Uso versus no uso de malla en hernioplastía inguinal: ¿existe un rol para la reparación sin malla? Revisión global de la evidencia

There is controversy about the effectiveness of mesh techniques for inguinal hernia repair (IHR) when compared with non-mesh procedures. The aim of this study was to systematically review the available evidence on the effectiveness of mesh compared to non-mesh IHR techniques. Cochrane Central and ME...

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Autores principales: Manterola,Carlos, Urrutia,Sebastián, Otzen,Támara
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2013
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000700015
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spelling oai:scielo:S0034-988720130007000152013-12-17Uso versus no uso de malla en hernioplastía inguinal: ¿existe un rol para la reparación sin malla? Revisión global de la evidenciaManterola,CarlosUrrutia,SebastiánOtzen,Támara Evidence-Based Medicine Hernia Inguinal Herniorrhaphy Surgical Mesh There is controversy about the effectiveness of mesh techniques for inguinal hernia repair (IHR) when compared with non-mesh procedures. The aim of this study was to systematically review the available evidence on the effectiveness of mesh compared to non-mesh IHR techniques. Cochrane Central and MEDLINE databases and the TRIP Database engine were reviewed looking for systematic reviews (SR) and clinical trials (CT) published from 1990 to 2012, comparing the effectiveness, in terms of operative time, postoperative pain, morbidity, hospital stay, return to work, costs and recurrence, of mesh and non-mesh IHR techniques. We retrieved 3,069 articles, 17 of which met the selection criteria (3 SR and 14 RCT), representing a population of 15,124 subjects (7361 mesh and 7763 non-mesh IHR). According to these studies, mesh IHR techniques are associated with less surgical time, pain, hospital stay, recurrence and sooner return to work than non-mesh techniques. It is concluded that mesh techniques are more effective than those not using a mesh.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.141 n.7 20132013-07-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000700015es10.4067/S0034-98872013000700015
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Evidence-Based Medicine
Hernia Inguinal
Herniorrhaphy
Surgical Mesh
spellingShingle Evidence-Based Medicine
Hernia Inguinal
Herniorrhaphy
Surgical Mesh
Manterola,Carlos
Urrutia,Sebastián
Otzen,Támara
Uso versus no uso de malla en hernioplastía inguinal: ¿existe un rol para la reparación sin malla? Revisión global de la evidencia
description There is controversy about the effectiveness of mesh techniques for inguinal hernia repair (IHR) when compared with non-mesh procedures. The aim of this study was to systematically review the available evidence on the effectiveness of mesh compared to non-mesh IHR techniques. Cochrane Central and MEDLINE databases and the TRIP Database engine were reviewed looking for systematic reviews (SR) and clinical trials (CT) published from 1990 to 2012, comparing the effectiveness, in terms of operative time, postoperative pain, morbidity, hospital stay, return to work, costs and recurrence, of mesh and non-mesh IHR techniques. We retrieved 3,069 articles, 17 of which met the selection criteria (3 SR and 14 RCT), representing a population of 15,124 subjects (7361 mesh and 7763 non-mesh IHR). According to these studies, mesh IHR techniques are associated with less surgical time, pain, hospital stay, recurrence and sooner return to work than non-mesh techniques. It is concluded that mesh techniques are more effective than those not using a mesh.
author Manterola,Carlos
Urrutia,Sebastián
Otzen,Támara
author_facet Manterola,Carlos
Urrutia,Sebastián
Otzen,Támara
author_sort Manterola,Carlos
title Uso versus no uso de malla en hernioplastía inguinal: ¿existe un rol para la reparación sin malla? Revisión global de la evidencia
title_short Uso versus no uso de malla en hernioplastía inguinal: ¿existe un rol para la reparación sin malla? Revisión global de la evidencia
title_full Uso versus no uso de malla en hernioplastía inguinal: ¿existe un rol para la reparación sin malla? Revisión global de la evidencia
title_fullStr Uso versus no uso de malla en hernioplastía inguinal: ¿existe un rol para la reparación sin malla? Revisión global de la evidencia
title_full_unstemmed Uso versus no uso de malla en hernioplastía inguinal: ¿existe un rol para la reparación sin malla? Revisión global de la evidencia
title_sort uso versus no uso de malla en hernioplastía inguinal: ¿existe un rol para la reparación sin malla? revisión global de la evidencia
publisher Sociedad Médica de Santiago
publishDate 2013
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872013000700015
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AT urrutiasebastian usoversusnousodemallaenhernioplastiainguinalexisteunrolparalareparacionsinmallarevisionglobaldelaevidencia
AT otzentamara usoversusnousodemallaenhernioplastiainguinalexisteunrolparalareparacionsinmallarevisionglobaldelaevidencia
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