Academic
Publications
Does mesh offer an advantage over tissue in the open repair of umbilical hernias? A systematic review and meta-analysis

Does mesh offer an advantage over tissue in the open repair of umbilical hernias? A systematic review and meta-analysis,10.1007/s10029-010-0705-9,Hern

Does mesh offer an advantage over tissue in the open repair of umbilical hernias? A systematic review and meta-analysis   (Citations: 3)
BibTex | RIS | RefWorks Download
Purpose  To determine the best surgical approach for the open repair of primary umbilical hernias. Methods  Studies were identified through searching MEDLINE, EMBASE, and the Cochrane database, as well as hand-searching references. Randomized controlled trials (RCTs) and observational studies comparing mesh to suture repair for primary umbilical hernias published between January 1965 and October 2009 were included. Data regarding the recurrence rate, complications, number of subjects, length of follow-up, size of hernia, and type of mesh were extracted. Log odds ratios were calculated and weighed by the Mantel–Haenszel method to obtain a pooled estimate with 95% confidence interval (CI). A fixed effects model was used. Results  Three RCTs and ten observational studies were identified. The pooled odds ratio (OR) for RCTs was 0.09 in favor of mesh (95% CI 0.02–0.39). The pooled OR for observational studies was 0.40 in favor of mesh (95% CI 0.21–0.75). There was no difference in complication rates between mesh and tissue repair in RCTs or observational studies. Conclusions  The use of mesh in umbilical hernia repair results in decreased recurrence and similar wound complications rates compared to tissue repair for primary umbilical hernias.
Journal: Hernia , vol. 14, no. 5, pp. 455-462, 2010
Cumulative Annual
View Publication
The following links allow you to view full publications. These links are maintained by other sources not affiliated with Microsoft Academic Search.
    • ...Thus, available studies are mostly single institution studies with a limited number of patients or with a primary focus on recurrence [1]...
    • ...Thus, the rates of readmission, and the morbidity and mortality rates after incisional hernia repair were 11%, 11% and 0.4% [14], respectively, compared with 5%, 4% and 0.1%, as found in the present study and in other studies [1]...
    • ...However, the overall results on morbidity and mortality in the present study were comparable with those in the literature [1]...

    T. Bisgaardet al. A nationwide study on readmission, morbidity, and mortality after umbi...

Sort by: