Meta-analysis of closure of the fascial defect during laparoscopic incisional and ventral hernia repair

Abstract

CFD during LIVHR reduces the rate of seroma formation and adverse hernia-site events.

Is fascial defect closure with intraperitoneal onlay mesh superior to standard intraperitoneal onlay mesh for laparoscopic repair of large incisional hernia?

“…to reduce the incidence of adverse hernia‐related events including recurrence, seroma formation, and mesh bulging . Several reports have indicated the effectiveness of IPOM‐Plus , and a recent systematic review concluded that IPOM‐Plus was more effective than sIPOM .…”

“…Laparoscopic fascial defect closure with intraperitoneal onlay mesh reinforcement (IPOM-Plus) has been introduced to reduce adverse events in IHR (6), and satisfactory outcomes were reported in some studies (7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22). As compared with standard intraperitoneal onlay mesh without fascial closure (sIPOM), IPOM-Plus is expected to reduce the incidence of adverse hernia-site events (23). However, the literature did not mention the subgroups of hernia size and types of repair.…”

Antibiotics vs no antibiotics in the treatment of acute uncomplicated diverticulitis – a systematic review and meta‐analysis

“…On the other hand, nonrandomized studies tend to be more representative of patient populations routinely seen in clinical practice [38]. The approach of analysing non-randomized studies in a systematic manner through a meta-analysis is becoming increasingly prevalent nowadays as the resulting information can play an important role in informing practice and further investigation [39,40]. Another limitation of this review relates to the quality of the included studies, with none of the non-randomized studies meeting the minimal MINORS criteria [11] score of 16, and neither of the randomized trials reaching a Jadad score [12] of greater than 3.…”

Systematic review and network meta-analysis of methods of mesh fixation during laparoscopic ventral hernia repair

“…Closure of the fascial defect was described in only four of the included studies, but its effect on recurrence is not fully clarified 4 . A meta-analysis 74 found an advantage of closing the hernia defect, but the results should be interpreted with care as the heterogeneity was 97 per cent.…”