Table 6. Results of subgroup analyses for seroma and chronic wound pain.
All outcomes are stratified according to study design (RCTs or observational), mesh location (onlay, retrorectus, preperitoneal, and intraperitoneal), mean BMI (<40 and >40), and study population (bariatric, neoplastic, vascular, and mixed). The value of I2 shows the heterogeneity among subgroups.
Psubgroup represents p-values between subgroups.
IH, incisional hernia; OR, odds ratio; No Sig. Diff., no significant difference; Sig. Diff, significant difference
†- Significant difference was found between the mixed group with the bariatric (p=0.01), neoplastic (p=0.02), and vascular (p=0.008) groups.
Subgroups | Seroma | Chronic wound pain | ||||||||
N studies | I2 (%) | OR [95% CI] | Psubgroup | Comments | N studies | I2 (%) | OR [95% CI] | Psubgroup | Comments | |
Study design | ||||||||||
RCT | 12 | 10 | 1.83 [1.15, 2.91] | 0.77 | No Sig. Diff. | 5 | 0 | 1.63 [0.98, 2.71] | 0.22 | No Sig. Diff. |
Observational | 7 | 37 | 1.57 [0.63, 3.92] | 1 | - | 12.65 [0.48, 331.08] | ||||
Mesh location | ||||||||||
Onlay | 9 | 40 | 1.85 [0.89, 3.87] | 0.29 | No Sig. Diff. | 2 | 0 | 7.92 [0.85, 73.96] | 0.36 | No Sig. Diff. |
Retrorectus | 4 | 0 | 1.43 [0.74, 2.78] | 1 | - | 1.04 [0.06, 16.98] | ||||
Preperitoneal | 4 | 40 | 2.88 [0.94, 8.84] | 2 | 0 | 1.83 [1.03, 3.28] | ||||
Intraperitoneal | 2 | 0 | 0.57 [0.16, 2.07] | 1 | - | 0.86 [0.25, 2.94] | ||||
Mean BMI | ||||||||||
<40 | 7 | 16 | 1.23 [0.59, 2.57] | 0.26 | No Sig. Diff. | 2 | 0 | 0.88 [0.29, 2.73] | 0.29 | No Sig. Diff. |
>40 | 7 | 43 | 2.31 [1.01, 5.28] | 2 | 28 | 2.38 [0.57, 9.97] | ||||
Study population | ||||||||||
Bariatric | 7 | 40 | 2.39 [1.06, 5.38] | 0.04† | Sig. Diff. | 3 | 12 | 2.34 [0.90, 6.05] | 0.69 | No Sig. Diff. |
Neoplastic | 4 | 0 | 2.06 [1.06, 4.00] | 0 | - | - | ||||
Vascular | 4 | 0 | 2.57 [1.18, 5.64] | 1 | - | 1.04 [0.06, 16.98] | ||||
Mixed | 4 | 0 | 0.47 [0.17, 1.27] | 2 | 15 | 1.22 [0.30, 5.00] |