ReviewSurgical endoscopy2008
Open versus laparoscopic incisional hernia repair: something different from a meta-analysis.
Review in Surgical endoscopy, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A meta-analysis comparing tacker mesh fixation with suture mesh fixation in laparoscopic incisional and ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2013Pooled it
- Laparoscopic versus open surgical techniques for ventral or incisional hernia repair.The Cochrane database of systematic reviews · 2011Pooled it
- Comparison of two different concepts of mesh and fixation technique in laparoscopic ventral hernia repair: a randomized controlled trial.Surgical endoscopy · 2016Trial
- Mesh shrinkage and pain in laparoscopic ventral hernia repair: a randomized clinical trial comparing suture versus tack mesh fixation.Surgical endoscopy · 2011Trial
- Self-fixating mesh for the Lichtenstein procedure--a prestudy.Langenbeck's archives of surgery · 2010Trial
- A case of idiopathic superior lumbar hernia repaired using a transabdominal laparoscopic approach.Journal of surgical case reports · 2024Article
- The macquarie system for comprehensive management of complex ventral hernia.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Laparoscopic Ventral Hernia Repair Combined with Sleeve Gastrectomy in Morbidly Obese Patients: Early Outcomes.Surgery journal (New York, N.Y.) · 2019Article
- Differences of alternative methods of measuring abdominal wall hernia defect size: a prospective observational study.Surgical endoscopy · 2018Observational
- Outcomes after laparoscopic ventral hernia repair: does the number of previous recurrences matter? A prospective study.Surgical endoscopy · 2017Article
- SAGES guidelines for laparoscopic ventral hernia repair.Surgical endoscopy · 2016Article
- Laparoscopic surgery: A qualified systematic review.World journal of methodology · 2015Article
- Laparoscopic ventral incisional hernia repair: evidence-based guidelines of the first Italian Consensus Conference.Hernia : the journal of hernias and abdominal wall surgery · 2013Review
- Combined laparoscopic and open technique for the repair of large complicated incisional hernias.Surgical endoscopy · 2013Article
- Validation of a questionnaire for the assessment of pain following ventral hernia repair--the VHPQ.Langenbeck's archives of surgery · 2012Article
- Biomechanics of the front abdominal wall as a potential factor leading to recurrence with laparoscopic ventral hernia repair.Surgical endoscopy · 2012Article
- Evaluation of absorbable and permanent mesh fixation devices: adhesion formation and mechanical strength.Hernia : the journal of hernias and abdominal wall surgery · 2011Article
- Sutureless mesh fibrin glue incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2009Article
- Laparoscopic approach to incarcerated and strangulated inguinal hernias.JSLS : Journal of the Society of Laparoendoscopic SurgeonsReview
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIncisional hernias after laparotomy are a large financial burden for society as well as for the patients suffering from pain and limitations of activity over time. The introduction of alloplastic materials such as polypropylene seems to improve the results. The question of whether to apply open or laparoscopic implantation of the mesh is of ongoing interest. We compare the available alloplastic materials and try to clarify the question of whether the laparoscopic procedure is superior to the conventional (open) technique based on the available randomized studies.
methodsAll available meshes for intraperitoneal and extraperitoneal implantation were described regarding their handling and their pros and cons. A database search (PubMed, Medline, Ovid, and in the secondary literature) was carried out to retrieve all randomized studies comparing laparoscopic and open hernia repair. Data were reviewed by two independent scientists for surgical and statistical design.
resultsThe ideal mesh for a laparoscopic maintenance of abdominal wall hernias as well as the optimal fixation of the mesh has not been found yet. Recent available literature shows no evidence demonstrating the superiority of one of these meshes. The available studies found a lower infection rate, but higher occurrence of seroma for the laparoscopic procedure. The value of the different studies is reduced due to deficiency in study design and power. Guidelines for further studies are discussed to avoid surgical and statistical pitfalls.
conclusionsLaparoscopic incisional hernia repair shows, in some (randomized) studies as well as a large number of retrospective analyses and in case control studies, superiority compared to conventional hernia repair. Long-term results with a high level of evidence are not available. Additional well-designed randomized trials including long-term observation of patients are required in order to clarify a number of interesting questions.
Indexed as
Identifiers
18320281What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.