Abstract：
BACKGROUND: Surgery is the recommended treatment of groin hernia, and laparoscopic approach is increasingly accepted due to lower risk of chronic pain. This systematic review aims to evaluate results of laparoscopic groin hernia repair (LGHR) in Africa.
METHODS: We performed a literature search of published studies using electronic databases. Included African articles reported at least one of outcomes after LGHR in adult population. Newcastle-Ottawa Scale was used for quality assessment. A quantitative meta-analysis was performed to estimate the pooled prevalence of the post-operative outcomes.
RESULTS: We included 19 studies from 6 countries which totalized 2329 hernia cases. Mean age was 44.5 years and male patients were predominant (sex-ratio 19.8). The mean operative time was 69.1 min. The pooled prevalence of conversion to open procedure was 2.578% (95% IC: 1.209-4.443). The pooled prevalence of surgical site infection and Hematoma/Seroma was respectively 0.626% (95%IC: 0.332-1.071) and 4.617% (95% IC: 2.990-6.577). The pooled prevalence of recurrence and chronic pain was respectively 2.410% (95% IC: 1.334-3.792) and 3.180% (95% IC: 1.435-5.580). We found that total morbidity for TAPP procedure was higher than TEP procedure (p = 0.0006; OR 1.8443).
CONCLUSIONS: These results confirm that LGHR is safe and feasible and would be recommended in our African context.
METHODS: We performed a literature search of published studies using electronic databases. Included African articles reported at least one of outcomes after LGHR in adult population. Newcastle-Ottawa Scale was used for quality assessment. A quantitative meta-analysis was performed to estimate the pooled prevalence of the post-operative outcomes.
RESULTS: We included 19 studies from 6 countries which totalized 2329 hernia cases. Mean age was 44.5 years and male patients were predominant (sex-ratio 19.8). The mean operative time was 69.1 min. The pooled prevalence of conversion to open procedure was 2.578% (95% IC: 1.209-4.443). The pooled prevalence of surgical site infection and Hematoma/Seroma was respectively 0.626% (95%IC: 0.332-1.071) and 4.617% (95% IC: 2.990-6.577). The pooled prevalence of recurrence and chronic pain was respectively 2.410% (95% IC: 1.334-3.792) and 3.180% (95% IC: 1.435-5.580). We found that total morbidity for TAPP procedure was higher than TEP procedure (p = 0.0006; OR 1.8443).
CONCLUSIONS: These results confirm that LGHR is safe and feasible and would be recommended in our African context.
摘要：
背景：手术是腹股沟疝的推荐治疗方法，而腹腔镜手术由于慢性疼痛的风险较低而被越来越多的人接受。本系统综述旨在评估非洲腹腔镜腹股沟疝修补术（LGHR）的结果。
方法：我们使用电子数据库对已发表的研究进行了文献检索。包括非洲的文章报道了成年人群中LGHR后的至少一种结局。采用纽卡斯尔-渥太华量表进行质量评价。进行了定量荟萃分析以估计术后结局的汇总患病率。
结果：我们纳入了来自6个国家的19项研究，共纳入了2329例疝气病例。平均年龄为44.5岁，男性患者占主导地位（性别比19.8）。平均手术时间为69.1分钟。转换为开放程序的合并患病率为2.578%(95%IC:1.209-4.443)。手术部位感染和血肿/血清瘤的合并患病率分别为0.626％（95％IC：0.332-1.071）和4.617％（95％IC：2.990-6.577）。复发和慢性疼痛的合并患病率分别为2.410％（95％IC：1.334-3.792）和3.180％（95％IC：1.435-5.580）。我们发现TAPP手术的总发病率高于TEP手术（p=0.0006；OR1.8443）。
结论：这些结果证实LGHR是安全可行的，在我们的非洲背景下值得推荐。
方法：我们使用电子数据库对已发表的研究进行了文献检索。包括非洲的文章报道了成年人群中LGHR后的至少一种结局。采用纽卡斯尔-渥太华量表进行质量评价。进行了定量荟萃分析以估计术后结局的汇总患病率。
结果：我们纳入了来自6个国家的19项研究，共纳入了2329例疝气病例。平均年龄为44.5岁，男性患者占主导地位（性别比19.8）。平均手术时间为69.1分钟。转换为开放程序的合并患病率为2.578%(95%IC:1.209-4.443)。手术部位感染和血肿/血清瘤的合并患病率分别为0.626％（95％IC：0.332-1.071）和4.617％（95％IC：2.990-6.577）。复发和慢性疼痛的合并患病率分别为2.410％（95％IC：1.334-3.792）和3.180％（95％IC：1.435-5.580）。我们发现TAPP手术的总发病率高于TEP手术（p=0.0006；OR1.8443）。
结论：这些结果证实LGHR是安全可行的，在我们的非洲背景下值得推荐。
