Calmet Rocca W Rodrigo, Oliveira Carneiro Alexandre, Mazzola Poli De Figueiredo Sergio
Faculty of Medicine Alberto Hurtado, Universidad Peruana Cayetano Heredia, Lima, PER.
Faculty of Medicine, Universidade Federal de Uberlândia, Minas Gerais, BRA.
Cureus. 2025 Sep 18;17(9):e92605. doi: 10.7759/cureus.92605. eCollection 2025 Sep.
Telemedicine has been increasingly incorporated into medical practice in the last few years. However, it is still not a routine practice in our field. There is limited data on the impact of telemedicine on outcomes in hernia surgery. This systematic review and meta-analysis aims to evaluate the outcomes between telemedical perioperative care and in-person traditional care in hernia surgery. PubMed, EMBASE, and Cochrane were searched for studies comparing Telemedical interventions and traditional In-Person perioperative care for hernia surgery. Postoperative outcomes were assessed by pooled analysis and meta-analysis. Statistical analysis was performed using Review Manager 5.4 (Nordic Cochrane Center, The Cochrane Collaboration, Copenhagen, Denmark). One thousand and thirty-four articles were screened, and 39 were thoroughly reviewed. We included three observational retrospective studies, with 2,582 patients receiving telemedicine or in-person care for hernia surgery repair. A total of 2,049 (79%) patients received telemedicine care, and 533 (21%) received traditional care. There was no significant differences in overall complications (14% vs. 13%; odds ratio (OR) 1.11; 95% confidence interval (CI) 0.83-1.48; = 0.49; ² = 62%), surgical site occurrences (8% vs. 10%; OR 0.91; 95% CI 0.54-1.56; = 0.14; ² = 0.48%), and readmission rates (3% vs. 2.6%; OR 1.41; 95% CI 0.19-10.39; = 0.73; ² = 53%) between both groups. In conclusion, perioperative telemedicine in hernia surgery may be safe compared to traditional in-person care, without significant differences in complications, readmissions, or surgical site occurrences. Our findings support telemedical perioperative care as a feasible alternative that enhances patient access while maintaining optimal surgical outcomes. Further high-quality prospective studies are warranted to better establish the role of telemedicine in hernia surgery.
在过去几年中，远程医疗已越来越多地融入医疗实践。然而，在我们这个领域它仍不是常规做法。关于远程医疗对疝气手术结局影响的数据有限。本系统评价和荟萃分析旨在评估疝气手术中远程医疗围手术期护理与传统面对面护理之间的结局。检索了PubMed、EMBASE和Cochrane数据库，查找比较疝气手术远程医疗干预与传统面对面围手术期护理的研究。通过汇总分析和荟萃分析评估术后结局。使用Review Manager 5.4（北欧Cochrane中心，Cochrane协作网，丹麦哥本哈根）进行统计分析。筛选了1034篇文章，对其中39篇进行了全面审查。我们纳入了三项观察性回顾性研究，共有2582例接受疝气手术修复的患者接受了远程医疗或面对面护理。共有2049例（79%）患者接受了远程医疗护理，533例（21%）接受了传统护理。两组在总体并发症（14%对13%；优势比（OR）1.11；95%置信区间（CI）0.83 - 1.48；P = 0.49；I² = 62%）、手术部位感染（8%对10%；OR 0.91；95%CI 0.54 - 1.56；P = 0.14；I² = 0.48%）和再入院率（3%对2.6%；OR 1.41；95%CI 0.19 - 10.39；P = 0.73；I² = 53%）方面均无显著差异。总之，与传统面对面护理相比，疝气手术围手术期远程医疗可能是安全的，在并发症、再入院或手术部位感染方面无显著差异。我们的研究结果支持远程医疗围手术期护理是一种可行的替代方案，在维持最佳手术结局的同时可增加患者就医机会。需要进一步开展高质量的前瞻性研究，以更好地确定远程医疗在疝气手术中的作用。
