Systematic review and meta-analysis of the incidence of incisional hernia in urological surgery.
Complications
Hernia
Incision
Urology
Journal
Langenbeck's archives of surgery
ISSN: 1435-2451
Titre abrégé: Langenbecks Arch Surg
Pays: Germany
ID NLM: 9808285
Informations de publication
Date de publication:
28 May 2024
28 May 2024
Historique:
received:
09
01
2024
accepted:
15
05
2024
medline:
28
5
2024
pubmed:
28
5
2024
entrez:
28
5
2024
Statut:
epublish
Résumé
To evaluate the incidence of incisional hernia in patients undergoing direct access to the abdominal cavity in urological surgery. We conducted a systematic review in Pubmed, Embase, and Cochrane Central from 1980 to the present according to the Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA) statement. Eighty-four studies were selected for inclusion in this analysis, and meta-analysis and meta-regression were performed. The total incidence in the 84 studies was 4.8% (95% CI 3.7% - 6.2%) I The present review finds the access through the midline and stomas as the ones with the highest incidence of incisional hernia. The use of the lateral approach or minimally invasive techniques is preferable. More prospective studies are warranted to obtain the real incidence of incisional hernias and evaluate the role of better techniques to close the abdomen.
Identifiants
pubmed: 38805110
doi: 10.1007/s00423-024-03354-4
pii: 10.1007/s00423-024-03354-4
doi:
Types de publication
Journal Article
Systematic Review
Meta-Analysis
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
166Informations de copyright
© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.
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