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Impact of patient's sex on groin hernia repair: A systematic review and meta-analysis.
Balthazar da Silveira, Carlos André; Mazzola Poli de Figueiredo, Sergio; Rasador, Ana Caroline Dias; Dias, Yasmin Meirelles; Hernandez Martin, Rafael Ribeiro; Fernandez, Miguel Godeiro; Towfigh, Shirin.
Afiliação
  • Balthazar da Silveira CA; Bahiana School of Medicine and Public Health, Salvador, Bahia, Brazil.
  • Mazzola Poli de Figueiredo S; Cleveland Clinic, Cleveland, Ohio, USA.
  • Rasador ACD; Bahiana School of Medicine and Public Health, Salvador, Bahia, Brazil.
  • Dias YM; University of Washington, St. Louis, Missouri, USA.
  • Hernandez Martin RR; Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
  • Fernandez MG; Bahiana School of Medicine and Public Health, Salvador, Bahia, Brazil.
  • Towfigh S; Beverly Hills Hernia Center, Beverly Hills, California, USA.
World J Surg ; 2024 09 20.
Article em En | MEDLINE | ID: mdl-39304983
ABSTRACT

BACKGROUND:

Groin hernia repair (GHR) is a performed procedure worldwide, with approximately 20 million surgeries carried out each year. Despite being less common in females, there is a lack of research on how sex influences the outcomes of GHR. This systematic review and meta-analysis aim to assess how patient sex impacts results in GHR.

METHODS:

We performed a systematic review and meta-analysis according to Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines. We searched for studies up to October 2023 in MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials. The studies included focused on sex outcomes for both robotic and open GHR procedures. Data extraction and quality assessment were conducted using the Risk of Bias in Non-Randomized Studies - Of Interventions tool. Our statistical analysis was performed using the metafor package in RStudio.

RESULTS:

After screening a total of 3917 articles, we identified 29 studies that met our criteria, comprising a total of 1,236,694 patients. Among them, 98,641 (7.98%) patients were females. Our findings showed that females had higher rates of hernia recurrence (RR 1.28), chronic pain (RR 1.52), and surgical site infections (SSIs) (RR 1.46) compared to males. Females showed a lower tendency to undergo minimally invasive surgery (MIS) with a relative risk of 0.82 (95% CI 0.69-0.97; p = 0.02).

CONCLUSION:

Females tend to face higher rates of complications after GHR such as an elevated risk of chronic pain, recurrence, and surgical site infections (SSI). Moreover, they undergo fewer MIS options compared to males. These results underscore the importance of research to enhance outcomes for women undergoing GHR.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: World J Surg Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: World J Surg Ano de publicação: 2024 Tipo de documento: Article País de afiliação: Brasil País de publicação: Estados Unidos