SynthesisLangenbeck's archives of surgery2024
Comparison between the open and the laparoscopic approach in the primary ventral hernia repair: a systematic review and meta-analysis.
Synthesis in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis 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
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Laparoscopic versus open repair for umbilical hernia: outcomes and complications.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Young women are more often dissatisfied with appearance after primary ventral hernia repair: a nationwide survey- and register-based study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Physical demands of hernia repair segments and the effect of exoskeleton support.Surgical endoscopy · 2026Article
- Robotic extended-view totally extraperitoneal approach for ventral and incisional hernia repair: single-center experience with 2-year follow-up.Surgical endoscopy · 2026Article
- Systemic Stress Biomarkers and Patient-Reported Outcomes Following Laparoscopic IPOM+ and Open Rives-Stoppa Repair for Ventral Incisional Hernia: A Prospective Non-Randomized Comparative Study.Journal of clinical medicine · 2026Article
- Review
- Prehabilitation in Obese Patients with Ventral Hernia: A Narrative Review and Proposal of a Clinical Algorithm.Journal of clinical medicine · 2026Review
- Open versus laparoscopic techniques for incisional hernia repair: A systematic review and meta-analysis of randomized controlled trials.Journal of Taibah University Medical Sciences · 2025Review
- Cost comparison of laparoscopic versus open surgery for common procedures in Rwandan teaching hospitals.Surgery open science · 2025Article
- Emergency umbilical and epigastric hernia repair: nationwide registry-based study of long-term recurrence, mesh-related, and other complications.Surgical endoscopy · 2025Article
- Evaluating surgical techniques for incarcerated incisional hernia: laparoscopic vs. Open repair in a tertiary care setting.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Procedural Costs of Robot-Assisted and Laparoscopic Ventral and Incisional Hernia Repair. A Propensity-Score Matched Nationwide Database Study.Journal of abdominal wall surgery : JAWS · 2025Article
- Outcome of Onlay Mesh Repair for Paraumbilical Hernia: An Experience From a Peripheral Hospital in India.Cureus · 2025Article
- Review
- 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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundVentral hernia repair underwent various developments in the previous decade. Laparoscopic primary ventral hernia repair may be an alternative to open repair since it prevents large abdominal incisions. However, whether laparoscopy improves clinical outcomes has not been systematically assessed.
objectivesThe aim is to compare the clinical outcomes of the laparoscopic versus open approach of primary ventral hernias.
methodsA systematic search of MEDLINE (PubMed), Scopus, Web of Science, and Cochrane Central Register of Controlled Trials was conducted in February 2023. All randomized controlled trials comparing laparoscopy with the open approach in patients with a primary ventral hernia were included. A fixed-effects meta-analysis of risk ratios was performed for hernia recurrence, local infection, wound dehiscence, and local seroma. Meta-analysis for weighted mean differences was performed for postoperative pain, duration of surgery, length of hospital stay, and time until return to work.
resultsNine studies were included in the systematic review and meta-analysis. The overall hernia recurrence was twice less likely to occur in laparoscopy (RR = 0.49; 95%CI = 0.32-0.74; p < 0.001; I
conclusionThe results of available studies are controversial and have a high risk of bias, small sample sizes, and no well-defined protocols. However, the laparoscopic approach seems associated with a lower frequency of hernia recurrence, local infection, wound dehiscence, and local seroma.
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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.