SynthesisHernia : the journal of hernias and abdominal wall surgery2023
Does closure of the direct hernia defect in laparoscopic inguinal herniotomy reduce the risk of recurrence and seroma formation?: a systematic review and meta-analysis.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.
- "Comparative safety and efficacy of robotic TAPP and IPOM techniques in ventral hernia repair: a systematic review and meta-analysis of Short-term Outcomes".Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Cruciate gear suture: a simple and effective technique for pseudo-sac management in TAPP.Hernia : the journal of hernias and abdominal wall surgery · 2026Trial
- Primary defect closure in minimally invasive direct inguinal hernia repair: a propensity-weighted analysis.Surgical endoscopy · 2026Article
- Comparative clinical efficacy of IPOM and TES in treating midline ventral hernias: a multicenter retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Mesh-fixation combinations and chronic postoperative inguinal pain after laparoscopic groin hernia repair: nationwide cohort study.BJS open · 2026Article
- Giant Postoperative Seroma after Laparoscopic Obturator Hernia Repair: A Case Report.Surgical case reports · 2026Article
- Effect of closing the internal ring during laparoscopic TAPP for Nyhus type III indirect inguinal hernia on postoperative seroma: a retrospective cohort study.Frontiers in surgery · 2026Article
- External Validation of the COMI-Hernia Score and Establishing Minimal Important Difference for Assessing Postoperative Quality of Life Following Inguinal Hernia Repair.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025Article
- Analgesic effect and safety of dexmedetomidine-assisted intravenous-inhalation combined general anesthesia in laparoscopic minimally invasive inguinal hernia surgery.World journal of gastrointestinal surgery · 2025Article
- Percutaneous inguinal canal semi-closure during laparoscopic repair for large indirect inguinal hernia.Surgical endoscopy · 2025Article
- Risk factors and clinical impact of seroma formation following laparoscopic inguinal hernia repair: a retrospective study.BMC surgery · 2024Article
- Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeRecurrence is a known complication to inguinal herniotomy with an incidence of 10 to 15 percent (Hernia Surge Group in Hernia 22:165, 2018). Previous studies have shown that direct hernia or large defects are risk factors for postoperative seroma formation (Morito et al. in Surg Endosc https://doi.org/10.1007/s00464-021-08814-2 , 2021). These types of defects are often closed during open herniotomy (Rosenberg et al. in Dan Med Bull 58: C4243, 2011). This is not routine during laparoscopic surgery. A recent study has indicated that closure of the medial defect during laparoscopy may reduce recurrence and seroma formation. As a result, we performed the present systematic review to evaluate the efficacy of this add on to the standard procedure.
methodsAn extensive search was carried out in PubMed and Embase. All studies involving adults undergoing laparoscopic direct hernioplasty were enrolled and screened with predefined inclusion criteria, to be part of a systematic review with data synthesis and meta-analysis.
resultsThe search identified 108 publications of which four met the inclusion criteria. Two studies (Ng et al. in Hernia 24:1093-1098, 2020; Usmani et al. in Hernia 24:167-171, 2020) showed reduced risk of recurrence. The remaining studies (Zhu et al. in Surg Laparosc Endosc Percutan Tech 29:18-21, 2019; Li and Zhang in Surg Endosc 32:1082-1086, 2018) reported no recurrence in any of the patients included. Two articles (Usmani et al. in Hernia 24:167-171, 2020; Zhu et al. in Surg Laparosc Endosc Percutan Tech 29:18-21, 2019) showed a decrease in risk of postoperative seroma, one showed a significant increase (Ng et al. in Hernia 24:1093-1098, 2020). None of the included studies showed an increase in the risk of postoperative pain or postoperative complications.
conclusionThis review suggests that closure versus non-closure of the medial hernia defect in laparoscopic inguinal hernioplasty reduces the risk of recurrence and seroma formation without an increase in postoperative pain or complications. Further randomized controlled trials are needed for further evaluation.
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