Evidence map›Paper›PMID 41805035›Full record

SynthesisActa obstetricia et gynecologica Scandinavica2026

Port-site hernia following laparoscopic gynecological surgery: A systematic review and meta-analysis.

Franciszek Ługowski, Zofia Włodarczyk, Anna Owczarek, Łucja Zaborowska, Artur Ludwin

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Acta obstetricia et gynecologica Scandinavica, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Franciszek Ługowski1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland.ORCID 0000-0001-6952-4927
Zofia Włodarczyk1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland.
Anna Owczarek1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland.
Łucja Zaborowska1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland.
Artur Ludwin1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Warsaw, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPort-site hernia (PSH) is a rare but clinically relevant complication of laparoscopic gynecologic surgery. Despite the widespread adoption of minimally invasive techniques, no prior systematic review has comprehensively evaluated PSH incidence and risk factors in this population. MATERIAL AND

methodsA systematic review and meta-analysis were performed following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines and registered in PROSPERO (CRD42025649280). PubMed, Scopus, Web of Science, and Embase were searched without language or date restrictions. Eligible studies included randomized or cohort designs reporting PSH incidence after laparoscopic gynecologic procedures. Pooled incidence was calculated using a random-effects model.

resultsTwenty-two studies comprising 70 346 patients were included. The overall pooled PSH incidence was 0.29% (95% CI: 0.00 to 0.02), with significant heterogeneity (I

conclusionsPSH following laparoscopic gynecologic surgery remains a rare but clinically significant occurrence. Surgical technique, particularly trocar size selection and fascial closure, plays a decisive role in risk reduction. Attention to modifiable intraoperative factors is crucial for optimizing patient safety and preventing postoperative hernia formation.

Indexed as

Gynecologic Surgical ProceduresIncisional HerniaLaparoscopyFemaleHumansIncidenceRisk Factorsgynecologic surgeryincisional hernialaparoscopyminimally invasive surgeryport‐site herniatrocar‐site hernia

Identifiers

PMID41805035
PMCPMC13125361

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Registered trials

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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.