Unit:
ΠΜΣ Ελάχιστα Επεμβατική Χειρουργική, Ρομποτική Χειρουργική & ΤηλεχειρουργικήLibrary of the School of Health Sciences
Author:
Ραυτόπουλος Αντώνιος
Supervisors info:
Ιωάννης Γκρινιάτσος (Επίκουρος Καθηγητής), Π. Τσιγκρής (Καθηγητής Χειρουργικής), Νικόλαος Ι. Νικητέας (Αναπληρωτής Καθηγητής)
Original Title:
Laparoscopic versus open anterior abdominal wall hernia repair
Summary:
Hernias of the anterior abdominal wall are very common surgical problems.
In this review is made an analysis of studies which make a comparison of
laparoscopic and open repair of anterior abdominal wall hernias.
The results of seven studies with the same subject are compared.
Electronic databases such as Google scholar, Springer link, Pup med and other
references were searched.
Randomised controlled studies were selected, which compared the two techniques
in patients with hernia of the anterior abdominal wall. The sample of patients
has common characteristics.
All the studies are analyzed. In many situations are extracted different
results. The review includes 7 studies. The recurrence rate is reduced in the
laparoscopic procedure. In all the studies the patients were followed-up.
Results on operative time are different in the studies. The hospitalization was
shorter and the return to work was earlier in all the studies for the
laparoscopic technique. The risk of intraoperative complications was slightly
higher in laparoscopic repair in all the studies. The most clear and consistent
result was that laparoscopic technique reduced the risk of wound infection. The
control of postoperative pain intensity seems to be better in the laparoscopic
procedure. Open repair has better result to the cost-effectiveness without
including the cost of hospital stay.
The risk of recurrence is determined by surgical-technical factors. Recurrence
rate is low in experienced hands. The results after the compare of the two
procedures for the patients are better for the laparoscopic technique. The cost
of the surgery and the co-morbidity are disadvantages for the laparoscopic
approach.
The best procedure is related to the nature of hernia, patient characteristic
and the preference of the surgeon and the patient.
Keywords:
Laparoscopic surgery, Open surgery, Repair, Anterior abdominal wall hernia, Mesh
