Hybrid intraperitoneal onlay mesh repair for incisional hernias: a systematic review and meta-analysis
- 11.07.2024
- Review
Erschienen in:
- Verfasst von
- Patrícia Marcolin
- Sarah Bueno Motter
- Gabriela. R Brandão
- Diego L. Lima
- Bruna Oliveira Trindade
- Sérgio Mazzola Poli de Figueiredo
- Erschienen in
- Hernia | Ausgabe 6/2024
Abstract
Introduction
Laparoscopic IPOM is technically challenging, especially regarding fascial closure. Hybrid repair has been proposed as a simpler approach. We aimed to compare hybrid and laparoscopic intraperitoneal onlay mesh repair (IPOM) in patients undergoing ventral hernia repair (VHR).
Methods
We performed a systematic review of Cochrane, Scopus, and MEDLINE databases to identify studies comparing hybrid versus laparoscopic IPOM VHR reporting the outcomes of recurrence, mortality, seroma, postoperative complications, reoperation, surgical site infection, and operative time. Statistical analysis was performed using RStudio 4.1.2 using a random-effects model.
Results
We screened 2,896 articles and fully reviewed 22 of them. A total of five studies, encompassing 664 patients were included. Among them, 337 (50.8%) underwent laparoscopic IPOM. All patients had incisional hernias, with a mean diameter varying from 3 to 12.7 cm, 60% were women, with a mean BMI varying from 29.5 to 38. The hybrid approach had a lower rate of seroma when compared to the laparoscopic (OR 0.22; 95% CI 0.05 to 0.92; p = 0.038; I²=78%). We found no difference in recurrence, mortality, postoperative complications, reoperation, surgical site infection, and operative time between groups.
Conclusion
Hybrid IPOM is a safe and effective method for incisional hernia repair. Moreover, it facilitates fascial defect closure and decreases postoperative seromas.
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- Titel
- Hybrid intraperitoneal onlay mesh repair for incisional hernias: a systematic review and meta-analysis
- Verfasst von
-
Patrícia Marcolin
Sarah Bueno Motter
Gabriela. R Brandão
Diego L. Lima
Bruna Oliveira Trindade
Sérgio Mazzola Poli de Figueiredo
- Publikationsdatum
- 11.07.2024
- Verlag
- Springer Paris
- Erschienen in
-
Hernia / Ausgabe 6/2024
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204 - DOI
- https://doi.org/10.1007/s10029-024-03105-w
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