Laparoscopic Versus Open Incisional and Ventral Hernia Repair: A Systematic Review and Meta-analysis

Background Laparoscopic incisional and ventral hernia repair (LIVHR) is an alternative approach to conventional open incisional and ventral hernia repair (OIVHR). A consensus on outcomes of LIVHR when compared with OIVHR has not been reached. Methods As the basis for the present study, we performed...

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Veröffentlicht in:	World journal of surgery 2014-09, Vol.38 (9), p.2233-2240
Hauptverfasser:	Zhang, Yanyan, Zhou, Haiyang, Chai, Yunsheng, Cao, Can, Jin, Kaizhou, Hu, Zhiqian
Format:	Artikel
Sprache:	eng
Schlagworte:	Abdominal Surgery Cardiac Surgery General Surgery Hematoma - etiology Hernia, Ventral - surgery Herniorrhaphy - adverse effects Herniorrhaphy - methods Humans Intestinal Obstruction - etiology Intestinal Perforation - etiology Laparoscopic Group Laparoscopy - adverse effects Length of Stay Medicine Medicine & Public Health Open Group Open Repair Recurrence Reoperation Risk Ratio Seroma - etiology Surgery Surgical Wound Infection - etiology Thoracic Surgery Time Factors Vascular Surgery Ventral Hernia
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Zusammenfassung:	Background Laparoscopic incisional and ventral hernia repair (LIVHR) is an alternative approach to conventional open incisional and ventral hernia repair (OIVHR). A consensus on outcomes of LIVHR when compared with OIVHR has not been reached. Methods As the basis for the present study, we performed a systematic review and meta-analysis of all randomized controlled trials comparing LIVHR and OIVHR. Results Eleven studies involving 1,003 patients were enrolled. The incidences of wound infection were significantly lower in the laparoscopic group than that in the open group (laparoscopic group 2.8 %, open group 16.2 %; RR = 0.19, 95 % CI 0.11–0.32; P
ISSN:	0364-2313 1432-2323
DOI:	10.1007/s00268-014-2578-z