Current state of laparoscopic parastomal hernia repair: A meta-analysis

Table 1 Study characteristics and complication outcomes

Reference	Year	Evidence level	Technique	No. of repairs	Overall complications	Mesh infection	Surgical site infection	Obstruction	Other complications	Mortality	Follow-up months
Safadi	2004	4	KH	9	3	0	0	0	3	0	24
LeBlanc	2005	4	KH/SB	12	4	0	0	1	3	1	20
Berger	2007	4	SB	41	3	0	1	1	1	0	241
Mancini	2007	4	SB	25	5	1	1	0	3	1	191
McLemore	2007	4	KH/SB	19	11	0	2	1	8	0	20
Muysoms	2008	4	KH/SB	24	2	0	0	0	2	0	22
Berger	2008	4	Sandwich	47	4	0	0	0	4	0	20
Hansson	2008	4	KH	55	6	2	0	0	4	0	361
Craft	2008	4	KH/SB	21	8	2	1	1	4	0	14
Pastor	2009	4	KH/SB	12	4	0	2	0	2	0	14
Jani	2010	4	KH	9	2	0	0	0	2	0	13
Wara	2011	4	KH	72	21	0	4	0	17	2	361
Asif	2012	4	KH/SB	33	13	0	4	1	8	0	12
Mizrahi	2012	4	KH	29	6	0	1	1	4	1	28
Hansson	2013	4	SB	61	12	1	1	0	9	1	26
Weighted pooled % (95%CI)					24.9% (17.9%-32.7%)	1.7% (0.7%-3.1%)	3.8% (2.3%-5.7%)	1.7%(0.7%-3.0%)	16.6%(11.9%-22.1%)	1.8%(0.8%-3.2%)

¹Months in median instead of mean.

Table 2 Study characteristics and overall recurrences

Reference	Year	Technique	No. of repairs	Recurrences
Safadi	2004	KH	9	4
LeBlanc	2005	KH/SB	12	1
Berger	2007	SB	41	8
Mancini	2007	SB	25	1
McLemore	2007	KH/SB	19	2
Muysoms	2008	KH/SB	24	10
Berger	2008	Sandwich	47	1
Hansson	2008	KH	55	20
Craft	2008	KH/SB	21	1
Pastor	2009	KH/SB	12	4
Jani	2010	KH	9	0
Wara	2011	KH	72	2
Asif	2012	KH/SB	33	11
Mizrahi	2012	KH	29	13
Hansson	2013	SB	61	3
Weighted pooled% (95%CI)				17.4% (9.5%-26.9%)

KH: Keyhole; SB: Sugarbaker.

Table 3 Study characteristics and recurrences in Sugarbaker

Reference	Year	No. of repairs	Recurrences
LeBlanc	2005	5	1
Berger	2007	41	8
Mancini	2007	25	1
McLemore	2007	14	-
Muysoms	2008	13	2
Craft	2008	15	0
Pastor	2009	3	2
Asif	2012	14	0
Hansson	2013	61	3
Weighted pooled% (95%CI)		10.2% (3.9%-19.0%)

Table 4 Study characteristics and recurrences in Keyhole

Reference	Year	No. of repairs	Recurrences
Safadi	2004	9	4
LeBlanc	2005	7	0
McLemore	2007	5	-
Muysoms	2008	11	8
Hansson	2008	55	20
Craft	2008	6	1
Pastor	2009	9	2
Jani	2010	9	0
Wara	2011	72	2
Asif	2012	19	11
Mizrahi	2012	29	13
Weighted pooled% (95%CI)		27.9% (12.3%-46.9%)