To Close or Not to Close? A Meta-Analysis on Fascial Closure of Port Sites in Laparoscopic Metabolic and Bariatric Surgery

Key Points

• This research aims to evaluate the effectiveness of fascial closure (FC) of port sites in laparoscopic metabolic and bariatric surgery (LMBS) on postoperative outcomes.
• Conducted a meta-analysis of existing studies on fascial closure.
• Included various studies with interstudy heterogeneity regarding techniques and outcomes.
• Analyzed the influence of fascial closure on postoperative pain and recovery.
• No significant reduction in postoperative complications related to fascial closure was found.
• Postoperative pain may be increased with fascial closure, contradicting some expectations.
• Indicates the need for larger, multicenter randomized controlled trials for more definitive conclusions.