Scholarlink

Purpose <p>We performed a network meta-analysis to evaluate the comparative effectiveness of different mesh placement techniques in parastomal hernia repair on clinical and patient-reported outcomes.</p> Methods <p>A comprehensive search was conducted in PubMed, Scopus, Cochrane, and Web of Science for articles published until January 2025, focusing on recurrence rates, cumulative complication rates, operative time, length of hospital stay, surgical site infection rate, and Postoperative bowel obstruction rate. The risk of bias was assessed with ROBINS-I and RoB 2. GRADE assessment was performed to evaluate the body of evidence.</p> Results <p>Twenty studies were included in the meta-analysis. Hybrid 3D had lower rates of hernia recurrence than Keyhole (OR 0.20, 95% CI: 0.07–0.59) and had lower rates of surgical site infections than Sugarbaker (OR 0.25, 95% CI: 0.07–0.90). Sandwich had the highest ranking with the lowest recurrence rate (P-score: 0.8188), followed by Hybrid 3D. Hybrid 3D was associated with lower rates of cumulative complications than the keyhole technique (OR 0.33, 95% CI 0.15–0.74) and compared with the Sugarbaker technique (OR 0.35, 95% CI:0.17–0.75). No statistically significant differences were observed between techniques for postoperative bowel obstruction, operative time, or length of hospital stay. However, Hybrid 3D and Sandwich consistently ranked higher for favorable outcomes across these metrics.</p> Conclusions <p>These findings suggest that Hybrid 3D and Sandwich techniques offer superior outcomes regarding hernia recurrence and cumulative complications. Further high-quality randomized trials are required to confirm these results.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Comparison of different mesh placement techniques for parastomal hernia repair: an updated systematic review and network meta-analysis

  • 期刊论文

  • 发表日期：

    2025年4月12日

查看全文
  • Oguz Kagan Sahin,
  • Ayse Gulsah Kaya,
  • Paweł Łajczak,
  • Luana Miyahira Makita,
  • Hande Deger Usta,
  • Iago Nathan Simon Petry,
  • Yasmin Picanco Silva,
  • Eduardo Nogueira Freitas Ximenes

摘要

Purpose

We performed a network meta-analysis to evaluate the comparative effectiveness of different mesh placement techniques in parastomal hernia repair on clinical and patient-reported outcomes.

Methods

A comprehensive search was conducted in PubMed, Scopus, Cochrane, and Web of Science for articles published until January 2025, focusing on recurrence rates, cumulative complication rates, operative time, length of hospital stay, surgical site infection rate, and Postoperative bowel obstruction rate. The risk of bias was assessed with ROBINS-I and RoB 2. GRADE assessment was performed to evaluate the body of evidence.

Results

Twenty studies were included in the meta-analysis. Hybrid 3D had lower rates of hernia recurrence than Keyhole (OR 0.20, 95% CI: 0.07–0.59) and had lower rates of surgical site infections than Sugarbaker (OR 0.25, 95% CI: 0.07–0.90). Sandwich had the highest ranking with the lowest recurrence rate (P-score: 0.8188), followed by Hybrid 3D. Hybrid 3D was associated with lower rates of cumulative complications than the keyhole technique (OR 0.33, 95% CI 0.15–0.74) and compared with the Sugarbaker technique (OR 0.35, 95% CI:0.17–0.75). No statistically significant differences were observed between techniques for postoperative bowel obstruction, operative time, or length of hospital stay. However, Hybrid 3D and Sandwich consistently ranked higher for favorable outcomes across these metrics.

Conclusions

These findings suggest that Hybrid 3D and Sandwich techniques offer superior outcomes regarding hernia recurrence and cumulative complications. Further high-quality randomized trials are required to confirm these results.