Evidence map›Paper›PMID 33312559›Full record

ReviewAnnals of medicine and surgery (2012)2020

Is Desarda technique suitable to emergency inguinal hernia surgery? A systematic review and meta-analysis.

Abdourahmane Ndong, Jacques Noel Tendeng, Adja Coumba Diallo, Mohamed Lamine Diao, Saer Diop, Diago Anta Dia, Philippe Manyacka Ma Nyemb, Ibrahima Konaté

Abstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Mesh versus non-mesh for emergency groin hernia repair.The Cochrane database of systematic reviews · 2023
    Pooled it
  2. Adult groin hernia surgery in sub-Saharan Africa: a 20-year systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2023
    Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Abdourahmane NdongDepartment of Surgery, Gaston Berger University, Saint-Louis, Senegal.
Jacques Noel TendengDepartment of Surgery, Gaston Berger University, Saint-Louis, Senegal.
Adja Coumba DialloDepartment of Surgery, Gaston Berger University, Saint-Louis, Senegal.
Mohamed Lamine DiaoDepartment of Surgery, Gaston Berger University, Saint-Louis, Senegal.
Saer DiopDepartment of Surgery, Gaston Berger University, Saint-Louis, Senegal.
Diago Anta DiaDepartment of Surgery, Gaston Berger University, Saint-Louis, Senegal.
Philippe Manyacka Ma NyembDepartment of Surgery, Gaston Berger University, Saint-Louis, Senegal.
Ibrahima KonatéDepartment of Surgery, Gaston Berger University, Saint-Louis, Senegal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite the fact that Lichtenstein is the gold standard for uncomplicated inguinal hernia, the use of mesh in an emergency context remains controversial. Pure tissue repairs have an essential role in the management of incarcerated or strangulated inguinal hernia. To date, there has been little agreement on what is the best surgical technique suitable for emergency hernia surgery. This systematic review aims to evaluate the efficacy and safety of the pure tissue Desarda technique for emergency inguinal hernia repair.

methodsA complete search of electronic databases including PubMed/Medline, Web of Science, Embase and, Cochrane library was realized. Newcastle-Ottawa-Scale (NOS) (selection and outcome criteria) was used for quality assessment of included studies. The pooled prevalence of post-operative complications (surgical site infection, hematoma/seroma, chronic pain and, recurrence rate) was estimated.

resultsWe included 5 studies from different countries. There were 2 randomized controlled trial and 3 observational cohort studies. Totally, there were 199 patients with a mean age of 57.6 years. Male patients were predominant (n = 196). The pooled prevalence of surgical site infection and hematoma/seroma was respectively 16.56% (95% CI: 11.74-22.39) and 12.43% (95%CI: 6.90-20.108). The pooled prevalence of chronic pain and recurrence was respectively 4.35% (95% CI: 1.04-11.47) and 2.10% (95%CI: 0.61-5.14).

conclusionsIn summary, Desarda technique is feasible in emergency context with good results. We found any particularly important rate of complications considering the surgery in emergency context. Further studies should be realized to raise the level of evidence.

Indexed as

DesardaHerniaIncarcerationInguinalStrangulationSurgery

Identifiers

PMID33312559
PMCPMC7721661

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.