Comparison between the open and the laparoscopic approach in the primary ventral hernia repair: a systematic review and meta-analysis

Detalhes bibliográficos
Autor(a) principal: Martins, Márcia Regina
Data de Publicação: 2024
Outros Autores: Santos-Sousa, Hugo, do Vale, Miguel Alves, Bouça-Machado, Raquel, Barbosa, Elisabete, Sousa-Pinto, Bernardo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/62814
Resumo: © The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
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spelling Comparison between the open and the laparoscopic approach in the primary ventral hernia repair: a systematic review and meta-analysisEpigastric herniaLaparoscopic repairOpen repairParaumbilical herniaUmbilical herniaVentral hernia© The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.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; I2 = 29%). Local infection (RR = 0.30; 95%CI = 0.19-0.49; p < 0.001; I2 = 0%), wound dehiscence (RR = 0.08; 95%CI = 0.02-0.32; p < 0.001; I2 = 0%), and local seroma (RR = 0.34; 95%CI = 0.19-0.59; p < 0.001; I2 = 14%) were also significantly less likely in patients undergoing laparoscopy. Severe heterogeneity was obtained when pooling data on postoperative pain, duration of surgery, length of hospital stay, and time until return to work. 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.Open access funding provided by FCT|FCCN (b-on)Springer NatureRepositório da Universidade de LisboaMartins, Márcia ReginaSantos-Sousa, Hugodo Vale, Miguel AlvesBouça-Machado, RaquelBarbosa, ElisabeteSousa-Pinto, Bernardo2024-02-22T12:24:39Z20242024-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/62814engLangenbecks Arch Surg. 2024 Feb 3;409(1):521435-244310.1007/s00423-024-03241-y1435-2451info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-11-20T18:28:19Zoai:repositorio.ul.pt:10451/62814Portal AgregadorONGhttps://www.rcaap.pt/oai/openairemluisa.alvim@gmail.comopendoar:71602024-11-20T18:28:19Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Comparison between the open and the laparoscopic approach in the primary ventral hernia repair: a systematic review and meta-analysis
title Comparison between the open and the laparoscopic approach in the primary ventral hernia repair: a systematic review and meta-analysis
spellingShingle Comparison between the open and the laparoscopic approach in the primary ventral hernia repair: a systematic review and meta-analysis
Martins, Márcia Regina
Epigastric hernia
Laparoscopic repair
Open repair
Paraumbilical hernia
Umbilical hernia
Ventral hernia
title_short Comparison between the open and the laparoscopic approach in the primary ventral hernia repair: a systematic review and meta-analysis
title_full Comparison between the open and the laparoscopic approach in the primary ventral hernia repair: a systematic review and meta-analysis
title_fullStr Comparison between the open and the laparoscopic approach in the primary ventral hernia repair: a systematic review and meta-analysis
title_full_unstemmed Comparison between the open and the laparoscopic approach in the primary ventral hernia repair: a systematic review and meta-analysis
title_sort Comparison between the open and the laparoscopic approach in the primary ventral hernia repair: a systematic review and meta-analysis
author Martins, Márcia Regina
author_facet Martins, Márcia Regina
Santos-Sousa, Hugo
do Vale, Miguel Alves
Bouça-Machado, Raquel
Barbosa, Elisabete
Sousa-Pinto, Bernardo
author_role author
author2 Santos-Sousa, Hugo
do Vale, Miguel Alves
Bouça-Machado, Raquel
Barbosa, Elisabete
Sousa-Pinto, Bernardo
author2_role author
author
author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Martins, Márcia Regina
Santos-Sousa, Hugo
do Vale, Miguel Alves
Bouça-Machado, Raquel
Barbosa, Elisabete
Sousa-Pinto, Bernardo
dc.subject.por.fl_str_mv Epigastric hernia
Laparoscopic repair
Open repair
Paraumbilical hernia
Umbilical hernia
Ventral hernia
topic Epigastric hernia
Laparoscopic repair
Open repair
Paraumbilical hernia
Umbilical hernia
Ventral hernia
description © The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
publishDate 2024
dc.date.none.fl_str_mv 2024-02-22T12:24:39Z
2024
2024-01-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/62814
url http://hdl.handle.net/10451/62814
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Langenbecks Arch Surg. 2024 Feb 3;409(1):52
1435-2443
10.1007/s00423-024-03241-y
1435-2451
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Springer Nature
publisher.none.fl_str_mv Springer Nature
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv mluisa.alvim@gmail.com
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