Evidence map›Paper›PMID 25846740›Full record

SynthesisHernia : the journal of hernias and abdominal wall surgery2016

Single-incision laparoscopic surgery through the umbilicus is associated with a higher incidence of trocar-site hernia than conventional laparoscopy: a meta-analysis of randomized controlled trials.

S A Antoniou, S Morales-Conde, G A Antoniou, F A Granderath, F Berrevoet, F E Muysoms, Bonham Group

Abstract readComparative StudyMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  7. Trial
  8. COMPARISON BETWEEN INCIDENCE OF INCISIONAL HERNIA IN LAPAROSCOPIC CHOLECYSTECTOMY AND BY SINGLE PORT.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2018
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  17. Robotic single-port surgery: Preliminary experience in general surgery.The international journal of medical robotics + computer assisted surgery : MRCAS · 2022
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  20. A cable-driven distal end-effector mechanism for single-port robotic surgery.International journal of computer assisted radiology and surgery · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors.

S A AntoniouCenter for Minimally Invasive Surgery, Neuwerk Hospital, Mönchengladbach, Germany. stavros.antoniou@hotmail.com.
S Morales-CondeUnidad de Gestión Clínica de Cirugía General y Aparato Digestivo, Hospital Universitario Virgen Del Rocío, Sevilla, Spain.
G A AntoniouLiverpool Vascular and Endovascular Service, Royal Liverpool University Hospital, Liverpool, UK.
F A GranderathCenter for Minimally Invasive Surgery, Neuwerk Hospital, Mönchengladbach, Germany.
F BerrevoetDepartment of General and Hepatobiliary Surgery and Liver Transplantation Service, Ghent University Hospital and Medical School, Ghent, Belgium.
F E MuysomsDepartment of Surgery, AZ Maria Middelares, Ghent, Belgium.
Bonham Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSingle-incision laparoscopic surgery has been developed with the objective to reduce surgical trauma, decrease associated surgical stress and to improve cosmetic outcome. However, concerns have been raised regarding the risk of trocar-site hernia following this approach. Previous meta-analyses have suggested a trend toward higher hernia rates, but have failed to demonstrate a significant difference between single-incision and conventional laparoscopic surgery.

methodMedline, AMED, CINAHL and CENTRAL were searched up to May 2014. Randomized controlled trials comparing single-incision and conventional laparoscopic surgery were considered for inclusion. Studies with patients aged less than 18 years and those reporting on robotic surgery were disregarded. Pooled odds ratios with 95% confidence intervals were calculated to measure the comparative risk of trocar-site hernia following single-incision and conventional laparoscopic surgery.

resultsNineteen randomized trials encompassing 1705 patients were included. Trocar-site hernia occurred in 2.2% of patients in the single-incision group and in 0.7% of patients in the conventional laparoscopic surgery group (odds ratio 2.26, 95% confidence interval 1.00-5.08, p = 0.05). Sensitivity analysis of quality randomized trials validated the outcome estimates of the primary analysis. There was no heterogeneity among studies (I2 = 0%) and no evidence of publication bias.

conclusionSingle-incision laparoscopic surgery involving entry into the peritoneal cavity through the umbilicus is associated with a slightly higher risk of trocar-site hernia than conventional laparoscopy. Its effect on long-term morbidity and quality of life is a matter for further investigation.

Indexed as

Hernia, UmbilicalHumansLaparoscopyRandomized Controlled Trials as TopicSurgical InstrumentsUmbilicusHerniaIncisionalLaparoscopySingle-incisionSingle-siteTrocar-site

Identifiers

PMID25846740

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.