Article ; Online: Comparison between the open and the laparoscopic approach in the primary ventral hernia repair: a systematic review and meta-analysis.
Langenbeck's archives of surgery
2024 Volume 409, Issue 1, Page(s) 52
Abstract: Background: Ventral hernia repair underwent various developments in the previous decade. Laparoscopic primary ventral hernia repair may be an alternative to open repair since it prevents large abdominal incisions. However, whether laparoscopy improves ... ...
| Abstract | Background: Ventral hernia repair underwent various developments in the previous decade. Laparoscopic primary ventral hernia repair may be an alternative to open repair since it prevents large abdominal incisions. However, whether laparoscopy improves clinical outcomes has not been systematically assessed. Objectives: The aim is to compare the clinical outcomes of the laparoscopic versus open approach of primary ventral hernias. Methods: A systematic search of MEDLINE (PubMed), Scopus, Web of Science, and Cochrane Central Register of Controlled Trials was conducted in February 2023. All randomized controlled trials comparing laparoscopy with the open approach in patients with a primary ventral hernia were included. A fixed-effects meta-analysis of risk ratios was performed for hernia recurrence, local infection, wound dehiscence, and local seroma. Meta-analysis for weighted mean differences was performed for postoperative pain, duration of surgery, length of hospital stay, and time until return to work. Results: Nine studies were included in the systematic review and meta-analysis. The overall hernia recurrence was twice less likely to occur in laparoscopy (RR = 0.49; 95%CI = 0.32-0.74; p < 0.001; I Conclusion: The results of available studies are controversial and have a high risk of bias, small sample sizes, and no well-defined protocols. However, the laparoscopic approach seems associated with a lower frequency of hernia recurrence, local infection, wound dehiscence, and local seroma. |
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| MeSH term(s) | Humans ; Herniorrhaphy/methods ; Seroma/epidemiology ; Seroma/etiology ; Seroma/surgery ; Hernia, Ventral/surgery ; Postoperative Complications/epidemiology ; Postoperative Complications/surgery ; Pain, Postoperative ; Laparoscopy/methods ; Wound Infection/surgery ; Surgical Mesh ; Recurrence | |||||
| Language | English | |||||
| Publishing date | 2024-02-03 | |||||
| Publishing country | Germany | |||||
| Document type | Meta-Analysis ; Systematic Review ; Journal Article | |||||
| ZDB-ID | 1423681-3 | |||||
| ISSN | 1435-2451 ; 1435-2443 | |||||
| ISSN (online) | 1435-2451 | |||||
| ISSN | 1435-2443 | |||||
| DOI | 10.1007/s00423-024-03241-y | |||||
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| Database | MEDical Literature Analysis and Retrieval System OnLINE |
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