Xin Zheng, Ming Song, Jun Liu, Bin Jiang, Wei Hu, Ziwei Li
{"title":"Laparoscopic versus open repair for umbilical hernia: outcomes and complications.","authors":"Xin Zheng, Ming Song, Jun Liu, Bin Jiang, Wei Hu, Ziwei Li","doi":"10.1007/s10029-026-03792-7","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate which surgical approach is more beneficial for patients with umbilical hernia, and compare the clinical outcomes between the laparoscopic group and the open group.</p><p><strong>Materials and methods: </strong>The databases of PubMed, EMBASE, and the Cochrane Library were used to search for eligible studies from their inception to December 31, 2025. Mean difference (MD), Odds ratios (OR), and 95% confidence intervals (CI) were pooled to analyze. The Newcastle-Ottawa Scale (NOS) scores were used to evaluate the quality of the included studies. This study was performed with Stata (V.18.0) software.</p><p><strong>Results: </strong>A total of thirteen studies involving 62,588 patients were included in this study. By comparing the postoperative outcomes, we found that the laparoscopic group had longer operative time (MD = 1.50, I²=97.28%, 95%CI = 0.54 to 2.47, P < 0.1), shorter postoperative hospital stay (MD=-0.57, I²=96.14%, 95%CI=-1.1 to -0.01, P < 0.1), fewer overall complications (OR = 0.65, I²=0.00%, 95%CI = 0.49 to 0.85, P < 0.1), fewer wound infection (OR = 0.55, I²=13.20%, 95%CI = 0.40 to 0.76, P < 0.1), fewer wound healing disorder (OR = 0.54, I²=0.00%, 95%CI = 0.30 to 1.00, P < 0.1), more respiratory complications (OR = 3.16, I²=0.00%, 95%CI = 1.88 to 5.32, P < 0.1), more heart related complications (OR = 3.75, I²=0.00%, 95%CI = 1.84 to 7.66, P < 0.1), more ileus (OR = 8.43, I²=0.00%, 95%CI = 2.98 to 23.84, P < 0.1), less bleeding (OR = 0.36, I²=0.00%, 95%CI = 0.14 to 0.91, P < 0.1) and shorter follow-up time (MD=-0.24, I²=0.00%, 95%CI=-0.41 to -0.08 P < 0.1).</p><p><strong>Conclusion: </strong>Compared with open umbilical hernia surgery, laparoscopic surgery has more advantages in reducing postoperative hospital stay, wound infection, and overall complications.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"30 1","pages":""},"PeriodicalIF":2.7000,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Hernia","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s10029-026-03792-7","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0
Abstract
Purpose: This study aimed to evaluate which surgical approach is more beneficial for patients with umbilical hernia, and compare the clinical outcomes between the laparoscopic group and the open group.
Materials and methods: The databases of PubMed, EMBASE, and the Cochrane Library were used to search for eligible studies from their inception to December 31, 2025. Mean difference (MD), Odds ratios (OR), and 95% confidence intervals (CI) were pooled to analyze. The Newcastle-Ottawa Scale (NOS) scores were used to evaluate the quality of the included studies. This study was performed with Stata (V.18.0) software.
Results: A total of thirteen studies involving 62,588 patients were included in this study. By comparing the postoperative outcomes, we found that the laparoscopic group had longer operative time (MD = 1.50, I²=97.28%, 95%CI = 0.54 to 2.47, P < 0.1), shorter postoperative hospital stay (MD=-0.57, I²=96.14%, 95%CI=-1.1 to -0.01, P < 0.1), fewer overall complications (OR = 0.65, I²=0.00%, 95%CI = 0.49 to 0.85, P < 0.1), fewer wound infection (OR = 0.55, I²=13.20%, 95%CI = 0.40 to 0.76, P < 0.1), fewer wound healing disorder (OR = 0.54, I²=0.00%, 95%CI = 0.30 to 1.00, P < 0.1), more respiratory complications (OR = 3.16, I²=0.00%, 95%CI = 1.88 to 5.32, P < 0.1), more heart related complications (OR = 3.75, I²=0.00%, 95%CI = 1.84 to 7.66, P < 0.1), more ileus (OR = 8.43, I²=0.00%, 95%CI = 2.98 to 23.84, P < 0.1), less bleeding (OR = 0.36, I²=0.00%, 95%CI = 0.14 to 0.91, P < 0.1) and shorter follow-up time (MD=-0.24, I²=0.00%, 95%CI=-0.41 to -0.08 P < 0.1).
Conclusion: Compared with open umbilical hernia surgery, laparoscopic surgery has more advantages in reducing postoperative hospital stay, wound infection, and overall complications.
期刊介绍：
Hernia was founded in 1997 by Jean P. Chevrel with the purpose of promoting clinical studies and basic research as they apply to groin hernias and the abdominal wall . Since that time, a true revolution in the field of hernia studies has transformed the field from a ”simple” disease to one that is very specialized. While the majority of surgeries for primary inguinal and abdominal wall hernia are performed in hospitals worldwide, complex situations such as multi recurrences, complications, abdominal wall reconstructions and others are being studied and treated in specialist centers. As a result, major institutions and societies are creating specific parameters and criteria to better address the complexities of hernia surgery.
Hernia is a journal written by surgeons who have made abdominal wall surgery their specific field of interest, but we will consider publishing content from any surgeon who wishes to improve the science of this field. The Journal aims to ensure that hernia surgery is safer and easier for surgeons as well as patients, and provides a forum to all surgeons in the exchange of new ideas, results, and important research that is the basis of professional activity.
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