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Meta-Analysis
. 2014 Jul-Sep;51(3):205-11.
doi: 10.1590/s0004-2803201400030008.

Laparoscopy versus laparotomy in the repair of ventral hernias: systematic review and meta-analysis

Paula Marcela Vilela Castro  1 , Janayna Thainá Rabelato  1 , Gustavo Gomes Ribeiro Monteiro  1 , Guilherme Ciconelli del Guerra  1 , Mônica Mazzurana  2 , Guines Antunes Alvarez  2
Affiliations
Free article
Meta-Analysis

Laparoscopy versus laparotomy in the repair of ventral hernias: systematic review and meta-analysis

Paula Marcela Vilela Castro et al. Arq Gastroenterol. 2014 Jul-Sep.
Free article

Abstract

Objective: To compare the laparotomy and laparoscopy techniques for correction of ventral hernia when related to perioperative complications, length of hospitalization, surgical time, and recurrence of hernia.

Methods: This was a systematic review of randomized controlled trials, which included studies retrieved from four databases (MEDLINE, Embase, Cochrane and LILACS), using a combination of the terms (Hernia, Ventral) and (Laparoscopy) and (Laparotomy).

Results: Six randomized trials were included, totaling 566 patients, 283 in the Laparoscopy group and 283 in the Laparotomy group. Laparoscopy reduced the risk of infection of the surgical wound (NNT = 5) and seroma formation (NNT = 13) and less length hospitalization (P = 0.02) compared to laparotomy in the correction of ventral hernias. Furthermore, laparoscopy increased the incidence of enterotomy (NNH = 25) and post operative pain (NNH = 8) and longer surgical time (P = 0.0009) when compared with laparotomy. There was no difference related to abscess (P = 0.79), hematoma (P = 0.43) and recurrency of ventral hernias (P = 0.25).

Conclusions: In the correction of ventral hernias, the use of laparoscopic technique is effective to reduce infections of the surgical wound and seroma formation, as well as, decrease the length hospitalization.

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