Observational studyHernia : the journal of hernias and abdominal wall surgery2017
Laparoscopic versus open incisional hernia repair: a retrospective cohort study with costs analysis on 269 patients.
Observational study in Hernia : the journal of hernias and abdominal wall surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.
- Sugarbaker Versus Keyhole Repair for Parastomal Hernia: a Systematic Review and Meta-analysis of Comparative Studies.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023Pooled it
- Incisional hernia following colorectal cancer surgery according to suture technique: Hughes Abdominal Repair Randomized Trial (HART).The British journal of surgery · 2022Trial
- Hughes abdominal closure versus standard mass closure to reduce incisional hernias following surgery for colorectal cancer: the HART RCT.Health technology assessment (Winchester, England) · 2022Trial
- Beyond acronyms: a domain-based structural analysis of abdominal wall hernia repair techniques in the contemporary literature.Surgical endoscopy · 2026Article
- How Reproducible Are Abdominal Wall Surgical Techniques? A Methodological Assessment of Technical Reporting in the Contemporary Literature.Journal of abdominal wall surgery : JAWS · 2026Article
- Predictive factors of recurrence for laparoscopic repair of primary and incisional ventral hernias with single mesh from a multicenter study.Scientific reports · 2022Article
- A new three-step hybrid approach is a safe procedure for incisional hernia: early experiences with a single centre retrospective cohort.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Hybrid versus open retromuscular abdominal wall repair: early outcomes.Surgical endoscopy · 2021Review
- Non-closure of the Free Peritoneal Flap During Laparoscopic Hernia Repair of Lower Abdominal Marginal Hernia: A Retrospective Analysis.Frontiers in surgery · 2021Article
- Open retromuscular versus laparoscopic ventral hernia repair for medium-sized defects: where is the value?Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Predictors of mortality after elective ventral hernia repair: an analysis of national inpatient sample.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- Simultaneous TAPP inguinal repair and laparoscopic cholecystectomy: results of a case series.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- Minimally invasive versus open surgery in the Medicare population: a comparison of post-operative and economic outcomes.Surgical endoscopy · 2018Article
- Laparoscopic and percutaneous repair of a large midline incisional hernia extending to the bilateral subcostal region: A case report.International journal of surgery case reports · 2018Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo compare clinical outcomes and institutional costs of elective laparoscopic and open incisional hernia mesh repairs and to identify independent predictors of prolonged operative time and hospital length of stay (LOS).
methodsRetrospective observational cohort study on 269 consecutive patients who underwent elective incisional hernia mesh repair, laparoscopic group (N = 94) and open group (N = 175), between May 2004 and July 2014.
resultsOperative time was shorter in the laparoscopic versus open group (p < 0.0001). Perioperative morbidity and mortality were similar in the two groups. Patients in the laparoscopic group were discharged a median of 2 days earlier (p < 0.0001). At a median follow-up over 50 months, no difference in hernia recurrence was detected between the groups. In laparoscopic group total institutional costs were lower (p = 0.02). At Cox regression analysis adjusted for potential confounders, large wall defect (W3) and higher operative risk (ASA score 3-4) were associated with prolonged operative time, while midline hernia site was associated with increased hospital LOS. Open surgical approach was associated with prolongation of both operative time and LOS.
conclusionsLaparoscopic approach may be considered safely to all patients for incisional hernia repair, regardless of patients' characteristics (age, gender, BMI, ASA score, comorbidities) and size of the wall defect (W2-3), with the advantage of shorter operating time and hospital LOS that yields reduced total institutional costs. Patients with higher ASA score and large hernia defects are at risk of prolonged operative time, while an open approach is associated with longer duration of surgical operation and hospital LOS.
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