Hybrid operation technique for incisional hernia repair: a systematic review and meta-analysis of intra- and postoperative complications

Background Incisional hernia (IH) occurs approximately in 15% of patients after midline surgery. Surgical treatment for IHs include a solely open or solely laparoscopic approach with mesh placement. Recently, hybrid (combined laparoscopic and open) approaches have been introduced. This systematic re...

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Bibliographic Details
Published in:Hernia : the journal of hernias and abdominal wall surgery 2021-12, Vol.25 (6), p.1459-1469
Main Authors: Van den Dop, L. Matthijs, De Smet, Gijs H. J., Kleinrensink, Gert-Jan, Hueting, Willem E., Lange, Johan F.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Clinical trials
Complications
Hernia
Hernia, Ventral - complications
Hernia, Ventral - surgery
Hernias
Herniorrhaphy - adverse effects
Herniorrhaphy - methods
Humans
Incisional Hernia - etiology
Laparoscopy
Laparoscopy - adverse effects
Laparoscopy - methods
Medicine
Medicine & Public Health
Meta-analysis
Patients
Postoperative
Postoperative Complications - epidemiology
Postoperative Complications - etiology
Postoperative Complications - surgery
Retrospective Studies
Review
Surgical Mesh - adverse effects
Systematic review
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Summary:Background Incisional hernia (IH) occurs approximately in 15% of patients after midline surgery. Surgical treatment for IHs include a solely open or solely laparoscopic approach with mesh placement. Recently, hybrid (combined laparoscopic and open) approaches have been introduced. This systematic review evaluates perioperative complications of hybrid incisional hernia repair (HIHR). Methods EMBASE, Medline via OvidSP, Web of Science, Cochrane and Google Scholar databases were searched. Studies providing data on intra- and postoperative complications in patients who underwent HIHR were included. Data on intra- and postoperative complications were extracted and meta-analyses were performed. Study quality was assessed with the Newcastle Ottowa Scale, ROBINS-I tool, and Cochrane risk of bias. PROSPERO registration: CRD42020175053. Results Eleven studies ( n  = 1681 patients) were included. Five studies compared intra-operative complications between HIHR and laparoscopic incisional hernia repair (LIHR) with a pooled incidence of 1.8% in HIHR group and 2.8% in LIHR group ( p  = 0.13). Comparison of postoperative prevalence of surgical site occurrences (SSOs) (23% versus 26%, p  = 0.02) and surgical site occurrences requiring interventions (SSOPIs) (1.5% versus 4.1%, p  
ISSN:1265-4906
1248-9204
DOI:10.1007/s10029-021-02497-3