دورية أكاديمية
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Adult groin hernia surgery in sub-Saharan Africa: a 20-year systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Adult groin hernia surgery in sub-Saharan Africa: a 20-year systematic review and meta-analysis.
المؤلفون: Ndong A; Department of Surgery, Saint-Louis Regional Hospital, Gaston Berger University, BP: 234, Nationale 2, Route de Ngallele, Saint-Louis, Senegal. abdourahmane.ndong@ugb.edu.sn., Tendeng JN; Department of Surgery, Saint-Louis Regional Hospital, Gaston Berger University, BP: 234, Nationale 2, Route de Ngallele, Saint-Louis, Senegal., Diallo AC; Department of Surgery, Saint-Louis Regional Hospital, Gaston Berger University, BP: 234, Nationale 2, Route de Ngallele, Saint-Louis, Senegal., Diao ML; Department of Surgery, Saint-Louis Regional Hospital, Gaston Berger University, BP: 234, Nationale 2, Route de Ngallele, Saint-Louis, Senegal., Sow O; Department of Surgery, Assane Seck University, Ziguinchor, Senegal., Mawuli SD; Department of Surgery, Sylvanus Olympio Teaching Hospital, Lomé, Togo., Kalli M; Department of Surgery, National General Hospital of N'Djamena, N'Djamena, Tchad., Harissou A; Department of Surgery, Zinder University, Zinder, Niger., Choua O; Department of Surgery, National General Hospital of N'Djamena, N'Djamena, Tchad., Doumga AD; Department of Surgery, Bangui University, Bangui, Centrafrique., Togo AP; Department of General Surgery, Gabriel Touré University Hospital, Bamako, Mali., Seck M; Department of Surgery, Cheikh Anta Diop University, Dakar, Senegal., Ka I; Department of Surgery, Cheikh Anta Diop University, Dakar, Senegal., Touré AO; Department of Surgery, Cheikh Anta Diop University, Dakar, Senegal., Diop B; Department of Surgery, Cheikh Anta Diop University, Dakar, Senegal., Ba PA; Department of Surgery, Iba Der Thiam University, Thies, Senegal., Diop PS; Department of Surgery, Cheikh Anta Diop University, Dakar, Senegal., Cissé M; Department of Surgery, Cheikh Anta Diop University, Dakar, Senegal., Sani R; Department of Surgery, University of Niamey, Niamey, Niger., Konaté I; Department of Surgery, Saint-Louis Regional Hospital, Gaston Berger University, BP: 234, Nationale 2, Route de Ngallele, Saint-Louis, Senegal.
المصدر: Hernia : the journal of hernias and abdominal wall surgery [Hernia] 2023 Feb; Vol. 27 (1), pp. 157-172. Date of Electronic Publication: 2022 Sep 06.
نوع المنشور: Meta-Analysis; Systematic Review; Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Springer Country of Publication: France NLM ID: 9715168 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1248-9204 (Electronic) Linking ISSN: 12489204 NLM ISO Abbreviation: Hernia Subsets: MEDLINE
أسماء مطبوعة: Original Publication: Paris, France : Springer, c1997-
مواضيع طبية MeSH: Chronic Pain*/surgery , Hernia, Inguinal*/surgery , Hernia, Inguinal*/epidemiology, Humans ; Adult ; Groin/surgery ; Herniorrhaphy/adverse effects ; Herniorrhaphy/methods ; Africa South of the Sahara/epidemiology ; Recurrence ; Surgical Mesh
مستخلص: Purpose: To realize a systematic review to evaluate groin hernia surgery for adults in sub-Saharan Africa.
Methods: We conducted a systematic review and meta-analysis, the primary objective of which was to determine the surgical techniques used for unilateral groin hernia surgery in sub-Saharan Africa. Studies published in the last 20 years were considered. A meta-analysis estimated the pooled prevalence with 95% confidence interval (CI) of mortality, chronic pain and recurrence. A subgroup analysis compared the rate of complications between complicated or uncomplicated hernia.
Results: We included 113 articles. The most used technique was Bassini in 40.1%, followed by Lichtenstein in 29.9% and Shouldice in 12.6%. The overall mortality rate was 0.6% (95% CI 0.4-0.9). The pooled recurrence rate was 1.4% (95% CI 1.05-1.9). The pooled rate of chronic pain was 2.7% (95% CI 1.9-3.7). We found that mortality rate for complicated hernias (6.4%) was higher compared to uncomplicated hernias (0.2%). This difference was statistically significant [p ≤ 0.001; OR = 47.7; 95 CI (27.2-83.47)].
Conclusion: This review showed that pure tissue repairs are the most used techniques with Bassini and Shouldice as leading procedures. The post-operative rates of recurrence and chronic pain are low. However, there is a high heterogeneity between studies than can underestimate these pooled prevalences. The consultation at complication stage remains frequent and associated with a higher mortality. Futures studies should focus on improving the quality of studies in terms of design and follow-up to increase the degree of evidence.
(© 2022. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)
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فهرسة مساهمة: Keywords: Africa; Femoral; Hernia; Inguinal; LMIC; Surgery
تواريخ الأحداث: Date Created: 20220906 Date Completed: 20230217 Latest Revision: 20230228
رمز التحديث: 20230301
DOI: 10.1007/s10029-022-02669-9
PMID: 36066755
قاعدة البيانات: MEDLINE
الوصف
تدمد:1248-9204
DOI:10.1007/s10029-022-02669-9