Open or laparoscopic mesh repair of incisional hernia in patients that underwent liver transplantation: A systematic review and proportional meta-analysis.

Abstract:

BACKGROUND:Incisional hernias, that significantly affect the quality of life of patients, are common complications especially after major surgery, such as liver transplantation. The purpose of this meta-analysis is to outline the available evidence on the complications occurring after mesh implantation as a treatment of ventral incisional hernias (VIH) in liver transplant patients. METHODS:MEDLINE, SCOPUS, Clinicaltrials.gov, CENTRAL and Google Scholar databases were searched for articles that reported the complications after mesh repair in patients that had undergone liver transplantation. RESULTS:Eighteen studies, that involved 640 liver transplant patients who developed incisional hernia, were included. 546 of them underwent surgical repair with mesh implantation. 144 (26%) patients developed postoperative complications, and the most common was surgical site infection (17%). The pooled complication rate of open mesh repair of incisional hernia after liver transplantation was 23% (95% CI = 11%-37%), whereas the pooled complication rate of laparoscopic mesh repair was 20% (95% CI = 12%-29%). CONCLUSION:Laparoscopic VIH repair with the implantation of mesh showed promising results, since the percentage of patients with postoperative complications was lower compared to the available data of those who underwent open VIH repair with mesh.

journal_name

Clin Transplant

journal_title

Clinical transplantation

authors

Frountzas M,Nikolaou C,Maris S,Stavrou E,Giannopoulos P,Schizas D,Stergios K,Toutouzas K

doi

10.1111/ctr.14103

subject

Has Abstract

pub_date

2020-12-01 00:00:00

pages

e14103

issue

12

eissn

0902-0063

issn

1399-0012

journal_volume

34

pub_type

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