SynthesisHernia : the journal of hernias and abdominal wall surgery2014
Surgical treatment for giant incisional hernia: a qualitative systematic review.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
52 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Systematic review and meta-analysis of the pre-operative application of botulinum toxin for ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- Mesh Location in Open Ventral Hernia Repair: A Systematic Review and Network Meta-analysis.World journal of surgery · 2016Pooled it
- A systematic review of the surgical treatment of large incisional hernia.Hernia : the journal of hernias and abdominal wall surgery · 2015Pooled it
- Abdominal reconstruction by sublay reinforcement after radical resection of abdominal desmoid tumors.Surgery today · 2026Article
- Less pain and foreign body sensation after incisional hernia repair with partially absorbable mesh than with non-absorbable mesh: a retrospective sequential cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Patient Experience and Surgical Outcomes of Botulinum Toxin A Treatment in Complex Abdominal Wall Hernias: A Retrospective Analysis.Journal of abdominal wall surgery : JAWS · 2026Article
- Comprehensive bibliometric and visualized analysis of research on incisional hernia and component separation from 1996 to 2023.JPRAS open · 2025Review
- The Modified Frailty 5-Factor Index Predicts Adverse Outcomes After Ventral Hernia Repair in a National Database.Plastic and reconstructive surgery. Global open · 2025Article
- Preoperative abdominal wall Botulinum A toxin in the outpatient pain clinic prior to complex abdominal wall repair: A letter to the editor.Interventional pain medicine · 2024Article
- Application of bridging mesh repair in giant ventral incisional hernia.Updates in surgery · 2024Article
- Achieving fascial closure with preoperative botulinum toxin injections in abdominal wall reconstruction: outcomes from a high-volume center.Updates in surgery · 2024Article
- Open IPOMs for medium/large incisional ventral hernia repairs in the French Hernia Registry: factors associated with their use and mesh-related outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Open intraperitoneal onlay mesh repair with anterior component separation as a bail-out procedure in the management of complex hernias.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Contemporary Abdominal Wall Reconstruction: Emerging Techniques and Trends.Journal of clinical medicine · 2024Review
- Analysis of surgical quality indicators after certification as a Hernia Center.Updates in surgery · 2024Article
- CT-measured hernia parameters can predict component separation: a cross-sectional study from China.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Medial incisional ventral hernia repair with AdhesixHernia : the journal of hernias and abdominal wall surgery · 2023Article
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- Article
- Does Surgeon Specialty Make a Difference in Ventral Hernia Repair With the Component Separation Technique?Cureus · 2022Article
Corrections and comments
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionRepair for giant incisional hernias is a challenge due to unacceptable high morbidity and recurrence rates. Several surgical techniques are available, but all are poorly documented. This systematic review was undertaken to evaluate the existing literature on repair for giant incisional hernia.
methodsLiterature was identified through a systematic search on PubMed, EMBASE, and CINAHL. We only included studies with clearly defined surgical techniques and defect size of at least 15 cm. The heterogeneity of the studies precluded a meta-analysis. The analysis was based on the premises of a systematic review of the literature.
resultsWe identified 14 studies (1,198 patients) including one randomised trial. Studies were mainly small and retrospective and highly heterogenic regarding design, outcome, inclusion, and exclusion criteria. The overall morbidity rate was median 32 % with a wide range between studies of 4-100 %. The mortality ranged from 0 to 5 % (median 0 %) and recurrence rate ranged from 0 to 53 % (median 5 %). Study follow-up ranged from 15 to 97 months (median 36 months). Mesh repair should always be used for patients undergoing repair for a giant hernia, and the sublay position may have advantages over onlay positioning. To avoid tension, it may be advisable to use a mesh in combination with a component separation technique. Inlay positioning of the mesh and repair without a mesh should be avoided.
conclusionsEvidence to optimise repair for giant hernias is weak due to the heterogeneity and the poor quality of studies. However, sublay positioning of the mesh perhaps in combination with a component separation technique may be advantageous compared with other surgical techniques for giant hernia repair. Giant hernia repair is a challenging surgical procedure and severely lack evidence-based research from high-quality, large-scaled randomised studies.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.