of a primary femoral hernia.</p><p><strong>Methods: </strong>We conducted a systematic search in the electronic literature, using the search terms \"femoral hernia\" and \"recurrence\". We included studies published from 2002 that had as primary or secondary endpoint to evaluate the recurrence after surgery. Risk of bias was assessed by the Cochrane risk of bias tool for RCT and by the Newcastle-Ottawa Scale for cohort studies.</p><p><strong>Results: </strong>Fifteen eligible articles were included in our systematic review. A total of 1087 procedures were performed according to the defined criteria. The metanalytic evaluation highlighted a higher probability of recurrence for non-mesh than mesh repairs (6.5% vs 1.9%; RR 0.924, 95% CI: 0.857 - 0.996). In patients treated in emergency settings the rate of recurrences was 3.7%; in patients who received elective repairs it was 0.71%. Six studies reported that most of recurrences occurred within the first post-operative year.</p><p><strong>Conclusion: </strong>We found that crude recurrence rate after open repair of a primary femoral hernia is about 4%. This rate is higher in case of non-mesh techniques and in emergency surgery. Our results support the recommendation that femoral hernias should be repaired with mesh techniques.</p>","PeriodicalId":22095,"journal":{"name":"Surgical Innovation","volume":null,"pages":null},"PeriodicalIF":1.2000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Surgical Innovation","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/15533506241273398","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/8/3 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

Abstract

Purpose: Femoral hernia accounts for 22% of groin hernia operations in women and for 1.1% in men. Numerous surgical approaches have been reported but there is no consensus. Many of the recurrence rates are reported in old literature, while recent reports are scarce. The aim of the present study was to review rates of recurrences in patients who underwent open repair of a primary femoral hernia.

Methods: We conducted a systematic search in the electronic literature, using the search terms "femoral hernia" and "recurrence". We included studies published from 2002 that had as primary or secondary endpoint to evaluate the recurrence after surgery. Risk of bias was assessed by the Cochrane risk of bias tool for RCT and by the Newcastle-Ottawa Scale for cohort studies.

Results: Fifteen eligible articles were included in our systematic review. A total of 1087 procedures were performed according to the defined criteria. The metanalytic evaluation highlighted a higher probability of recurrence for non-mesh than mesh repairs (6.5% vs 1.9%; RR 0.924, 95% CI: 0.857 - 0.996). In patients treated in emergency settings the rate of recurrences was 3.7%; in patients who received elective repairs it was 0.71%. Six studies reported that most of recurrences occurred within the first post-operative year.

Conclusion: We found that crude recurrence rate after open repair of a primary femoral hernia is about 4%. This rate is higher in case of non-mesh techniques and in emergency surgery. Our results support the recommendation that femoral hernias should be repaired with mesh techniques.

原发性股骨疝开放性修复术后的复发率系统回顾
目的:股疝占女性腹股沟疝手术的 22%,占男性腹股沟疝手术的 1.1%。已有许多手术方法的报道,但尚未达成共识。许多关于复发率的报道都来自于旧文献,而近期的报道却很少。本研究旨在回顾原发性股疝开放性修补术患者的复发率:我们使用 "股疝 "和 "复发 "这两个检索词对电子文献进行了系统检索。我们纳入了 2002 年以来发表的、以评估术后复发为主要或次要终点的研究。对于RCT研究,我们使用Cochrane偏倚风险工具评估偏倚风险;对于队列研究,我们使用纽卡斯尔-渥太华量表评估偏倚风险:结果:15 篇符合条件的文章被纳入我们的系统综述。根据规定的标准,共进行了 1087 例手术。荟萃分析评估结果表明,非网眼修复术的复发概率高于网眼修复术(6.5% vs 1.9%; RR 0.924, 95% CI: 0.857 - 0.996)。在急诊治疗的患者中,复发率为 3.7%;在接受择期修复的患者中,复发率为 0.71%。六项研究报告称,大多数复发发生在术后第一年内:我们发现,原发性股疝开放性修补术后的粗复发率约为 4%。结论:我们发现,原发性股疝开放性修补术后的粗复发率约为 4%,采用无网膜技术和急诊手术的复发率更高。我们的研究结果支持应使用网片技术修复股骨疝的建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
Surgical Innovation
Surgical Innovation 医学-外科
CiteScore
2.90
自引率
0.00%
发文量
72
审稿时长
6-12 weeks
期刊介绍: Surgical Innovation (SRI) is a peer-reviewed bi-monthly journal focusing on minimally invasive surgical techniques, new instruments such as laparoscopes and endoscopes, and new technologies. SRI prepares surgeons to think and work in "the operating room of the future" through learning new techniques, understanding and adapting to new technologies, maintaining surgical competencies, and applying surgical outcomes data to their practices. This journal is a member of the Committee on Publication Ethics (COPE).
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信