Abstract

SAFETY OF CLOSURE OF FASCIAL DEFECT DURING LAPAROSCOPIC INCISIONAL AND VENTRAL HERNIA REPAIR

Abdulrahman Osama K. Baghdadi*, Marwah Saleh Alsultan, Abdulrahman Jalwi M. Korkoman, Hakimah Abdulrahman Albalawi, Abdulrahman Abu-Baker Alamoodi, Kholoud Khalid Almowald, Mohammed Matooq Mubarak, Atheer Ali Merzen Mobasher, Baiader Saleh Alsheikh, Ameer Hashim Munshi

Abstract

Background & Purpose: Closure of the fascial disorder (CFD) techniques aim to repair the integrity, and subsequently function, of the belly wall. The underlying principle is that, by using ultimate the surgical useless space, seroma formation will lessen, cosmesis will enhance and recurrence will decrease as the belly wall muscle layer is undamaged with the rectus muscles restored to the midline role. The Aim of this work is to provide cumulative data about the safety of closure of fascial defect during laparoscopic incisional and ventral hernia. Methods: A systematic search was performed of PubMed, Cochrane library Ovid, Scopus & Google scholar to identify general surgery RCTs, clinical trials, and comparative studies, which studied the outcome of closure of the fascial defect (CFD group) versus non -closure of the fascial defect (NCFD group) of Incisional and Ventral Hernia Repair (IVH) patients. A meta-analysis was done using fixed and random-effect methods. The primary outcome of interest was the rate of adverse hernia-site outcomes. Secondary outcomes were recurrence rate and seroma formation. We calculated safety (adverse outcomes), for each group through these outcome measures. Results: A total of 6 studies were identified involving 2549 patients, with 1635 patients in CFD group, and 914 patients in NCFD group. Regarding safety outcome measures, meta-analysis study showed that, there was highly significant decrease in adverse hernia-site, seroma formation and recurrence rates, in CFD group compared to NCFD group (p < 0.05 respectively). Conclusion: To conclude, the addition of defect closure can reduce the incidence of complications and hazards after Laparoscopic Ventral Hernia Repair.

Keywords: Closure of Fascial Defect (CFD), Ventral Hernia Repair.