LAPAROSCOPY VERSUS LAPAROTOMY IN THE REPAIR OF VENTRAL HERNIAS: systematic review and meta-analysis

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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Faculty Opinions recommendation of Evidence-based value of subcutaneous surgical wound drainage: the largest systematic review and meta-analysis.

Faculty Opinions – Post-Publication Peer Review of the Biomedical Literature ◽

10.3410/f.718006678.793477542 ◽

2013 ◽

Author(s):

Yaohui Gloria Xu

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Evidence Based ◽

Surgical Wound ◽

Wound Drainage

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Outcomes of Oblique Lateral Interbody Fusion for Adult Spinal Deformity: A Systematic Review and Meta-Analysis

Global Spine Journal ◽

10.1177/2192568220979145 ◽

2021 ◽

pp. 219256822097914

Author(s):

Lei Zhu ◽

Jun-Wu Wang ◽

Liang Zhang ◽

Xin-Min Feng

Keyword(s):

Systematic Review ◽

Lumbar Lordosis ◽

Interbody Fusion ◽

Perioperative Complications ◽

Adult Spinal Deformity ◽

Meta Analysis ◽

Fusion Rate ◽

The Mean ◽

Oblique Lateral Interbody Fusion ◽

Lateral Interbody

Study Design: A systematic review and meta-analysis. Objectives: To evaluate clinical and radiographic outcomes, and perioperative complications of oblique lateral interbody fusion (OLIF) for adult spinal deformity (ASD). Methods: We performed a systematic review and meta-analysis of related studies reporting outcomes of OLIF for ASD. The clinical outcomes were assessed by visual analogue scale (VAS) and Oswestry Disability Index (ODI). The radiographic parameters were evaluated by sagittal vertical axis (SVA), pelvic tilt (PT), sacral slope (SS), thoracic kyphosis (TK), lumbar lordosis (LL), pelvic incidence-lumbar lordosis (PI-LL), Cobb angle and fusion rate. A random effects model and 95% confidence intervals (CI) were performed to investigate the results. Results: A total of 16 studies involving 519 patients were included in the present study. The mean difference of VAS-back score, VAS-leg score and ODI score before and after surgery was 5.1, 5.0 and 32.3 respectively. The mean correction of LL was 20.6°, with an average of 6.9° per level and the mean correction of Cobb was 16.4°, with an average of 4.7° per level. The mean correction of SVA, PT, SS, TK and PI-LL was 59.3 mm, 11.7°, 6.9°, 9.4° and 20.6° respectively. The mean fusion rate was 94.1%. The incidence of intraoperative and postoperative complications was 4.9% and 29.6% respectively. Conclusions: OLIF is an effective and safe surgery method in the treatment of mild or moderate ASD and it has advantages in less intraoperative blood loss and lower perioperative complications.

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Effect of photobiomodulation in secondary intention gingival wound healing—a systematic review and meta-analysis

BMC Oral Health ◽

10.1186/s12903-021-01611-2 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Pooya Ebrahimi ◽

Mahdi Hadilou ◽

Ferdos Naserneysari ◽

Amirmohammad Dolatabadi ◽

Rana Tarzemany ◽

...

Keyword(s):

Systematic Review ◽

Wound Healing ◽

Clinical Trials ◽

Randomized Clinical Trials ◽

Meta Analysis ◽

Healing Process ◽

Adjunctive Treatment ◽

Control Groups ◽

Secondary Intention ◽

Post Operative Pain

Abstract Background Photobiomodulation is widely being used to improve the wound healing process in dentistry and a vast majority of studies have proven its benefits. But there are plenty of knowledge gaps according to the optimal laser characteristics which should be used to maximize the healing effects of lasers. The goal of this systematic review and meta-analysis was to determine the effect of photobiomodulation (PBM) as an adjunctive treatment to periodontal therapies to evaluate secondary intention gingival wound healing and post-operative pain. Methods Five databases (PubMed, Embase, Scopus, ProQuest, and Web of Sciences) were searched up to November 30, 2020, for clinical trials that reported the result of the application of PBM on secondary gingival healing wounds and post-operative pain and discomfort after periodontal surgeries. Two independent reviewers selected the eligible studies and the outcomes of interest were extracted. The quality of eligible studies was assessed using the Cochrane Handbook for Systematic Reviews of Interventions. Results Ultimately, twelve studies were included in this review. The application of PBM as an adjunct to periodontal surgeries resulted in a significant improvement in wound healing indices. The Landry wound healing index at the 7th post-operative day was significantly improved (SMD = 1.044 [95% CI 0.62–1.46]; p < 0.01) in PBM + surgery groups compared to the control groups. There was also a statistically significant increase in the complete wound epithelialization (RR = 3.23 [95% CI 1.66–6.31]; p < 0.01) at the 14th post-operative day compared to the control groups. The methods used to assess the post-operative pain were heterogeneous, and therefore the results were limited which made the meta-analysis for post-operative pain assessment not possible. Conclusion Based on the results of this review, PBM can be effectively used as a method to improve secondary intention wound healing. High-quality randomized clinical trials, however, are needed in the future to identify the optimal PBM irradiation parameters and the effect of PBM on post-operative pain.

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Fascial closure in giant ventral hernias after preoperative botulinum toxin a and progressive pneumoperitoneum: A systematic review and meta-analysis

Surgery ◽

10.1016/j.surg.2021.03.027 ◽

2021 ◽

Author(s):

Mathilde Maria Johanna van Rooijen ◽

Yagmur Yurtkap ◽

Mathias Allaeys ◽

Nabeel Ibrahim ◽

Frederik Berrevoet ◽

...

Keyword(s):

Systematic Review ◽

Botulinum Toxin ◽

Botulinum Toxin A ◽

Meta Analysis ◽

Fascial Closure ◽

Toxin A ◽

Ventral Hernias

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Perioperative Complications of Hysterectomy After a Previous Cesarean Section: A Systematic Review and Meta-Analysis

Clinical Epidemiology ◽

10.2147/clep.s235429 ◽

2019 ◽

Vol Volume 11 ◽

pp. 1089-1098

Author(s):

Siwanon Rattanakanokchai ◽

Chumnan Kietpeerakool ◽

Jatupol Srisomboon ◽

Nampet Jampathong ◽

Porjai Pattanittum ◽

...

Keyword(s):

Systematic Review ◽

Cesarean Section ◽

Perioperative Complications ◽

Meta Analysis ◽

Previous Cesarean Section ◽

Previous Cesarean

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Zolpidem reduces pain intensity postoperatively: a systematic review and meta-analysis of the effect of hypnotic medicines on post-operative pain intensity

Systematic Reviews ◽

10.1186/s13643-020-01458-8 ◽

2020 ◽

Vol 9 (1) ◽

Author(s):

Edel T. O’Hagan ◽

Markus Hübscher ◽

Christopher B. Miller ◽

Christopher J. Gordon ◽

Sylvia Gustin ◽

...

Keyword(s):

Systematic Review ◽

Pain Intensity ◽

Meta Analysis ◽

Post Operative Pain

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Laparoscopic Repair of Primary Ventral Hernias Does Not Decrease Hernia Recurrence Rates: A systematic Review and Meta-Analysis

Journal of Surgical Research ◽

10.1016/j.jss.2013.11.828 ◽

2014 ◽

Vol 186 (2) ◽

pp. 675

Author(s):

N.A. Arita ◽

M.T. Nguyen ◽

R.L. Berger ◽

S.C. Hicks ◽

J.W. Suliburk ◽

...

Keyword(s):

Systematic Review ◽

Laparoscopic Repair ◽

Meta Analysis ◽

Hernia Recurrence ◽

Recurrence Rates ◽

Ventral Hernias

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The Efficacy and Clinical Safety of Various Analgesic Combinations for Post-Operative Pain after Third Molar Surgery: A Systematic Review and Meta-Analysis

PLoS ONE ◽

10.1371/journal.pone.0127611 ◽

2015 ◽

Vol 10 (6) ◽

pp. e0127611 ◽

Cited By ~ 26

Author(s):

Alvin Ho Yeung Au ◽

Siu Wai Choi ◽

Chi Wai Cheung ◽

Yiu Yan Leung

Keyword(s):

Systematic Review ◽

Meta Analysis ◽

Third Molar ◽

Third Molar Surgery ◽

Clinical Safety ◽

Post Operative Pain

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Comparison of regional and local anesthesia for arteriovenous fistula creation in end-stage renal disease: a systematic review and meta-analysis

10.21203/rs.3.rs-25806/v1 ◽

2020 ◽

Author(s):

Chen Gao ◽

Chunyan Weng ◽

Chenghai He ◽

Jingli Xu ◽

Liqiang Yu

Keyword(s):

Systematic Review ◽

Renal Disease ◽

Arteriovenous Fistula ◽

Local Anesthesia ◽

End Stage Renal Disease ◽

Meta Analysis ◽

Primary Patency ◽

Post Operative Pain ◽

Stage Renal Disease ◽

End Stage

Abstract Background Arteriovenous fistulae (AVF) are the hemodialysis access modality of choice for patients with end-stage renal disease. However, they have a high early failure rate. Good vascular access is essential to manage long-term hemodialytic treatment, but some anesthesia techniques directly affect venous diameter as well as intra- and post- operative blood flow. The main purpose of this meta-analysis was to compare the results of regional and local anesthesia for arteriovenous fistula creation in end-stage renal disease.Methods: We conducted a systematic review and meta-analysis to synthesize evidence from 7 randomized controlled trials (565 patients) and 2 observational studies (524 patients) aim to evaluate the safety and efficacy of regional anesthesia (RA) versus local anesthesia (LA) in AVF surgical construction.Results: Pooled data showed that RA was associated with higher primary patency rates than LA (odds ratio [OR], 1.88; 95% confidence interval [CI], 1.24 - 2.84; P = 0.003; I 2 = 31%; Figure 2a). Additionally, brachial artery diameter was significantly increased in the RA versus LA group (mean difference [MD] = 0.83; 95% CI: 0.75 - 0.92; P < 0.001; I 2 = 97%) and the need for intra- as well as post- operative pain killers was significantly less (RA, p = 0.0363; LA, p = 0.0318). Moreover, operation duration was significantly reduced in the RA (67.5 ± 8.9 min) versus LA (134.7 ± 14.8 min) group (p = 0.0007).Conclusions: In conclusion, compared with LA, RA shows higher primary patency rates and it also associated with significantly better intra- as well as post- operative pain control, reduced operative times, which are extremely important in patients with end-stage renal disease and severe comorbidities.

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