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Incidence of incisional hernias following single-incision versus traditional laparoscopic surgery: a meta-analysis

Incidence of incisional hernias following single-incision versus traditional laparoscopic... Purpose To compare, using a meta-analysis of randomized controlled trials, the risk of incisional hernia in patients undergo- ing single-incision laparoscopic surgery to those undergoing traditional laparoscopic surgery. Methods MEDLINE and EMBASE databases were searched. Randomized controlled trials comparing single-incision laparo- scopic surgery to traditional laparoscopic surgery and which reported incisional hernias over a minimum 6-month follow-up period were eligible. Risk of bias was assessed as outlined in the Cochrane Handbook. Pooled odds ratios were calculated using RevMan. Results Of 309 identified studies, 22 were included in this meta-analysis. Pooled results showed higher odds of incisional hernia following single-incision laparoscopic surgery relative to traditional laparoscopic surgery (odds ratio 2.83, 95% CI 1.34–5.98, p = 0.006, I = 0%). There was no difference in the odds of incisional hernias requiring surgical repair (p = 0.10). Subgroup analysis found no difference in the odds of incisional hernias based on procedure type (p = 0.69) or method of follow-up (p = 0.85). The quality of evidence was determined to be moderate. Conclusion Single-incision laparoscopic surgery is associated with a threefold increase in the odds of incisional hernia compared with traditional laparoscopic surgery. Keywords Incisional hernia · Single-incision laparoscopic surgery · SILS · Meta-analysis Introduction which http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Hernia Springer Journals

Incidence of incisional hernias following single-incision versus traditional laparoscopic surgery: a meta-analysis

Hernia , Volume 23 (1) – Nov 23, 2018

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References (45)

Publisher
Springer Journals
Copyright
Copyright © 2018 by Springer-Verlag France SAS, part of Springer Nature
Subject
Medicine & Public Health; Abdominal Surgery
ISSN
1265-4906
eISSN
1248-9204
DOI
10.1007/s10029-018-1853-6
Publisher site
See Article on Publisher Site

Abstract

Purpose To compare, using a meta-analysis of randomized controlled trials, the risk of incisional hernia in patients undergo- ing single-incision laparoscopic surgery to those undergoing traditional laparoscopic surgery. Methods MEDLINE and EMBASE databases were searched. Randomized controlled trials comparing single-incision laparo- scopic surgery to traditional laparoscopic surgery and which reported incisional hernias over a minimum 6-month follow-up period were eligible. Risk of bias was assessed as outlined in the Cochrane Handbook. Pooled odds ratios were calculated using RevMan. Results Of 309 identified studies, 22 were included in this meta-analysis. Pooled results showed higher odds of incisional hernia following single-incision laparoscopic surgery relative to traditional laparoscopic surgery (odds ratio 2.83, 95% CI 1.34–5.98, p = 0.006, I = 0%). There was no difference in the odds of incisional hernias requiring surgical repair (p = 0.10). Subgroup analysis found no difference in the odds of incisional hernias based on procedure type (p = 0.69) or method of follow-up (p = 0.85). The quality of evidence was determined to be moderate. Conclusion Single-incision laparoscopic surgery is associated with a threefold increase in the odds of incisional hernia compared with traditional laparoscopic surgery. Keywords Incisional hernia · Single-incision laparoscopic surgery · SILS · Meta-analysis Introduction which

Journal

HerniaSpringer Journals

Published: Nov 23, 2018

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