Laparoscopic versus open surgical techniques for ventral or incisional hernia repair

摘要: Background There are many different techniques currently in use for ventral and incisional hernia repair. Laparoscopic have become more common recent years, although the evidence is sparse. Objectives We compared laparoscopic with open repair patients (primary) or hernia. Search methods We searched following electronic databases: MEDLINE, EMBASE, Cochrane Central Register of Controlled Trials, metaRegister Trials. The last searches were conducted July 2010. In addition, congress abstracts by hand. Selection criteria We selected randomised controlled studies (RCTs), which two hernia. Studies included irrespective language, publication status, sample size. We did not include quasi-randomised trials. Data collection analysis Two authors assessed trial quality extracted data independently. Meta-analytic results expressed as relative risks (RR) weighted mean difference (WMD). Main results We 10 RCTs a total number 880 suffering primarily from primary No trials identified on umbilical parastomal recurrence rate was between surgery (RR 1.22; 95% CI 0.62 to 2.38; I2 = 0%), but followed up less than years half trials. Results operative time too heterogeneous be pooled. risk intraoperative enterotomy slightly higher (Peto OR 2.33; 0.53 10.35), this result stems only 7 cases bowel lesion (5 vs. 2). most clear consistent that reduced wound infection 0.26; 0.15 0.46; I2= 0%). shortened hospital stay significantly 6 out 9 trials, again heterogeneous. Based small it possible detect any pain intensity, both short- long-term evaluation. apparently led much in-hospital costs. Authors' conclusions The short-term promising. spite adhesiolysis, technique safe. Nevertheless, follow-up needed order elucidate whether ventral/incisional efficacious.