Laparoscopic ventral hernia repair: an accelerated systematic review
Pham C, Middleton P, Watkin S, Maddern G
Record ID 32004000725
English
Authors' objectives:
This aim of this report was to assess the safety and efficacy of laparoscopic ventral hernia repair, in comparison with open ventral hernia repair on the basis of a systematic assessment of the literature.
Authors' results and conclusions:
Data from the included studies (two RCTs and eight non-randomised comparative studies) suggest that the laparoscopic approach may have some advantages over open repair. The laparoscopic approach appears to have a lower recurrence rate and require a shorter hospital stay with a rate of conversion to open surgery of 0 to 14%. Complications from the open approach tend to be wound-related, whereas the laparoscopic approach reported wound-related and procedure-related complications. Complications appear to be less frequent in laparoscopic repair.
Authors' recommendations:
Based on the current level of evidence, the relative safety and efficacy of the laparoscopic approach in comparison with the open approach is still uncertain. However, results from the included studies suggest some advantages for laparoscopic repair over open repair. The laparoscopic approach may be more suitable for straightforward hernias and open repair reserved for the more complex hernias.
Authors' methods:
Systematic review
Details
Project Status:
Completed
URL for project:
http://www.surgeons.org/asernip-s/publications_ventralhernia.htm
Year Published:
2004
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Australia
MeSH Terms
- Laparoscopy
- Hernia, Ventral
Contact
Organisation Name:
Australian Safety and Efficacy Register of New Interventional Procedures-Surgical
Contact Address:
ASERNIP-S 24 King William Street, Kent Town SA 5067 Australia Tel: +61 8 8219 0900
Contact Name:
racs.asernip@surgeons.org
Contact Email:
racs.asernip@surgeons.org
Copyright:
Australian Safety and Efficacy Register of New Interventional Procedures - Surgical
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.