Publicação
Comparison between the open and the laparoscopic approach in the primary ventral hernia repair: a systematic review and meta-analysis
| dc.contributor.author | Martins, Márcia Regina | |
| dc.contributor.author | Santos-Sousa, Hugo | |
| dc.contributor.author | do Vale, Miguel Alves | |
| dc.contributor.author | Bouça-Machado, Raquel | |
| dc.contributor.author | Barbosa, Elisabete | |
| dc.contributor.author | Sousa-Pinto, Bernardo | |
| dc.date.accessioned | 2024-02-22T12:24:39Z | |
| dc.date.available | 2024-02-22T12:24:39Z | |
| dc.date.issued | 2024 | |
| dc.description | © The Author(s) 2024. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. | pt_PT |
| dc.description.abstract | Background: Ventral hernia repair underwent various developments in the previous decade. Laparoscopic primary ventral hernia repair may be an alternative to open repair since it prevents large abdominal incisions. However, whether laparoscopy improves clinical outcomes has not been systematically assessed. Objectives: The aim is to compare the clinical outcomes of the laparoscopic versus open approach of primary ventral hernias. Methods: A systematic search of MEDLINE (PubMed), Scopus, Web of Science, and Cochrane Central Register of Controlled Trials was conducted in February 2023. All randomized controlled trials comparing laparoscopy with the open approach in patients with a primary ventral hernia were included. A fixed-effects meta-analysis of risk ratios was performed for hernia recurrence, local infection, wound dehiscence, and local seroma. Meta-analysis for weighted mean differences was performed for postoperative pain, duration of surgery, length of hospital stay, and time until return to work. Results: Nine studies were included in the systematic review and meta-analysis. The overall hernia recurrence was twice less likely to occur in laparoscopy (RR = 0.49; 95%CI = 0.32-0.74; p < 0.001; I2 = 29%). Local infection (RR = 0.30; 95%CI = 0.19-0.49; p < 0.001; I2 = 0%), wound dehiscence (RR = 0.08; 95%CI = 0.02-0.32; p < 0.001; I2 = 0%), and local seroma (RR = 0.34; 95%CI = 0.19-0.59; p < 0.001; I2 = 14%) were also significantly less likely in patients undergoing laparoscopy. Severe heterogeneity was obtained when pooling data on postoperative pain, duration of surgery, length of hospital stay, and time until return to work. Conclusion: The results of available studies are controversial and have a high risk of bias, small sample sizes, and no well-defined protocols. However, the laparoscopic approach seems associated with a lower frequency of hernia recurrence, local infection, wound dehiscence, and local seroma. | pt_PT |
| dc.description.sponsorship | Open access funding provided by FCT|FCCN (b-on) | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Langenbecks Arch Surg. 2024 Feb 3;409(1):52 | pt_PT |
| dc.identifier.doi | 10.1007/s00423-024-03241-y | pt_PT |
| dc.identifier.eissn | 1435-2451 | |
| dc.identifier.issn | 1435-2443 | |
| dc.identifier.uri | http://hdl.handle.net/10451/62814 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Springer Nature | pt_PT |
| dc.relation.publisherversion | https://link.springer.com/journal/423 | pt_PT |
| dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | pt_PT |
| dc.subject | Epigastric hernia | pt_PT |
| dc.subject | Laparoscopic repair | pt_PT |
| dc.subject | Open repair | pt_PT |
| dc.subject | Paraumbilical hernia | pt_PT |
| dc.subject | Umbilical hernia | pt_PT |
| dc.subject | Ventral hernia | pt_PT |
| dc.title | Comparison between the open and the laparoscopic approach in the primary ventral hernia repair: a systematic review and meta-analysis | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.issue | 1 | pt_PT |
| oaire.citation.title | Langenbeck's Archives of Surgery | pt_PT |
| oaire.citation.volume | 409 | pt_PT |
| person.familyName | Bouça-Machado | |
| person.givenName | Raquel | |
| person.identifier | 504427 | |
| person.identifier.ciencia-id | D718-771B-C6AA | |
| person.identifier.orcid | 0000-0003-3756-2763 | |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |
| relation.isAuthorOfPublication | 172e72bb-a6e7-4334-9366-5d0268b6292e | |
| relation.isAuthorOfPublication.latestForDiscovery | 172e72bb-a6e7-4334-9366-5d0268b6292e |