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Table 1 Study characteristics

From: Comparison of spinal anesthesia and general anesthesia in inguinal hernia repair in adult: a systematic review and meta-analysis

Study

Design

Group

Total N

Age

N

Inclusion

Exclusion

Repair used

Burney RE 2004 [4]

RCT

SA

33

≥18 years

15

Unilateral hernia

Recurrent or bilateral hernia

Open inguinal repair

 

GA

≥ 18 years

18

 

Donmez T 2016 [8]

RCT

SA

50

37.16 ± 10.85

25

Uncomplicated hernia

Complicated inguinal hernia (irreducible, obstructed, or strangulated); Recurrent hernias

TEP

 

GA

 

35.36 ± 11.40

25

 

Ismail M 2009 [10]

Cohort study

SA

652

46.1 ± 14.1

636

Reducible inguinal hernia

Obstructed and strangulated hernias, pediatric hernias, and other hernias, such as ventral hernias

TEP

 

GA

 

43.3 ± 15.6

16

 

Ozgün H 2002 [15]

RCT

SA

50

51.4 ± 15.1

25

Unilateral, reducible, direct or indirecthernia; types II and III according to the Nyhus classication

Scrotal, sliding, recurrent hernias

Open inguinal repair

 

GA

 

46.9 ± 19.8

25

 

Pere 2016 [16]

RCT

SA

100

51 ± 15

49

Unilateral

Not reported

Open inguinal repair

 

GA

 

54 ± 15

51

   

Sarakatsianou C 2017 [11]

RCT

SA

70

58.85 ± 13.54

34

Non-high risk; primary, unilateralinguinal hernia

Non-reducible/obstructed hernias, bilateral hernias, big scrotal hernias

TAPP

 

GA

 

57.64 ± 15.77

36

 

Sinha R 2008 [9]

Cohort study

SA

529

32.2

480

Unilateral or bilateral, direct or indirect, recurrent inguinal hernia

Obstructed and strangulatedinguinal hernia

TEP

 

GA

 

33.7

49

 

Sunamak 2018 (1) [12]

Cohort study

SA

207

31.8 ± 10.9

96

Unilateral hernia

Recurrent hernias, strangulated, incarcerated, or bilateral hernia

TEP

 

GA

 

39.9 ± 16.2

111

 

Sunamak 2018 (2) [12]

Cohort study

SA

233

38.1 ± 16.8

116

Unilateral hernia

Recurrent hernias, strangulated, incarcerated, or bilateral hernia

Open inguinal repair

 

GA

 

39.1 ± 16.5

117

  

Symeonidis 2013

Cohort study

SA

75

56.04 ± 13.44

50

Unilateral

Scrotal, recurrent, bilateral, strangulated, or incarcerated hernias

Open inguinal repair

 

GA

 

61.28 ± 11.42

25

  

Urbach 1964 [13]

RCT

SA

514

48 (17–71)

236

Unilateral or bilateral inguinal hernia

Not reported

Open inguinal repair

  

GA

 

43 (18–75)

278

 

Yildirim D 2017 [14]

Cohort study

SA

80

35.0 ± 11.3

40

Direct or indirect hernia

Strangled, bilateral, hernia, recurrent hernia

TEP

 

GA

 

36.4 ± 10.0

40

 
  1. RCT Randomized controlled trail, SA Spinal anesthesia, GA General anesthesia, TEP Laparoscopic total extraperitoneal hernia repair, TAPP Laparoscopic transabdominal preperitoneal inguinal hernia repair