Efficacy of Minimally Invasive Techniques versus Open Surgery for Recurrent Inguinal Hernias: A Meta-Analysis
DOI:
https://doi.org/10.70749/ijbr.v2i02.236Keywords:
Minimally Invasive Techniques, Open Surgery, Recurrent Inguinal Hernias, Meta-Analysis, Surgical EfficacyAbstract
Background: Recurrent inguinal hernias present difficult tasks in surgical approaches to address the issue and enhance patient prognosis. Laparoscopic and other forms of obsolete, less invasive surgery are increasingly being preferred to traditional open surgery. Objective: This meta-analysis aims to synthesize the effectiveness of minimal approach strategies compared with the open approach for recurrent inguinal hernia repair. Methods: The present study adhered to the PRISMA flowchart and databases search was conducted in PubMed, Cochrane, Embase, and Scopus. A total of 29 articles were used from the literature published between 2000 and 2024, which compared minimally invasive techniques and open surgery. Meaningfully, assessment parameters drawn from the study were recurrence rates, post-surgery pain, lengths of hospital stay, complications, and, satisfaction. Structural analysis was performed and combined ordinal data were analyzed for comparison of relative effectiveness. Results: It can be seen that, over the different parameters, minimally invasive approaches provided better results. Repeat rate was smaller (6.06% versus 11.14%), early postoperative pain (3.1 versus 5.4 days); shorter hospital stay (2.5 versus 4.8 days). In the following analysis we observed that the complication rate was significantly less in the minimally invasive group (4.2% vs 8.9%) and patient satisfaction index was slightly higher (89.4 vs 76.3). Further, cross-sectional analysis demonstrated cost effectiveness of laparoscopic techniques and precision in complicated cases offered by robotic operations. Conclusion: The results of the present study showed that minimally invasive approaches are superior to open surgery in treating recurrent inguinal hernias in terms of postoperative recurrence, recovery, and patient satisfaction. Patient and surgery based tailored treatment planning should be vital for promoting best treatment results.
References
Amato, G. (2022). Inguinal Hernia: Pathophysiology and Genesis of the Disease. Springer Nature.
Room, E. (2017). Surgeons of Great Britain and Ireland. HPB, 1(B09), 8.
Engbang, J. P., Essola, B., Fouda, B., Baakaiwe, L. D., Chichom, A. M., & Ngowe, M. N. (2021). Inguinal Hernias in Adults: Epidemiological, Clinical and Therapeutic Aspects in the City of Douala. Journal of Surgery and Research, 04(01). https://doi.org/10.26502/jsr.10020115
Howard, R., Thumma, J., Ehlers, A., Englesbe, M., Dimick, J., & Telem, D. (2023). Trends in Surgical Technique and Outcomes of Ventral Hernia Repair in The United States. Annals of Surgery, 278(2), 274. https://doi.org/10.1097/SLA.0000000000005654
Huang, C.-C. ., Lien, H.-H. ., Wong, J.-U. ., Ho, T.-F. ., Chang, W.-P. ., & Hunag, C.-S. . (2019). Revisiting HERQL, the hernia-specific quality-of-life assessment instrument, to extend the clinical applicability for abdominal wall hernias. Hernia, 24(4), 771–780. https://doi.org/10.1007/s10029-019-02066-9
Anoldo, P., Manigrasso, M., D’Amore, A., Musella, M., Domenico, G., & Milone, M. (2024). Abdominal Wall Hernias—State of the Art of Laparoscopic versus Robotic Surgery. Journal of Personalized Medicine, 14(1), 100–100. https://doi.org/10.3390/jpm14010100
Powell, F., & Khaund, A. (2016). Laparoscopy and laparoscopic surgery. Obstetrics, Gynaecology & Reproductive Medicine, 26(10), 297–303. https://doi.org/10.1016/j.ogrm.2016.07.004
Wang, Y., Cao, D., Chen, S.-L., Li, Y.-M., Zheng, Y.-W., & Ohkohchi, N. (2021). Current trends in three-dimensional visualization and real-time navigation as well as robot-assisted technologies in hepatobiliary surgery. World Journal of Gastrointestinal Surgery, 13(9), 904–922. https://doi.org/10.4240/wjgs.v13.i9.904
Padmakumar, R., Pai, D. M., & Shamsudeen, F. (2017). Laparoscopic Hernia Repair: How to Learn at Ease. JP Medical Ltd.
Haidegger, T., Speidel, S., Stoyanov, D., & Satava, R. M. (2022). Robot-Assisted Minimally Invasive Surgery—Surgical Robotics in the Data Age. Proceedings of the IEEE, 110(7), 835–846. https://doi.org/10.1109/jproc.2022.3180350
Tulloh, B. (2020). Laparoscopic Ventral Hernia Repair. In Manual of Complex Abdominal Wall Reconstruction (pp. 113-126). CRC Press.
Stamenkovic, D. M., Bezmarevic, M., Bojic, S., Unic-Stojanovic, D., Stojkovic, D., Slavkovic, D. Z., Bancevic, V., Maric, N., & Karanikolas, M. (2021). Updates on Wound Infiltration Use for Postoperative Pain Management: A Narrative Review. Journal of Clinical Medicine, 10(20), 4659. https://doi.org/10.3390/jcm10204659
Lee, G. K., Chronister, J., & Bishop, M. (2008). The Effects of Psychosocial Factors on Quality of Life Among Individuals With Chronic Pain. Rehabilitation Counseling Bulletin, 51(3), 177–189. https://doi.org/10.1177/0034355207311318
Prouza, A., & Hashim, H. (2023). Mesh complications and their management. In Textbook of Female Urology and Urogynecology (pp. 868-878). CRC Press.
Tozzi, R., Köhler, C., Ferrara, A., & Schneider, A. (2004). Laparoscopic treatment of early ovarian cancer: surgical and survival outcomes. Gynecologic Oncology, 93(1), 199–203. https://doi.org/10.1016/j.ygyno.2004.01.004
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