SynthesisHernia : the journal of hernias and abdominal wall surgery2025
The impact of comorbidities and surgical approach in incisional hernia development after minimally invasive cholecystectomy: a systematic review and meta-analysis of multivariate regression-adjusted studies.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Incisional hernia after laparoscopic and robotic donor nephrectomy: analysis of 325 consecutive donors.Surgical endoscopy · 2026Article
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Authors and funding
8 authors.
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Abstract
backgroundLaparoscopic cholecystectomy is a widely preferred method for gallbladder removal due to its minimally invasive benefits, including reduced postoperative pain and quicker recovery. However, the risk of incisional hernia remains a significant concern. Understanding the role of comorbidities in influencing this risk is crucial for improving patient management and surgical planning. This systematic review and meta-analysis aim to identify and evaluate the impact of comorbidities on the risk of incisional hernia following minimally invasive laparoscopic cholecystectomy.
methodsWe conducted a comprehensive search of PubMed, Embase, and Cochrane databases from inception until August 2024. We included studies that investigated risk factors for incisional hernia in minimally invasive cholecystectomy. A subgroup analysis was performed to compare hernia rates between single-incision laparoscopic cholecystectomy (SILC) and multi-port laparoscopic cholecystectomy (MPLC). Comorbidities analyzed were age, diabetes mellitus (DM), BMI > 30 kg/m
results551 articles were screened by title and abstract, from which 19 were selected for full-text review. A total of 9 studies were included, comprising 7,052 patients. The proportional meta-analysis found an IH rate of 3.82%; 95%CI [0.98; 8.27]; I
conclusionOur meta-analysis revealed that older age, BMI > 30 kg/m2, DM, ASA score > 2 and SSI are risk factors linked to IH following MIS cholecystectomy.
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