SP 9.14 Fascial Closure in Laparoscopic Surgery: A Meta-Analysis of Its Impact on Port-Site Hernia, Bleeding, Infection, and Operative Time

Clicks: 1
ID: 323974
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal

Ranked #331 of 432 articles by views in the british journal of surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 432 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Aims To evaluate whether fascial closure reduces the incidence of port-site hernia (PSH) compared to non-closure in laparoscopic surgery. Secondary outcomes included bleeding, infection, and operative time. Methods A systematic literature search was conducted across six databases in accordance with PRISMA guidelines. Studies comparing closure versus non-closure after laparoscopic surgery were analysed using a Random-effect model. Subgroup analyses were conducted based on BMI, port size, trocar tip type, and study design. Risk ratios (RRs) and mean differences (MDs) were calculated, and heterogeneity was assessed using I². Results Six studies with 1,066 patients (463 closure, 603 non-closure) were included. Fascial closure reduced the risk of PSH (RR = 0.38; 95% CI 0.23-0.63; p < 0.01) with no heterogeneity (I² = 0%). Subgroup analyses showed consistent effects across study type, trocar tip, and BMI (all p > 0.05). The effect was more evident for ports ≥12 mm (RR = 0.33; 95% CI 0.17-0.65) than for 10 mm ports (RR = 0.60; 95% CI 0.01-29.83), but this difference was not statistically significant (p = 0.10). Fascial closure did not change the risk of bleeding (RR = 0.60; 95% CI 0.23-1.56) or infection (RR = 1.23; 95% CI 0.85-1.77). Operative time was longer in the closure group (MD = 13.65 min; 95% CI -5.76 to 33.05), though not significant. Conclusion Fascial closure of ports ≥10 mm lowers the risk of PSH without increasing bleeding or infection. Although it may add minutes to the procedure, the benefit in preventing hernia supports routine closure of larger ports.
Reference Key
openalex_W7172492305 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Mohammed Al Subhi, Mohammed Al Yousufi, Abdulwahab Alomar, Mohammed Al Sibani, Younis Al-Mufargi
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.130
URL
https://doi.org/10.1093/bjs/znag087.130
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.