Hybrid intraperitoneal onlay mesh repair for incisional hernias: a systematic review and meta-analysis
Introduction Laparoscopic IPOM is technically challenging, especially regarding fascial closure. Hybrid repair has been proposed as a simpler approach. We aimed to compare hybrid and laparoscopic intraperitoneal onlay mesh repair (IPOM) in patients undergoing ventral hernia repair (VHR). Methods We...
Gespeichert in:
| Veröffentlicht in: | Hernia : the journal of hernias and abdominal wall surgery 2024-12, Vol.28 (6), p.2055-2067 |
|---|---|
| Hauptverfasser: | , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2067 |
|---|---|
| container_issue | 6 |
| container_start_page | 2055 |
| container_title | Hernia : the journal of hernias and abdominal wall surgery |
| container_volume | 28 |
| creator | Marcolin, Patrícia Bueno Motter, Sarah Brandão, Gabriela. R Lima, Diego L. Oliveira Trindade, Bruna Mazzola Poli de Figueiredo, Sérgio |
| description | Introduction
Laparoscopic IPOM is technically challenging, especially regarding fascial closure. Hybrid repair has been proposed as a simpler approach. We aimed to compare hybrid and laparoscopic intraperitoneal onlay mesh repair (IPOM) in patients undergoing ventral hernia repair (VHR).
Methods
We performed a systematic review of Cochrane, Scopus, and MEDLINE databases to identify studies comparing hybrid versus laparoscopic IPOM VHR reporting the outcomes of recurrence, mortality, seroma, postoperative complications, reoperation, surgical site infection, and operative time. Statistical analysis was performed using RStudio 4.1.2 using a random-effects model.
Results
We screened 2,896 articles and fully reviewed 22 of them. A total of five studies, encompassing 664 patients were included. Among them, 337 (50.8%) underwent laparoscopic IPOM. All patients had incisional hernias, with a mean diameter varying from 3 to 12.7 cm, 60% were women, with a mean BMI varying from 29.5 to 38. The hybrid approach had a lower rate of seroma when compared to the laparoscopic (OR 0.22; 95% CI 0.05 to 0.92;
p
= 0.038; I²=78%). We found no difference in recurrence, mortality, postoperative complications, reoperation, surgical site infection, and operative time between groups.
Conclusion
Hybrid IPOM is a safe and effective method for incisional hernia repair. Moreover, it facilitates fascial defect closure and decreases postoperative seromas. |
| doi_str_mv | 10.1007/s10029-024-03105-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_3078720003</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3078720003</sourcerecordid><originalsourceid>FETCH-LOGICAL-c326t-86d8305d74af6a01201a41f479025da95dccf406c3393a6a3a0f451078fd4bc73</originalsourceid><addsrcrecordid>eNp90TtPHDEQB3ArCgICfIEUaKU0NBvGj33RRSeSi4REA7U157VzRvs4PHs57bdn4EiIUtDYlvyb8ch_IT5L-CoBqkviVTU5KJODllDkuw_iWCpT540C8_Gf85H4RPQAALUp60NxpOumAaXhWITlvEqxzeIwJdz4FKdx8Nhl49DhnPWe1lnyG4wpC2Ni5SLFcWCw9mmISFcZZjTT5HucomP7O_pdhkPLtRPmyHSmSKfiIGBH_ux1PxH336_vFsv85vbHz8W3m9xpVU55Xba1hqKtDIYSQSqQaGQwFU9btNgUrXPBQOm0bjSWqBGCKSRUdWjNylX6RFzs-27S-Lj1NNk-kvNdh4Mft2Q100rxR2imX_6jD-M28byspNKyAlkCK7VXLo1EyQe7SbHHNFsJ9jkFu0_Bcgr2JQW746Lz19bbVe_bvyV_vp2B3gPiq-GXT29vv9P2CXfZkxM</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3123170160</pqid></control><display><type>article</type><title>Hybrid intraperitoneal onlay mesh repair for incisional hernias: a systematic review and meta-analysis</title><source>MEDLINE</source><source>SpringerLink Journals</source><creator>Marcolin, Patrícia ; Bueno Motter, Sarah ; Brandão, Gabriela. R ; Lima, Diego L. ; Oliveira Trindade, Bruna ; Mazzola Poli de Figueiredo, Sérgio</creator><creatorcontrib>Marcolin, Patrícia ; Bueno Motter, Sarah ; Brandão, Gabriela. R ; Lima, Diego L. ; Oliveira Trindade, Bruna ; Mazzola Poli de Figueiredo, Sérgio</creatorcontrib><description>Introduction
Laparoscopic IPOM is technically challenging, especially regarding fascial closure. Hybrid repair has been proposed as a simpler approach. We aimed to compare hybrid and laparoscopic intraperitoneal onlay mesh repair (IPOM) in patients undergoing ventral hernia repair (VHR).
Methods
We performed a systematic review of Cochrane, Scopus, and MEDLINE databases to identify studies comparing hybrid versus laparoscopic IPOM VHR reporting the outcomes of recurrence, mortality, seroma, postoperative complications, reoperation, surgical site infection, and operative time. Statistical analysis was performed using RStudio 4.1.2 using a random-effects model.
Results
We screened 2,896 articles and fully reviewed 22 of them. A total of five studies, encompassing 664 patients were included. Among them, 337 (50.8%) underwent laparoscopic IPOM. All patients had incisional hernias, with a mean diameter varying from 3 to 12.7 cm, 60% were women, with a mean BMI varying from 29.5 to 38. The hybrid approach had a lower rate of seroma when compared to the laparoscopic (OR 0.22; 95% CI 0.05 to 0.92;
p
= 0.038; I²=78%). We found no difference in recurrence, mortality, postoperative complications, reoperation, surgical site infection, and operative time between groups.
Conclusion
Hybrid IPOM is a safe and effective method for incisional hernia repair. Moreover, it facilitates fascial defect closure and decreases postoperative seromas.</description><identifier>ISSN: 1248-9204</identifier><identifier>ISSN: 1265-4906</identifier><identifier>EISSN: 1248-9204</identifier><identifier>DOI: 10.1007/s10029-024-03105-w</identifier><identifier>PMID: 38990230</identifier><language>eng</language><publisher>Paris: Springer Paris</publisher><subject>Abdominal Surgery ; Complications ; Hernia ; Hernia, Ventral - surgery ; Hernias ; Herniorrhaphy - adverse effects ; Herniorrhaphy - methods ; Humans ; Incisional Hernia - surgery ; Laparoscopy ; Laparoscopy - adverse effects ; Laparoscopy - methods ; Medicine ; Medicine & Public Health ; Meta-analysis ; Mortality ; Operative Time ; Postoperative ; Postoperative Complications - epidemiology ; Postoperative Complications - etiology ; Recurrence ; Reoperation - statistics & numerical data ; Review ; Seroma - epidemiology ; Seroma - etiology ; Statistical analysis ; Statistical models ; Surgical mesh ; Surgical Mesh - adverse effects ; Surgical site infections ; Surgical Wound Infection - epidemiology ; Surgical Wound Infection - etiology ; Systematic review</subject><ispartof>Hernia : the journal of hernias and abdominal wall surgery, 2024-12, Vol.28 (6), p.2055-2067</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c326t-86d8305d74af6a01201a41f479025da95dccf406c3393a6a3a0f451078fd4bc73</cites><orcidid>0000-0003-2986-8164 ; 0000-0002-7224-0383 ; 0000-0003-3241-5545 ; 0000-0002-5157-1108 ; 0000-0001-8041-4630 ; 0000-0001-7383-1284</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10029-024-03105-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10029-024-03105-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38990230$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marcolin, Patrícia</creatorcontrib><creatorcontrib>Bueno Motter, Sarah</creatorcontrib><creatorcontrib>Brandão, Gabriela. R</creatorcontrib><creatorcontrib>Lima, Diego L.</creatorcontrib><creatorcontrib>Oliveira Trindade, Bruna</creatorcontrib><creatorcontrib>Mazzola Poli de Figueiredo, Sérgio</creatorcontrib><title>Hybrid intraperitoneal onlay mesh repair for incisional hernias: a systematic review and meta-analysis</title><title>Hernia : the journal of hernias and abdominal wall surgery</title><addtitle>Hernia</addtitle><addtitle>Hernia</addtitle><description>Introduction
Laparoscopic IPOM is technically challenging, especially regarding fascial closure. Hybrid repair has been proposed as a simpler approach. We aimed to compare hybrid and laparoscopic intraperitoneal onlay mesh repair (IPOM) in patients undergoing ventral hernia repair (VHR).
Methods
We performed a systematic review of Cochrane, Scopus, and MEDLINE databases to identify studies comparing hybrid versus laparoscopic IPOM VHR reporting the outcomes of recurrence, mortality, seroma, postoperative complications, reoperation, surgical site infection, and operative time. Statistical analysis was performed using RStudio 4.1.2 using a random-effects model.
Results
We screened 2,896 articles and fully reviewed 22 of them. A total of five studies, encompassing 664 patients were included. Among them, 337 (50.8%) underwent laparoscopic IPOM. All patients had incisional hernias, with a mean diameter varying from 3 to 12.7 cm, 60% were women, with a mean BMI varying from 29.5 to 38. The hybrid approach had a lower rate of seroma when compared to the laparoscopic (OR 0.22; 95% CI 0.05 to 0.92;
p
= 0.038; I²=78%). We found no difference in recurrence, mortality, postoperative complications, reoperation, surgical site infection, and operative time between groups.
Conclusion
Hybrid IPOM is a safe and effective method for incisional hernia repair. Moreover, it facilitates fascial defect closure and decreases postoperative seromas.</description><subject>Abdominal Surgery</subject><subject>Complications</subject><subject>Hernia</subject><subject>Hernia, Ventral - surgery</subject><subject>Hernias</subject><subject>Herniorrhaphy - adverse effects</subject><subject>Herniorrhaphy - methods</subject><subject>Humans</subject><subject>Incisional Hernia - surgery</subject><subject>Laparoscopy</subject><subject>Laparoscopy - adverse effects</subject><subject>Laparoscopy - methods</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Meta-analysis</subject><subject>Mortality</subject><subject>Operative Time</subject><subject>Postoperative</subject><subject>Postoperative Complications - epidemiology</subject><subject>Postoperative Complications - etiology</subject><subject>Recurrence</subject><subject>Reoperation - statistics & numerical data</subject><subject>Review</subject><subject>Seroma - epidemiology</subject><subject>Seroma - etiology</subject><subject>Statistical analysis</subject><subject>Statistical models</subject><subject>Surgical mesh</subject><subject>Surgical Mesh - adverse effects</subject><subject>Surgical site infections</subject><subject>Surgical Wound Infection - epidemiology</subject><subject>Surgical Wound Infection - etiology</subject><subject>Systematic review</subject><issn>1248-9204</issn><issn>1265-4906</issn><issn>1248-9204</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp90TtPHDEQB3ArCgICfIEUaKU0NBvGj33RRSeSi4REA7U157VzRvs4PHs57bdn4EiIUtDYlvyb8ch_IT5L-CoBqkviVTU5KJODllDkuw_iWCpT540C8_Gf85H4RPQAALUp60NxpOumAaXhWITlvEqxzeIwJdz4FKdx8Nhl49DhnPWe1lnyG4wpC2Ni5SLFcWCw9mmISFcZZjTT5HucomP7O_pdhkPLtRPmyHSmSKfiIGBH_ux1PxH336_vFsv85vbHz8W3m9xpVU55Xba1hqKtDIYSQSqQaGQwFU9btNgUrXPBQOm0bjSWqBGCKSRUdWjNylX6RFzs-27S-Lj1NNk-kvNdh4Mft2Q100rxR2imX_6jD-M28byspNKyAlkCK7VXLo1EyQe7SbHHNFsJ9jkFu0_Bcgr2JQW746Lz19bbVe_bvyV_vp2B3gPiq-GXT29vv9P2CXfZkxM</recordid><startdate>20241201</startdate><enddate>20241201</enddate><creator>Marcolin, Patrícia</creator><creator>Bueno Motter, Sarah</creator><creator>Brandão, Gabriela. R</creator><creator>Lima, Diego L.</creator><creator>Oliveira Trindade, Bruna</creator><creator>Mazzola Poli de Figueiredo, Sérgio</creator><general>Springer Paris</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2986-8164</orcidid><orcidid>https://orcid.org/0000-0002-7224-0383</orcidid><orcidid>https://orcid.org/0000-0003-3241-5545</orcidid><orcidid>https://orcid.org/0000-0002-5157-1108</orcidid><orcidid>https://orcid.org/0000-0001-8041-4630</orcidid><orcidid>https://orcid.org/0000-0001-7383-1284</orcidid></search><sort><creationdate>20241201</creationdate><title>Hybrid intraperitoneal onlay mesh repair for incisional hernias: a systematic review and meta-analysis</title><author>Marcolin, Patrícia ; Bueno Motter, Sarah ; Brandão, Gabriela. R ; Lima, Diego L. ; Oliveira Trindade, Bruna ; Mazzola Poli de Figueiredo, Sérgio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-86d8305d74af6a01201a41f479025da95dccf406c3393a6a3a0f451078fd4bc73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Abdominal Surgery</topic><topic>Complications</topic><topic>Hernia</topic><topic>Hernia, Ventral - surgery</topic><topic>Hernias</topic><topic>Herniorrhaphy - adverse effects</topic><topic>Herniorrhaphy - methods</topic><topic>Humans</topic><topic>Incisional Hernia - surgery</topic><topic>Laparoscopy</topic><topic>Laparoscopy - adverse effects</topic><topic>Laparoscopy - methods</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Meta-analysis</topic><topic>Mortality</topic><topic>Operative Time</topic><topic>Postoperative</topic><topic>Postoperative Complications - epidemiology</topic><topic>Postoperative Complications - etiology</topic><topic>Recurrence</topic><topic>Reoperation - statistics & numerical data</topic><topic>Review</topic><topic>Seroma - epidemiology</topic><topic>Seroma - etiology</topic><topic>Statistical analysis</topic><topic>Statistical models</topic><topic>Surgical mesh</topic><topic>Surgical Mesh - adverse effects</topic><topic>Surgical site infections</topic><topic>Surgical Wound Infection - epidemiology</topic><topic>Surgical Wound Infection - etiology</topic><topic>Systematic review</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marcolin, Patrícia</creatorcontrib><creatorcontrib>Bueno Motter, Sarah</creatorcontrib><creatorcontrib>Brandão, Gabriela. R</creatorcontrib><creatorcontrib>Lima, Diego L.</creatorcontrib><creatorcontrib>Oliveira Trindade, Bruna</creatorcontrib><creatorcontrib>Mazzola Poli de Figueiredo, Sérgio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marcolin, Patrícia</au><au>Bueno Motter, Sarah</au><au>Brandão, Gabriela. R</au><au>Lima, Diego L.</au><au>Oliveira Trindade, Bruna</au><au>Mazzola Poli de Figueiredo, Sérgio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Hybrid intraperitoneal onlay mesh repair for incisional hernias: a systematic review and meta-analysis</atitle><jtitle>Hernia : the journal of hernias and abdominal wall surgery</jtitle><stitle>Hernia</stitle><addtitle>Hernia</addtitle><date>2024-12-01</date><risdate>2024</risdate><volume>28</volume><issue>6</issue><spage>2055</spage><epage>2067</epage><pages>2055-2067</pages><issn>1248-9204</issn><issn>1265-4906</issn><eissn>1248-9204</eissn><abstract>Introduction
Laparoscopic IPOM is technically challenging, especially regarding fascial closure. Hybrid repair has been proposed as a simpler approach. We aimed to compare hybrid and laparoscopic intraperitoneal onlay mesh repair (IPOM) in patients undergoing ventral hernia repair (VHR).
Methods
We performed a systematic review of Cochrane, Scopus, and MEDLINE databases to identify studies comparing hybrid versus laparoscopic IPOM VHR reporting the outcomes of recurrence, mortality, seroma, postoperative complications, reoperation, surgical site infection, and operative time. Statistical analysis was performed using RStudio 4.1.2 using a random-effects model.
Results
We screened 2,896 articles and fully reviewed 22 of them. A total of five studies, encompassing 664 patients were included. Among them, 337 (50.8%) underwent laparoscopic IPOM. All patients had incisional hernias, with a mean diameter varying from 3 to 12.7 cm, 60% were women, with a mean BMI varying from 29.5 to 38. The hybrid approach had a lower rate of seroma when compared to the laparoscopic (OR 0.22; 95% CI 0.05 to 0.92;
p
= 0.038; I²=78%). We found no difference in recurrence, mortality, postoperative complications, reoperation, surgical site infection, and operative time between groups.
Conclusion
Hybrid IPOM is a safe and effective method for incisional hernia repair. Moreover, it facilitates fascial defect closure and decreases postoperative seromas.</abstract><cop>Paris</cop><pub>Springer Paris</pub><pmid>38990230</pmid><doi>10.1007/s10029-024-03105-w</doi><tpages>13</tpages><orcidid>https://orcid.org/0000-0003-2986-8164</orcidid><orcidid>https://orcid.org/0000-0002-7224-0383</orcidid><orcidid>https://orcid.org/0000-0003-3241-5545</orcidid><orcidid>https://orcid.org/0000-0002-5157-1108</orcidid><orcidid>https://orcid.org/0000-0001-8041-4630</orcidid><orcidid>https://orcid.org/0000-0001-7383-1284</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1248-9204 |
| ispartof | Hernia : the journal of hernias and abdominal wall surgery, 2024-12, Vol.28 (6), p.2055-2067 |
| issn | 1248-9204 1265-4906 1248-9204 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_3078720003 |
| source | MEDLINE; SpringerLink Journals |
| subjects | Abdominal Surgery Complications Hernia Hernia, Ventral - surgery Hernias Herniorrhaphy - adverse effects Herniorrhaphy - methods Humans Incisional Hernia - surgery Laparoscopy Laparoscopy - adverse effects Laparoscopy - methods Medicine Medicine & Public Health Meta-analysis Mortality Operative Time Postoperative Postoperative Complications - epidemiology Postoperative Complications - etiology Recurrence Reoperation - statistics & numerical data Review Seroma - epidemiology Seroma - etiology Statistical analysis Statistical models Surgical mesh Surgical Mesh - adverse effects Surgical site infections Surgical Wound Infection - epidemiology Surgical Wound Infection - etiology Systematic review |
| title | Hybrid intraperitoneal onlay mesh repair for incisional hernias: a systematic review and meta-analysis |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-13T04%3A56%3A15IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Hybrid%20intraperitoneal%20onlay%20mesh%20repair%20for%20incisional%20hernias:%20a%20systematic%20review%20and%20meta-analysis&rft.jtitle=Hernia%20:%20the%20journal%20of%20hernias%20and%20abdominal%20wall%20surgery&rft.au=Marcolin,%20Patr%C3%ADcia&rft.date=2024-12-01&rft.volume=28&rft.issue=6&rft.spage=2055&rft.epage=2067&rft.pages=2055-2067&rft.issn=1248-9204&rft.eissn=1248-9204&rft_id=info:doi/10.1007/s10029-024-03105-w&rft_dat=%3Cproquest_cross%3E3078720003%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3123170160&rft_id=info:pmid/38990230&rfr_iscdi=true |