SynthesisHernia : the journal of hernias and abdominal wall surgery2023
Adult groin hernia surgery in sub-Saharan Africa: a 20-year systematic review and meta-analysis.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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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.
The trial behind it
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.
- Safety and effectiveness of laparoscopic adult groin hernia repair in Africa: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Evaluating the complications of adult groin hernia where there is no hernia registry: a systematic review of Nigerian literature.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Prevalence and mortality rate of abdominal surgical emergencies in Sub-Saharan Africa: a systematic review and meta-analysis.BMC surgery · 2024Pooled it
- Outcomes after elective inguinal hernia repair with mesh performed by associate clinicians versus medical doctors in Sierra Leone: 5-year follow-up of a randomized clinical trial.The British journal of surgery · 2025Trial
- Laparoscopic vs. open inguinal hernia repair in Central Asia: a systematic review of technological readiness and safety frameworks.Frontiers in surgery · 2026Review
- Robotic and Laparoscopic Inguinal Hernia Repair in Africa: Current Adoption, Challenges, and Future Horizons.Journal of abdominal wall surgery : JAWS · 2026Review
- Abdominal wall hernia management in a second level hospital of Senegal: a cross-sectional study.Frontiers in surgery · 2026Article
- Short- and Long-Term Outcomes After Emergency Groin Hernia Surgery: A Nationwide Population-Based Study from the Swedish Hernia Register.Journal of clinical medicine · 2025Article
- Knowledge and Practices Regarding Chronic Pain After Groin Hernia Surgery: A National Resident Survey in Senegal.Journal of abdominal wall surgery : JAWS · 2025Article
- Choice of Surgical Technique in Groin Hernia Surgery Among Residents in Senegal: Experience and Influencing Factors.Journal of abdominal wall surgery : JAWS · 2025Article
- Strangulated Inguinal Hernia Containing Caecum and Inflamed Appendix: Two Case Reports and Review of the Literature to Guide Management.Journal of abdominal wall surgery : JAWS · 2025Article
- Feasibility of tension-free repair of inguinal hernia in senile patients under ultrasound-guided local nerve block.Updates in surgery · 2024Article
- Assessing knowledge and confidence of surgical residents in inguinal hernia repair using a low-cost synthetic model.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
Corrections and comments
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Authors and funding
20 authors at 10 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo realize a systematic review to evaluate groin hernia surgery for adults in sub-Saharan Africa.
methodsWe 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.
resultsWe 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)].
conclusionThis 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.
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Registered trials
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.