DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20182494

Laparoscopic versus open ventral hernia repair

Rayan Alsadiqi, Abdullah Albishri, Ahmad Almaghrabi, Badr Aljedaani, Khalid Alghamdi, Fatimah Alhijab, Mohammed Alsulami, Abdullah Hussain, Mohammad Alshaikh, Nafisah Jaad

Abstract


From the patient’s perspective, a ventral hernia can cause pain, adversely affect function, increase size, cosmetically distort the abdomen, and incarcerate/strangulate abdominal contents. The only known cure for a ventral hernia is surgical repair. The purpose of the current analysis was to review the published randomized controlled trials (RCTs) of the surgical care of ventral hernia. We conducted this meta-analysis using a comprehensive search of EMBASE, MEDLINE, PubMed, Cochrane Database of Systematic Reviews, and Cochrane Central Register of Controlled Trials till 01 March 2018 for randomized controlled trials on the use of mesh reinforcement in abdominal wall hernia repair. 15 studies met the search criteria, laparoscopic repair (OR 0.59; 95% CI 0.02–6.71) had the highest probability of having the lowest rate of surgical site infection. Among open mesh repair techniques, sublay repair (OR 1.41; 95% CI 0.01–5.99) had the highest probability of being the best treatment. Among patients experiencing ventral hernia repair, mesh reinforcement ought to be used regularly when there is no infection. Sublay mesh might outcome in fewer reappearances and surgical site infections. The quality of evidence to support these recommendations is moderate to high.


Keywords


Laparoscopic, Open, Hernia, Randomized controlled trial, Ventral hernia

Full Text:

PDF

References


Bloemen A, van Dooren P, Huizinga BF, Hoofwijk AG. Randomized clinical trial comparing polypropylene or polydioxanone for midline abdominal wall closure. Br J Surg. 2011;98:633–9.

Anthony T, Bergen PC, Kim LT, Henderson M, Fahey T, Rege RV, et al. Factors affecting recurrence following incisional herniorrhaphy. World J Surg. 2000;24:95–100.

Shell DH, de la Torre J, Andrades T, Vasconez LO. Open repair of ventral hernia incisions. Surg Clin North Am. 2008;88:61–83.

Luijendijk R, Hop W, Van den Tol MP, de Lange DC, Braaksma MM, IJzermans JN, et al. A comparison of suture repair with mesh repair for incisional hernia. N Eng J Med. 2000;343:392–8.

Burger JW, Luijendijk RW, Hop WC, Halm JA, Verdaasdonk EG, Jeekel J. Long-term follow-up of a randomized controlled trial of suture versus mesh repair of incisional hernia. Ann Surg. 2004;240:578-85

Leblanc KA, Booth WV. Laparoscopic repair of incisional abdominal hernias using polytetrafluoroethylene: preliminary findings. Surg Laparosc Endosc. 1993;3:39–41.

Stroup DF, Berlin JA, Morton SC, Olkin I, Williamson GD, Rennie D, et al. Meta-analysis of observational studies in epidemiology: a proposal for reporting. Meta-analysis Of Observational Studies in Epidemiology (MOOSE) group. JAMA 2000;283:2008–2012

Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement 2007.

Higgins JP, Thompson SG, Deeks JJ. Altman DG. Measuring inconsistency in meta-analyses. BMJ. 2003;327(7414):557-60.

DerSimonian R, Laird N. Meta-analysis in clinical trials. Control Clin Trials. 1986;7(3):177-88.

Abdel-Baki NA, Bessa SS, Abdel-Razek AH. Comparison of prosthetic mesh repair and tissue repair in the emergency management of incarcerated para-umbilical hernia: A prospective randomized study. Hernia. 2007;11:163–7.

Hur K, Itani KM, Kim LT, Anthony T, Berger DH, Reda D, et al. Veterans Affairs Ventral Incisional Hernia Investigators. Comparison of laparoscopic and open repair with mesh for the treatment of ventral incisional hernia: A randomized trial. Arch Surg. 2010;145:322–8.

Pring CM, Tran V, O’Rourke N, Martin IJ. Laparoscopic versus open ventral hernia repair: A randomized controlled trial. Aust NZ J Surg 2008;78:903–6.

Ammar SA. Management of complicated umbilical hernias in cirrhotic patients using permanent mesh: Randomized clinical trial. Hernia 2010;14:35–8.

de Vries Reilingh TS, van Goor H, Charbon JA, Rosman C, Hesselink EJ, van der, et al. Repair of giant midline abdominal wall hernias: Components separation technique versus prosthetic repair: Interim analysis of a randomized controlled trial. World J Surg. 2007;31:756–63.

Laghari ZH, Lal K, Laghari AA, Soomro E. A comparative study of anatomic repair versus mesh repair in paraumbilical hernia. Med Channel. 2012;19:110–3.

Afifi RY. A prospective study between two different techniques for the repair of a large recurrent ventral hernia: A double mesh intraperitoneal repair versus onlay mesh repair. Hernia. 2005;9:310–5.

Polat C, Dervisoglu A, Senyurek G, Bilgin M, Erzurumlu K, Ozkan K. Umbilical hernia repair with the Prolene hernia system. Am J Surg. 2005;190:61–4.

Venclauskas L, Maleckas A, Kiudelis M. One-year follow-up after incisional hernia treatment: Results of a prospective randomized study. Hernia. 2010;14:575–82.

Baracs J, Weber G, Horva´th OP. [‘‘Onlay’’ mesh provides significantly better results than sublay reconstruction: Prospective randomized multicenter study of abdominal wall reconstruction with sutures only, or with surgical mesh—Results of a five-years follow-up] (Hun). 2010;63:302–11.

Eker HH, Hansson BM, Buunen M, Janssen IM, Pierik RE, Hop WC, et al. Laparoscopic vs. open incisional hernia repair: A randomized clinical trial. JAMA Surg. 2013;148:259–63.

Barbaros U, Asoglu O, Seven R, Erbil Y, Dinccag A, Deveci U, et al. The comparison of laparoscopic and open ventral hernia repairs: A prospective randomized study. Hernia. 2007;11:51–6.

Navarra G, Musolino C, De Marco ML, Bartolotta M, Barbera A, Centorrino T. Retromuscular sutured incisional hernia repair: A randomized controlled trial to compare open and laparoscopic approach. Surg Laparosc Endosc Percutan Tech A. 2007;17:86–90.

Rogmark P, Petersson U, Bringman S, Eklund A, Ezra E, Sevonius D, et al. Short-term outcomes for open and laparoscopic midline incisional hernia repair: A randomized multicenter controlled trial: The ProLOVE (Prospective Randomized Trial on Open versus Laparoscopic Operation of Ventral Eventrations) trial. Ann Surg. 2013;258:37–45.

El-Khadrawy OH, Abo-Ryia MH, Moussa GI, Saleh AM. Prospective randomized evaluation of open preperitoneal versus preaponeurotic primary elective mesh repair for paraumbilical hernias. Surg Today. 2015;45:429–433.

Rosen M, Brody F, Ponsky J, Walsh RM, Rosenblatt S, Duperier F, Fanning A, Siperstein A. Recurrence after laparoscopic ventral hernia repair. Surg Endosc. 2003;17:123–8.

Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli GS, Fortelny RH, et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society [IEHS]), Part 2. Surg Endosc. 2014;28:353–79.

Misra MC, Bansal VK, Kulkarni MP, Pawar DK. Comparison of laparoscopic and open repair of incisional and primary ventral hernia: results of a prospective randomized study. Surg Endosc. 2006;20(12):1839–45.

Amiri AR, Kanesalingam K, Cro S, Casey AT. Does source of funding and conflict of interest influence the outcome and quality of spinal research? Spine J. 2014;14:308–14.