SynthesisHernia : the journal of hernias and abdominal wall surgery2022
Intraperitoneal versus extraperitoneal mesh in minimally invasive ventral hernia repair: a systematic review and meta-analysis.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
What it found
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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
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Outcomes of intraperitoneal compared to retromuscular mesh placement in ventral incisional hernia repair: a systematic review and meta-analysis.Surgical endoscopy · 2026Pooled it
- Radiofrequency Ablation Versus Repeat Hepatectomy for Recurrent Hepatocellular Carcinoma: A Systematic Review and Meta-Analysis.World journal of surgery · 2022Pooled it
- Comparison of laparoscopic intraperitoneal onlay mesh (IPOM Plus) and extended totally extraperitoneal (eTEP RS) repair for incisional hernia - a randomized clinical trial.Hernia : the journal of hernias and abdominal wall surgery · 2026Trial
- Access without excess: a comparison of wound infections with disposable versus hybrid trocars in minimally invasive inguinal hernia repairs.Surgical endoscopy · 2026Article
- Use of PERitoneal free flap (PERFF) augmentation in complex ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Long-term outcomes of a modified LIRA (laparoscopic intracorporeal rectus aponeuroplasty) technique for ventral hernia repair.Surgical endoscopy · 2026Article
- Laparosocpic "Intraperitoneal Underlay Mesh"-Plus: A Viable Approach for Incisional-Ventral Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Review
- Case Report: Combined Preperitoneal Enhanced-View Totally Extraperitoneal (PeTEP) Repair with Intraoperative Fascial Traction after Prehabilitation with Botulinum Toxin A in a Large Congenital Umbilical Hernia.Journal of abdominal wall surgery : JAWS · 2025Article
- Totally Extraperitoneal Approach With Preperitoneal Repair for the Treatment of Midline Hernia Defects: A Case Series and Single-Center Experience.Journal of abdominal wall surgery : JAWS · 2025Article
- Minimally invasive endoscopic retromuscular technique with transversus abdominis release associated (eTEP-TAR) for right subcostal incisional hernias improves postoperative results when compared to conventional laparoscopic incisional hernia repair: a case-control study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- ExtrAperitoneaL Plasty vs Intraperitoneal oNlay mEsh in ventral hernia repair - a multi-center randomized controlled trial: the ALPINE study protocol.International journal of surgery protocols · 2024Article
- "Fully endoscopic preperitoneal ascending suprapubic approach for minimally invasive repair of anterior and lateral abdominal wall hernias".Hernia : the journal of hernias and abdominal wall surgery · 2024Observational
- Open IPOMs for medium/large incisional ventral hernia repairs in the French Hernia Registry: factors associated with their use and mesh-related outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Robotic Platform: What It Does and Does Not Offer in Hernia Surgery.Journal of abdominal wall surgery : JAWS · 2024Article
- An improved approach of totally visceral sac separation (TVS) for incisional hernia compared with laparoscopic intraperitoneal onlay mesh plus repair (IPOM plus).Scientific reports · 2023Article
- The impact of value-driven outcomes initiative on endo-laparoscopic groin hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- S041-Trends and short-term outcomes of three approaches to minimally invasive repair of small ventral hernias. An ACHQC analysis.Surgical endoscopy · 2023Article
- Pitfalls and complications of enhanced-view totally extraperitoneal approach to abdominal wall reconstruction.Surgical endoscopy · 2023Review
- Article
- Primary Lumbar Hernia, Review and Proposals for a Standardized Treatment.Journal of abdominal wall surgery : JAWS · 2023Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe ideal location for mesh placement in minimally invasive ventral hernia repair (VHR) is still up for debate. We undertook a systematic review and meta-analysis (SRMA) to evaluate the outcomes of patients who received intraperitoneal mesh versus those that received extraperitoneal mesh in minimally invasive VHR.
methodsWe searched PubMed, EMBASE, Cochrane, and Scopus from inception to May 3, 2021. We selected studies comparing intraperitoneal mesh versus extraperitoneal mesh placement in minimally invasive VHR. A meta-analysis was done for the outcomes of surgical site infection (SSI), seroma, hematoma, readmission, and recurrence. A subgroup analysis was conducted for a subset of studies comparing patients who have undergone intraperitoneal onlay mesh (IPOM) versus extended totally extraperitoneal approach (e-TEP).
resultsA total of 11 studies (2320 patients) were identified. We found no statistically significant difference between patients who received intraperitoneal versus extraperitoneal mesh for outcomes of SSI, seroma, hematoma, readmission, and recurrence [(RR 1.60, 95% CI 0.60-4.27), (RR 1.39, 95% CI 0.68-2.81), (RR 1.29, 95% CI 0.45-3.72), (RR 1.40, 95% CI 0.69-2.86), and (RR 1.22, 95% CI 0.22-6.63), respectively]. The subgroup analysis had findings similar to the overall analysis.
conclusionBased on short-term results, extraperitoneal mesh does not appear to be superior to intraperitoneal mesh in minimally invasive ventral hernia repair. The choice of mesh location should be based on the current evidence, surgeon, and center experience as well as individualized to each patient.
Indexed as
Identifiers
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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.