Impact of sex on ventral hernia repair outcomes: A systematic review and meta-analysis
Given the variability in abdominal physiology and hernia presentation between sexes, better comprehension of sex-related differences in outcomes would tailor surgical approach and counseling regarding postoperative outcomes. This meta-analysis aims to appraise the effect of sex on the outcomes of ve...
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| Veröffentlicht in: | The American journal of surgery 2023-09, Vol.226 (3), p.385-392 |
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| creator | Oliveira, Eduarda Sabá C. Calvi, Izabela P. Hora, David A.B. Gomes, Cintia P. Burlá, Marina M. Mao, Rui-Min Diana de Figueiredo, Sergio Mazzola Poli Lu, Richard |
| description | Given the variability in abdominal physiology and hernia presentation between sexes, better comprehension of sex-related differences in outcomes would tailor surgical approach and counseling regarding postoperative outcomes. This meta-analysis aims to appraise the effect of sex on the outcomes of ventral hernia repair.
A literature search in PubMed, EMBASE and Cochrane selected studies comparing outcomes of ventral hernia repair between sexes. Postoperative outcomes were assessed by pooled and meta-analysis. Statistical analysis was performed using RevMan 5.4.
We screened 3128 studies, reviewed 133, and included 18 observational studies, which encompassed 220,799 patients following ventral hernia repair. Postoperative chronic pain was significantly higher in female (OR 1,9; 95% CI 1,64–2,2; p |
| doi_str_mv | 10.1016/j.amjsurg.2023.06.026 |
| format | Article |
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A literature search in PubMed, EMBASE and Cochrane selected studies comparing outcomes of ventral hernia repair between sexes. Postoperative outcomes were assessed by pooled and meta-analysis. Statistical analysis was performed using RevMan 5.4.
We screened 3128 studies, reviewed 133, and included 18 observational studies, which encompassed 220,799 patients following ventral hernia repair. Postoperative chronic pain was significantly higher in female (OR 1,9; 95% CI 1,64–2,2; p < 0,001). There were no significant differences in complications, readmission, or recurrence rates between females and males.
Female sex is associated with a higher risk of postoperative chronic pain following ventral hernia repair.
•Ventral hernia presentation and management are influenced by gender.•Sex is an important biological variable that can affect VHR outcomes.•Female sex is associated with a higher risk of postoperative pain following VHR.•No sex-related difference was found for recurrence, readmission or complications.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/j.amjsurg.2023.06.026</identifier><identifier>PMID: 37394348</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Abdomen ; Chronic pain ; Complications ; Females ; Gender differences ; Hernia ; Hernias ; Males ; Meta-analysis ; Observational studies ; Pain ; Patients ; Postoperative period ; Regression analysis ; Sex ; Sex differences ; Statistical analysis ; Surgical anastomosis ; Surgical outcomes ; Surgical site infections ; Surgical techniques ; Systematic review</subject><ispartof>The American journal of surgery, 2023-09, Vol.226 (3), p.385-392</ispartof><rights>2023 Elsevier Inc.</rights><rights>Copyright © 2023 Elsevier Inc. All rights reserved.</rights><rights>2023. Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c341t-9399605ff2bcc0c03e2d6d013e591a341bb7ca24a7a659375fe6b587c2c649033</cites><orcidid>0000-0002-9959-7446 ; 0000-0003-2986-8164 ; 0000-0001-9379-8186 ; 0000-0003-3847-5282 ; 0000-0003-2193-6986 ; 0000-0002-4899-9082</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0002961023002799$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37394348$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oliveira, Eduarda Sabá C.</creatorcontrib><creatorcontrib>Calvi, Izabela P.</creatorcontrib><creatorcontrib>Hora, David A.B.</creatorcontrib><creatorcontrib>Gomes, Cintia P.</creatorcontrib><creatorcontrib>Burlá, Marina M.</creatorcontrib><creatorcontrib>Mao, Rui-Min Diana</creatorcontrib><creatorcontrib>de Figueiredo, Sergio Mazzola Poli</creatorcontrib><creatorcontrib>Lu, Richard</creatorcontrib><title>Impact of sex on ventral hernia repair outcomes: A systematic review and meta-analysis</title><title>The American journal of surgery</title><addtitle>Am J Surg</addtitle><description>Given the variability in abdominal physiology and hernia presentation between sexes, better comprehension of sex-related differences in outcomes would tailor surgical approach and counseling regarding postoperative outcomes. This meta-analysis aims to appraise the effect of sex on the outcomes of ventral hernia repair.
A literature search in PubMed, EMBASE and Cochrane selected studies comparing outcomes of ventral hernia repair between sexes. Postoperative outcomes were assessed by pooled and meta-analysis. Statistical analysis was performed using RevMan 5.4.
We screened 3128 studies, reviewed 133, and included 18 observational studies, which encompassed 220,799 patients following ventral hernia repair. Postoperative chronic pain was significantly higher in female (OR 1,9; 95% CI 1,64–2,2; p < 0,001). There were no significant differences in complications, readmission, or recurrence rates between females and males.
Female sex is associated with a higher risk of postoperative chronic pain following ventral hernia repair.
•Ventral hernia presentation and management are influenced by gender.•Sex is an important biological variable that can affect VHR outcomes.•Female sex is associated with a higher risk of postoperative pain following VHR.•No sex-related difference was found for recurrence, readmission or complications.</description><subject>Abdomen</subject><subject>Chronic pain</subject><subject>Complications</subject><subject>Females</subject><subject>Gender differences</subject><subject>Hernia</subject><subject>Hernias</subject><subject>Males</subject><subject>Meta-analysis</subject><subject>Observational studies</subject><subject>Pain</subject><subject>Patients</subject><subject>Postoperative period</subject><subject>Regression analysis</subject><subject>Sex</subject><subject>Sex differences</subject><subject>Statistical analysis</subject><subject>Surgical anastomosis</subject><subject>Surgical outcomes</subject><subject>Surgical site infections</subject><subject>Surgical techniques</subject><subject>Systematic review</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqFkEtr3DAQgEVpaTZpf0KKoJde7Ohhy1YvJYQ2CQR6aXIVY3mcytjWVpLT7r-vlt3m0EtgYBjmmwcfIeeclZxxdTGWMI9xDY-lYEKWTJVMqFdkw9tGF7xt5WuyYYyJQivOTshpjGMuOa_kW3IiG6krWbUb8nA7b8Em6gca8Q_1C33CJQWY6E8MiwMacAsuUL8m62eMn-kljbuYcIbkbO4-OfxNYenpjAkKWGDaRRffkTcDTBHfH_MZuf_29cfVTXH3_fr26vKusLLiqdBSa8XqYRCdtcwyiaJXPeMSa80hI13XWBAVNKBqLZt6QNXVbWOFVZVmUp6RT4e92-B_rRiTmV20OE2woF-jEa3MoRu5Rz_-h45-DfnfPaWE4G1Wl6n6QNngYww4mG1wM4Sd4czsxZvRHMWbvXjDlMni89yH4_a1m7F_nvpnOgNfDgBmHVlaMNE6XCz2LqBNpvfuhRN_AZGzlg0</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Oliveira, Eduarda Sabá C.</creator><creator>Calvi, Izabela P.</creator><creator>Hora, David A.B.</creator><creator>Gomes, Cintia P.</creator><creator>Burlá, Marina M.</creator><creator>Mao, Rui-Min Diana</creator><creator>de Figueiredo, Sergio Mazzola Poli</creator><creator>Lu, Richard</creator><general>Elsevier Inc</general><general>Elsevier Limited</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9959-7446</orcidid><orcidid>https://orcid.org/0000-0003-2986-8164</orcidid><orcidid>https://orcid.org/0000-0001-9379-8186</orcidid><orcidid>https://orcid.org/0000-0003-3847-5282</orcidid><orcidid>https://orcid.org/0000-0003-2193-6986</orcidid><orcidid>https://orcid.org/0000-0002-4899-9082</orcidid></search><sort><creationdate>20230901</creationdate><title>Impact of sex on ventral hernia repair outcomes: A systematic review and meta-analysis</title><author>Oliveira, Eduarda Sabá C. ; Calvi, Izabela P. ; Hora, David A.B. ; Gomes, Cintia P. ; Burlá, Marina M. ; Mao, Rui-Min Diana ; de Figueiredo, Sergio Mazzola Poli ; Lu, Richard</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c341t-9399605ff2bcc0c03e2d6d013e591a341bb7ca24a7a659375fe6b587c2c649033</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdomen</topic><topic>Chronic pain</topic><topic>Complications</topic><topic>Females</topic><topic>Gender differences</topic><topic>Hernia</topic><topic>Hernias</topic><topic>Males</topic><topic>Meta-analysis</topic><topic>Observational studies</topic><topic>Pain</topic><topic>Patients</topic><topic>Postoperative period</topic><topic>Regression analysis</topic><topic>Sex</topic><topic>Sex differences</topic><topic>Statistical analysis</topic><topic>Surgical anastomosis</topic><topic>Surgical outcomes</topic><topic>Surgical site infections</topic><topic>Surgical techniques</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oliveira, Eduarda Sabá C.</creatorcontrib><creatorcontrib>Calvi, Izabela P.</creatorcontrib><creatorcontrib>Hora, David A.B.</creatorcontrib><creatorcontrib>Gomes, Cintia P.</creatorcontrib><creatorcontrib>Burlá, Marina M.</creatorcontrib><creatorcontrib>Mao, Rui-Min Diana</creatorcontrib><creatorcontrib>de Figueiredo, Sergio Mazzola Poli</creatorcontrib><creatorcontrib>Lu, Richard</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oliveira, Eduarda Sabá C.</au><au>Calvi, Izabela P.</au><au>Hora, David A.B.</au><au>Gomes, Cintia P.</au><au>Burlá, Marina M.</au><au>Mao, Rui-Min Diana</au><au>de Figueiredo, Sergio Mazzola Poli</au><au>Lu, Richard</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Impact of sex on ventral hernia repair outcomes: A systematic review and meta-analysis</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>2023-09-01</date><risdate>2023</risdate><volume>226</volume><issue>3</issue><spage>385</spage><epage>392</epage><pages>385-392</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><abstract>Given the variability in abdominal physiology and hernia presentation between sexes, better comprehension of sex-related differences in outcomes would tailor surgical approach and counseling regarding postoperative outcomes. This meta-analysis aims to appraise the effect of sex on the outcomes of ventral hernia repair.
A literature search in PubMed, EMBASE and Cochrane selected studies comparing outcomes of ventral hernia repair between sexes. Postoperative outcomes were assessed by pooled and meta-analysis. Statistical analysis was performed using RevMan 5.4.
We screened 3128 studies, reviewed 133, and included 18 observational studies, which encompassed 220,799 patients following ventral hernia repair. Postoperative chronic pain was significantly higher in female (OR 1,9; 95% CI 1,64–2,2; p < 0,001). There were no significant differences in complications, readmission, or recurrence rates between females and males.
Female sex is associated with a higher risk of postoperative chronic pain following ventral hernia repair.
•Ventral hernia presentation and management are influenced by gender.•Sex is an important biological variable that can affect VHR outcomes.•Female sex is associated with a higher risk of postoperative pain following VHR.•No sex-related difference was found for recurrence, readmission or complications.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>37394348</pmid><doi>10.1016/j.amjsurg.2023.06.026</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9959-7446</orcidid><orcidid>https://orcid.org/0000-0003-2986-8164</orcidid><orcidid>https://orcid.org/0000-0001-9379-8186</orcidid><orcidid>https://orcid.org/0000-0003-3847-5282</orcidid><orcidid>https://orcid.org/0000-0003-2193-6986</orcidid><orcidid>https://orcid.org/0000-0002-4899-9082</orcidid></addata></record> |
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| ispartof | The American journal of surgery, 2023-09, Vol.226 (3), p.385-392 |
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| source | Elsevier ScienceDirect Journals |
| subjects | Abdomen Chronic pain Complications Females Gender differences Hernia Hernias Males Meta-analysis Observational studies Pain Patients Postoperative period Regression analysis Sex Sex differences Statistical analysis Surgical anastomosis Surgical outcomes Surgical site infections Surgical techniques Systematic review |
| title | Impact of sex on ventral hernia repair outcomes: A systematic review and meta-analysis |
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