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Minimally invasive surgery for acute groin hernias: A systematic review and meta-analysis
Parbatraj Regmi1, Vijay Pratap Sah1, Bikash Kumar Sah1
1Department of Surgery, BP Koirala Institute of Health Sciences, Dharan, 56700, Nepal.
Background:
An open approach is widely used for the surgical treatment of acute groin hernia, however, in recent decades multiple studies have explored the safety and benefits of minimally invasive surgery (MIS) for acute groin hernia.
Methods:
A systematic literature search was performed on the electronic databases and meta-analysis was performed using the RevMan 5.4.1.
Results:
Our study identified that the MIS for acute groin hernia is associated with significantly lower rate of bowel resection with better outcomes than an open approach. Similarly, superficial surgical site infections (SSI) and length of stay (LOS) were also significantly lower in the MIS group. However, there was no significant difference in the duration of operation, use of prosthesis, overall postoperative morbidity, incidence of seroma, hematoma, deep SSI, and hernia recurrence between the two treatment approaches.
Conclusion:
MIS for acute groin hernia is associated with better outcomes than the open approach in terms of outcomes like the bowel resection rate, superficial SSI, and LOS.
Insights
Minimally invasive surgery (MIS) for acute groin hernia offers better outcomes than open surgery, with fewer bowel resections, superficial surgical site infections, and shorter hospital stays. This approach demonstrates improved patient recovery.
Area of Science:
- Surgical Innovation
- Hernia Repair Techniques
- Comparative Effectiveness Research
Background:
- The open approach remains standard for acute groin hernia repair.
- Minimally invasive surgery (MIS) is increasingly investigated for safety and benefits in acute groin hernia treatment.
Purpose of the Study:
- To compare the outcomes of minimally invasive surgery (MIS) versus the open approach for acute groin hernia repair.
- To evaluate the safety and efficacy of different surgical techniques for acute groin hernia.
Main Methods:
- A systematic literature search was conducted across electronic databases.
- A meta-analysis was performed using RevMan 5.4.1 software to synthesize findings.
Main Results:
- MIS for acute groin hernia showed a significantly lower rate of bowel resection compared to the open approach.
- Superficial surgical site infections (SSI) and length of stay (LOS) were significantly reduced in the MIS group.
- No significant differences were observed in operation duration, prosthesis use, overall morbidity, seroma, hematoma, deep SSI, or hernia recurrence.
Conclusions:
- Minimally invasive surgery (MIS) for acute groin hernia is associated with superior outcomes, including reduced bowel resection rates.
- MIS leads to a decrease in superficial surgical site infections (SSI) and shorter length of stay (LOS) compared to open surgery.
- MIS presents a favorable alternative for acute groin hernia treatment, enhancing patient recovery and reducing complications.
