Laparoscopic versus open umbilical or paraumbilical hernia repair: a systematic review and meta-analysis

ConclusionsThe best available evidence (randomised and non-randomised studies) suggests that laparoscopic repair of umbilical or paraumbilical hernias may be associated with a lower risk of wound infection, wound dehiscence and recurrence rate, shorter length of stay but longer operative time. Results from a limited number of RCTs showed no difference in recurrence rates. The quality of the best available evidence is moderate, and selection bias is the major concern due to non-randomised design in most of the available studies. Therefore, considering the level of available evidence, the most reliable approach for repair of umbilical or paraumbilical hernia should be based on surgeon ’s experience, clinical setting, patient’s age and size, hernia defect size and anatomical characteristics. High quality RCTs are required.
Source: Hernia - Category: Sports Medicine Source Type: research