Meta-analysis and systematic review of laparoscopic versus open mesh repair for elective incisional hernia

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Web End = Hernia (2015) 19:449463DOI 10.1007/s10029-015-1351-z

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Web End = Meta-analysis and systematic review of laparoscopic versus open mesh repair for elective incisional hernia

A. Awaiz F. Rahman M. B. Hossain

R. M. Yunus S. Khan B. Memon

M. A. Memon

Received: 9 August 2014 / Accepted: 22 January 2015 / Published online: 4 February 2015 Springer-Verlag France 2015

AbstractContext The utility of laparoscopic repair in the treatment of incisional hernia repair is still contentious.

Objectives The aim was to conduct a meta-analysis of RCTs investigating the surgical and postsurgical outcomes of elective incisional hernia by open versus laparoscopic method.

Data sources A search of PubMed, Medline, Embase, Science Citation Index, Current Contents, and the Cochrane Central Register of Controlled Trials published between January 1993 and September 2013 was performed using medical subject headings (MESH) hernia, incisional, abdominal, randomized/randomised controlled trial, abdominal wall hernia, laparoscopic repair, open repair, human and English.

Study eligibility criteria, participants and interventions Prospective RCTs comparing surgical treatment of only incisional hernia (and not primary ventral hernias) using open and laparoscopic methods were selected. Study appraisal and synthesis methods Data extraction and critical appraisal were carried out independently by two authors (AA and MAM) using predened data elds. The outcome variables analyzed included (a) hernia diameter; (b) operative time; (c) length of hospital stay;(d) overall complication rate; (e) bowel complications;(f) reoperation; (g) wound infection; (h) wound hematoma or seroma; (i) time to oral intake; (j) back to work;(k) recurrence rate; and (l) postoperative neuralgia. These outcomes were unanimously decided to be important since they inuence the practical and surgical approach towards

A. AwaizJinnah Sindh Medical University and Dow University of Health Sciences, Karachi, Pakistane-mail: [email protected]

F. Rahman M. B. Hossain

Department of Statistics, Biostatistics and Informatics, Dhaka University, Dhaka, Bangladeshe-mail: [email protected]

M. B. Hossaine-mail: [email protected]

R. M. YunusInstitute of Mathematical Sciences, University of Malaya, Kuala Lumpur, Malaysiae-mail: [email protected]

S. KhanSchool of Agricultural, Computing and Environmental Sciences, International Centre for Applied Climate Science, University of Southern Queensland, Toowoomba, QLD, Australiae-mail: [email protected]

B. Memon M. A. Memon (&)