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Operation versus watchful waiting in asymptomatic or minimally symptomatic inguinal hernias: The meta-analysis results of randomized controlled trials.
Int J Surg 2018; 52:120-125IJ

Abstract

INTRODUCTION

The aim of this article was to compare and analyze the outcomes of surgical repair and watchful waiting (WW) in the treatment of asymptomatic or minimally symptomatic inguinal hernias.

METHODS

A systematic literature review was undertaken to identify studies that compare surgical repair and watchful waiting in asymptomatic or minimally symptomatic inguinal hernias. And all related data matching our standards were abstracted for Meta-analysis with RevMan 5.0.1.

RESULTS

Less pain was observed in Operation group. However, there were no significant differences in Physical Component Score (PCS), mortality, surgical complications and postoperative hernia recurrence between WW group and Operation group. But a great number of patients would develop significant hernia-related symptoms and cross over to surgery over time in WW group.

CONCLUSIONS

Patients have relative less pain in operation group compared with WW group. Although WW is safe in patients with asymptomatic or minimally symptomatic inguinal hernias, however, this strategy would merely delay rather than avoid surgical repair of hernias in the majority of inguinal hernia patients.

Authors+Show Affiliations

School of Medicine, Southeast University, Nanjing, China.Department of General Surgery, Affiliated Zhongda Hospital, Nanjing, China. Electronic address: Lijunshenghd@126.com.

Pub Type(s)

Journal Article
Meta-Analysis
Systematic Review

Language

eng

PubMed ID

29471159

Citation

Gong, Wenbin, and Junsheng Li. "Operation Versus Watchful Waiting in Asymptomatic or Minimally Symptomatic Inguinal Hernias: the Meta-analysis Results of Randomized Controlled Trials." International Journal of Surgery (London, England), vol. 52, 2018, pp. 120-125.
Gong W, Li J. Operation versus watchful waiting in asymptomatic or minimally symptomatic inguinal hernias: The meta-analysis results of randomized controlled trials. Int J Surg. 2018;52:120-125.
Gong, W., & Li, J. (2018). Operation versus watchful waiting in asymptomatic or minimally symptomatic inguinal hernias: The meta-analysis results of randomized controlled trials. International Journal of Surgery (London, England), 52, pp. 120-125. doi:10.1016/j.ijsu.2018.02.030.
Gong W, Li J. Operation Versus Watchful Waiting in Asymptomatic or Minimally Symptomatic Inguinal Hernias: the Meta-analysis Results of Randomized Controlled Trials. Int J Surg. 2018;52:120-125. PubMed PMID: 29471159.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Operation versus watchful waiting in asymptomatic or minimally symptomatic inguinal hernias: The meta-analysis results of randomized controlled trials. AU - Gong,Wenbin, AU - Li,Junsheng, Y1 - 2018/02/20/ PY - 2017/11/21/received PY - 2018/02/11/accepted PY - 2018/2/23/pubmed PY - 2018/9/1/medline PY - 2018/2/23/entrez KW - Hernia KW - Inguinal KW - Meta-analysis KW - Operation KW - Pain KW - Watchful waiting SP - 120 EP - 125 JF - International journal of surgery (London, England) JO - Int J Surg VL - 52 N2 - INTRODUCTION: The aim of this article was to compare and analyze the outcomes of surgical repair and watchful waiting (WW) in the treatment of asymptomatic or minimally symptomatic inguinal hernias. METHODS: A systematic literature review was undertaken to identify studies that compare surgical repair and watchful waiting in asymptomatic or minimally symptomatic inguinal hernias. And all related data matching our standards were abstracted for Meta-analysis with RevMan 5.0.1. RESULTS: Less pain was observed in Operation group. However, there were no significant differences in Physical Component Score (PCS), mortality, surgical complications and postoperative hernia recurrence between WW group and Operation group. But a great number of patients would develop significant hernia-related symptoms and cross over to surgery over time in WW group. CONCLUSIONS: Patients have relative less pain in operation group compared with WW group. Although WW is safe in patients with asymptomatic or minimally symptomatic inguinal hernias, however, this strategy would merely delay rather than avoid surgical repair of hernias in the majority of inguinal hernia patients. SN - 1743-9159 UR - https://www.unboundmedicine.com/medline/citation/29471159/Operation_versus_watchful_waiting_in_asymptomatic_or_minimally_symptomatic_inguinal_hernias:_The_meta_analysis_results_of_randomized_controlled_trials_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-9191(18)30559-4 DB - PRIME DP - Unbound Medicine ER -