ArticleJournal of minimal access surgery2012
Analysing the benefits of laparoscopic hernia repair compared to open repair: A meta-analysis of observational studies.
Article in Journal of minimal access surgery, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Comparative analysis of laparoscopic, retro-muscular, and open mesh repair techniques for ventral and incisional hernias: a comprehensive review and meta-analysis.Updates in surgery · 2025Pooled it
- Laparoscopic treatment of ventral hernias: the Italian national guidelines.Updates in surgery · 2023Guideline
- Laparoscopic repair reduces incidence of surgical site infections for all ventral hernias.Surgical endoscopy · 2015Pooled it
- Feasibility and safety of laparoscopic small bowel resections with intracorporal anastomosis in emergency settings - a retrospective single centre study.Langenbeck's archives of surgery · 2026Article
- A virtual pointer to support the adoption of professional vision in laparoscopic training.International journal of computer assisted radiology and surgery · 2018Article
- The trend toward minimally invasive complex abdominal wall reconstruction: is it worth it?Surgical endoscopy · 2018Article
- Single-center, retrospective study of the outcome of laparoscopic inguinal herniorrhaphy in children.Medicine · 2017Observational
- Development of an open prospective observational multicentre cohort study to determine the impact of standardization of laparoscopic intraperitoneal onlay mesh repair (IPOM) for incisional hernia on clinical outcome and quality of life (LIPOM-Trial).Contemporary clinical trials communications · 2016Article
- Transabdominal midline reconstruction by minimally invasive surgery: technique and results.Hernia : the journal of hernias and abdominal wall surgery · 2016Article
- Oral, intestinal, and skin bacteria in ventral hernia mesh implants.Journal of oral microbiology · 2016Article
- [Indications for laparoscopic treatment of large incisional hernias].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2015Review
- Laparoscopic incisional and ventral hernia repair in a district general hospital.Annals of the Royal College of Surgeons of England · 2015Article
- Conservative management of an infected laparoscopic hernia mesh: A case study.International journal of surgery case reports · 2013Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study is to compare the difference of incidence of post-operative complications, operative time, length of stay and recurrence of patients undergoing laparoscopic or open repair of their ventral/incisional hernia a meta-analytic technique for observational studies. MATERIALS AND
methodsA literature search was performed using Medline, PubMed, Embase and Cochrane databases for studies reported between 1998 and 2009 comparing laparoscopic and open surgery for the treatment of ventral (incisional) hernia. This meta-analysis of all the observational studies compared the post-operative complications recurrence rate and length of stay. The random effects model was used. Sensitivity and heterogeneity were analysed.
resultsAnalysis of 15 observational studies comprising 2452 patients qualified for meta-analysis according to the study's inclusion criteria. Laparoscopic surgery was attempted in 1067 out of 2452. The results showed that the length of stay (odds ratio [OR], - 1.00; 95% confidence interval [CI], - 1.09 to - 0.91; P < 0.00001) and operative time (OR, 59.33; 95% CI, 58.55 to 60.11; P < 0.00001) was significantly lower in the laparoscopic group. The results also showed that there was a significant reduction in the formation of abscesses (OR, 0.38; 95% CI, 0.16 to 0.92; P = 0.03) and wound infections (OR, 0.49; 95% CI, 0.29 to 0.82; P = 0.007) post-operatively. There is a trend which indicates that the recurrence of the hernia using laparoscopic repair versus open repair was overall lower with the laparoscopic repair (OR, 0.48; 95% CI, 0.22 to 1.04; P = 0.06), however, this was not significant.
conclusionLaparoscopic incisional hernia repair was associated with a reduced length of stay, operative time and lower incidence of abscess and wound infection post-operatively. This study also highlights the benefit of using observational studies as a form of research and its value as a tool in answering questions where large sample sizes of patient groups would be impossible to accumulate in a reasonable length of time.
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