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| 1 | Current state of laparoscopic parastomal hernia repair:A meta-analysis显示文摘AIM:To evaluate the efficacy and safety of the laparoscopic approaches for parastomal hernia repair reported in the literature.METHODS:A systematic review of PubMed and MEDLINE databases was conducted using various combination of the following keywords:stoma repair,laparoscopic,parastomal,and hernia.Case reports,studies with less than 5 patients,and articles not written in English were excluded.Eligible studies were further scrutinized with the 2011 levels of evidence from the Oxford Centre for Evidence-Based Medicine.Two authors reviewed and analyzed each study.If there was any discrepancy between scores,the study in question was referred to another author.A meta-analysis was performed using both random and fixed-effect models.Publication bias was evaluated using Begg's funnel plot and Egger's regression test.The primary outcome analyzed was recurrence of parastomal hernia.Secondary outcomes were mesh infection,surgical site infection,obstruction requiring reoperation,death,and other complications.Studies were grouped by operative technique where indicated.Except for recurrence,most postoperative morbidities were reported for the overall cohort and not by approach so they were analyzed across approach.RESULTS:Fifteen articles with a total of 469 patients were deemed eligible for review.Most postoperative morbidities were reported for the overall cohort,and not by approach.The overall postoperative morbidity rate was 1.8%(95%CI:0.8-3.2),and there was no difference between techniques.The most common postoperative complication was surgical site infection,which was seen in 3.8%(95%CI:2.3-5.7).Infected mesh was observed in 1.7%(95%CI:0.7-3.1),and obstruction requiring reoperation also occurred in 1.7%(95%CI:0.7-3.0).Other complications such as ileus,pneumonia,or urinary tract infection were noted in16.6%(95%CI:11.9-22.1).Eighty-one recurrences were reported overall for a recurrence rate of 17.4%(95%CI:9.5-26.9).The recurrence rate was 10.2%(95%CI:3.9-19.0) for the modified laparoscopic Sugarbaker approach,whereas the recurrence rate was27.9%(95%CI:12.3-46.9) for the keyhole approach.There were no intraoperative mortalities reported and six mortalities during the postoperative course.CONCLUSION:Laparoscopic intraperitoneal mesh repair is safe and effective for treating parastomal hernia.A modified Sugarbaker approach appears to provide the best outcomes. | Francis J DeAsis Brittany Lapin Matthew E Gitelis Michael B Ujiki | 2015 | World Journal of Gastroenterology2015，21，28： | 34 |
| 2 | Allograft prosthetic composite replacement for bone tumors显示文摘 | Hejna MJ Gitelis S | 1997 | Semin Surg Oncol1997，13，： | 1 |
| 3 | Resorption evaluation of a large bolus of calcium sulfate in a canine medullary defect 显示文摘 | TURNER T M URBAN R M GITELIS S | 2003 | Orthopedics2003，26，5： | 1 |
| 4 | Resorption evaluation of a large bolus of calcium sulfate in a canine medullary defect显示文摘 | Turner TM Urban RM Gitelis S | 2003 | Orthopedics2003，26，5： | 1 |
| 5 | Preparationand properties of polyurethane coatings based on acrylicpolyols and trimer of isophorone diisocyanate 显示文摘 | Gite V V Mahulikar P P Hundiwale D G | 2010 | Pro-gress In Organic Coatings2010，68，4： | 1 |
| 6 | The use of a surgical grade calcium sulfate as a bone graft substitute: Results of a multicenter trial显示文摘 | Kelly CM Wilkins RM Gitelis S | 2001 | Clin Orthop Relat Res2001，，382： | 1 |
| 7 | Allograft prosthetic composite arthroplasty for osteosarcoma and other aggressive bone tumors 显示文摘 | GITELIS S PIASECKI P | 1991 | Clin Orthop Relat Res1991，270，： | 1 |
| 8 | Resorption evaluation of a large bolus of calcium sulfate in a canine medullary defect显示文摘 | Turner TM Urban RM Gitelis S | | 0，，5： | 1 |
| 9 | Novelpolyurea microcapsules using dendritic functionalmonomer:Synthesis,characterization, and itsuse in self-healing and anticorrosive polyurethanecoatings 显示文摘 | TatiyaP D Hedaoo R K Gite V V | 2013 | Ind Eng Chem Res2013，52，4： | 1 |
| 10 | The natural history of unicameral bone cyst after steroid injection显示文摘 | Capanna R Dal Monte A Gitelis S | 1982 | Clin Orthop Relat Res1982，166，1： | 1 |
| 11 | The use of a surgical grade calcium sulfate as a bone graft substitute:results of a multicenter trial显示文摘 | Kelly CM Wilkins RM Gitelis S | 2001 | Clin Orthop Relat Res2001，382，： | 1 |
| 12 | Short and long term failure of the modular oncology knee prosthesis显示文摘 | Gitelis S Yergler JD Sawlani N | | 0，，04： | 1 |
| 13 | Resorption evaluation of a large bolus of calcium sulfate in a canine medullary defect显示文摘 | Urban RM Gitelis S | 2003 | Orthopedics2003，26，5： | 1 |
| 14 | Telomerase reverse transcriptase subunit expression is associated with chondrossrcoma malignancy显示文摘 | J·A·Martin B·R·DeYoung S·Gitelis | 2004 | Clinical Orthopaedics and Related Research2004，，426： | 1 |
| 15 | The treatment of chronic osteomyelitis with a biodegradable antibiotic - impregnated implant 显示文摘 | Gitelis S Brebach G T | 2002 | J Orthop Surg ( Hong Kong)2002，10，1： | 1 |
| 16 | The use of a surgical grade calcium sulfate as a bone graft substitute : results of a multicenter trial显示文摘 | Kelly C M Wilkins R M Gitelis S | 2001 | Clin Orthop Relat Res2001，，382： | 1 |
| 17 | Resorption evaluation of a large bolus of calcium sulfate in a canine medullary defect 显示文摘 | Turner TM Urban RM Gitelis S | 2003 | Orthopedics2003，26，5： | 1 |
| 18 | A high-throughput nonisotopic protein truncation test显示文摘 | Sadanand Gite S Lim M Carlson R | 2003 | Nature Biotechnol2003，21，2： | 1 |
| 19 | Intralesional excision compared with en bloc resection for giant-cell tumors of bone显示文摘 | Gitelis S Mallin BA Piasecki P | 1993 | J Bone Joint Surg Am1993，75，： | 1 |
| 20 | Intralesional excision com- pared with en bloc resection for giant-cell tumors of bone 显示文摘 | Gitelis S Mallin BA Piasecki P | 1993 | J Bone Joint Surg Am1993，75，11： | 1 |
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