Short‑term outcomes of minimally invasive endoscopic onlay repair for diastasis recti and ventral hernia repair: a systematic review and meta‑analysis

被引：0
作者：
Francesco Brucchi [1 ]
Luigi Boni [2 ]
Elisa Cassinotti [2 ]
Ludovica Baldari [3 ]
机构：
[1] University of Milan, Milan
[2] Department of General and Minimally-Invasive Surgery, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via Francesco Sforza 35, Milan
[3] Department of Pathophysiology and Transplantation, University of Milan, Via Francesco Sforza 35, Milan
[4] Department of Clinical Sciences and Community Health, University of Milan, Via della Commenda 19, Milan
来源：
Surgical Endoscopy | 2025年 / 39卷 / 3期
关键词：
Diastasis recti; ENDOR; Laparoscopic/endoscopic; Onlay; Umbilical hernia; Ventral hernia;
D O I：
10.1007/s00464-025-11555-1
中图分类号：
学科分类号：
摘要：
Background: Endoscopic onlay repair (ENDOR) approach is gaining traction as a promising technique for the treatment of diastasis recti and associated ventral hernia. However, comprehensive evidence regarding its perioperative and short-term outcomes remains scarce. The objective of this meta-analysis is to provide a comprehensive summary of the existing evidence concerning perioperative and short-term postoperative outcomes. Methods: A systematic literature review was reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A comprehensive search was conducted in MEDLINE, Embase, and CENTRAL until August 1st, 2024. Articles reporting outcomes of ENDOR in adult population diagnosed with diastasis recti associated or not with primary or incisional ventral hernia were included. Primary outcomes were evaluated based on safety and short-term measures, including intraoperative and short-term postoperative characteristics. A fixed effects model was used for meta-analysis. The methodological quality of the studies was assessed using the Methodological Index for Non-randomized Studies (MINORS) criteria. Results: A total of 12 studies (480 patients) were identified. Minimally invasive ENDOR resulted in an intraoperative complications and conversion rate of 1.0% [95% CI 0.0–2.0%]. The rate of seroma was 25% [95% CI 12.0–39.0%], the one of surgical site infection was 1% [95% CI 0.0–2.0%] and the rate of hematoma was 2% [95% CI 1.0–3.0%]. After a median follow-up of 16 months (1.8–39), the rate of recurrence was 2% [95% CI 0.0–3.0%]. Conclusions: The minimally invasive ENDOR approach stands out as a safe and effective method for diastasis recti and associated ventral hernia repair in selected patients, exhibiting low rates of intraoperative complications and yielding favorable outcomes. Prospero registry Registration number: CRD42024573235 © The Author(s) 2025.
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页码：1490 / 1500
页数：10
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