SynthesisHernia : the journal of hernias and abdominal wall surgery2024
Safety and effectiveness of laparoscopic adult groin hernia repair in Africa: a systematic review and meta-analysis.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed, 5 citations in OpenAlex.
- Robotic and Laparoscopic Inguinal Hernia Repair in Africa: Current Adoption, Challenges, and Future Horizons.Journal of abdominal wall surgery : JAWS · 2026Review
- Cost comparison of laparoscopic versus open surgery for common procedures in Rwandan teaching hospitals.Surgery open science · 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
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
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Abstract
backgroundSurgery is the recommended treatment of groin hernia, and laparoscopic approach is increasingly accepted due to lower risk of chronic pain. This systematic review aims to evaluate results of laparoscopic groin hernia repair (LGHR) in Africa.
methodsWe performed a literature search of published studies using electronic databases. Included African articles reported at least one of outcomes after LGHR in adult population. Newcastle-Ottawa Scale was used for quality assessment. A quantitative meta-analysis was performed to estimate the pooled prevalence of the post-operative outcomes.
resultsWe included 19 studies from 6 countries which totalized 2329 hernia cases. Mean age was 44.5 years and male patients were predominant (sex-ratio 19.8). The mean operative time was 69.1 min. The pooled prevalence of conversion to open procedure was 2.578% (95% IC: 1.209-4.443). The pooled prevalence of surgical site infection and Hematoma/Seroma was respectively 0.626% (95%IC: 0.332-1.071) and 4.617% (95% IC: 2.990-6.577). The pooled prevalence of recurrence and chronic pain was respectively 2.410% (95% IC: 1.334-3.792) and 3.180% (95% IC: 1.435-5.580). We found that total morbidity for TAPP procedure was higher than TEP procedure (p = 0.0006; OR 1.8443).
conclusionThese results confirm that LGHR is safe and feasible and would be recommended in our African context.
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