• J Li, Z Ji, and Y Li.
• Department of General Surgery, Affiliated Zhongda Hospital, Southeast University, Nanjing 210009, China. Lijunshenghd@126.com
• Hernia. 2012 Oct 1;16(5):541-8.

Background And PurposeMesh-plug and Lichtenstein techniques are among the most common used inguinal hernia repair procedures. The aim of this meta-analysis was to compare the recurrence and other postoperative complications between mesh-plug technique and Lichtenstein operation in inguinal hernia repair.MethodsThe electronic databases Embase, Pubmed, Springer and Cochrane Library were used to search for randomized controlled trials about mesh-plug and Lichtenstein repair techniques till Oct 2011. Two independent reviewers assessed the trials for eligibility and quality. And all related data matching our standards were abstracted for meta-analysis by RevMan 5.0.1. The evaluation criteria included recurrence, pain, hematoma, seroma, infection, paresthesia, testicular problem, urinary retention, operating time and recovery to daily activity.ResultsA total of 2,912 patients enrolled into 8 randomized controlled trials were included in this meta-analysis. All these RCTs compared mesh-plug and Lichtenstein procedures, and our pooled data showed similar results according to all the compared postoperative complications and return to daily activity.ConclusionMesh-plug versus Lichtenstein procedures for inguinal hernia repair was comparable in most of the analyzed outcomes.

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