Trial reportWorld journal of surgery2013
Outcomes after emergency versus elective ventral hernia repair: a prospective nationwide study.
Trial report in World journal of surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 4 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
76 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Laparoscopic versus open repair for umbilical hernia: outcomes and complications.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Umbilical hernia repair in patients with cirrhosis: systematic review of mortality and complications.Hernia : the journal of hernias and abdominal wall surgery · 2022Pooled it
- The European Hernia Society Prehabilitation Project: a systematic review of patient prehabilitation prior to ventral hernia surgery.Hernia : the journal of hernias and abdominal wall surgery · 2022Pooled it
- The emerging role of sarcopenia as a prognostic indicator in patients undergoing abdominal wall hernia repairs: a systematic review of the literature.Hernia : the journal of hernias and abdominal wall surgery · 2020Pooled it
- Mesh Versus Patch Repair for Epigastric and Umbilical Hernia (MORPHEUS Trial); One-Year Results of a Randomized Controlled Trial.World journal of surgery · 2018Trial
- Mesh Or Patch for Hernia on Epigastric and Umbilical Sites (MORPHEUS trial): study protocol for a multi-centre patient blinded randomized controlled trial.BMC surgery · 2014Trial
- Emergency hernia hospitalizations in older adults with and without multimorbidity.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Smoking cessation and weight loss before ventral hernia repair - can we really justify this? A single center cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Potential and feasibility of preoptimisation in ventral hernia repair- a focus group study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- EHS Guidelines on the Management of Primary Ventral and Incisional Hernias Under Emergency Conditions.Journal of abdominal wall surgery : JAWS · 2026Review
- Long-Term Recurrence and the Safety of Mesh Use After Emergency Ventral Hernia Repair.JAMA network open · 2025Article
- Emergency Hernia Repair Outcomes for Patients With and Without Established Hernia Care With a Surgeon.JAMA network open · 2025Article
- Chronic inflammation following hernia repair and cancer risk: A nationwide study.Surgery open science · 2025Article
- A critical COSMIN-informed scoping review of complex abdominal wall hernia quality of life tools: making a case for patient-driven tool development.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Emergency umbilical and epigastric hernia repair: nationwide registry-based study of long-term recurrence, mesh-related, and other complications.Surgical endoscopy · 2025Article
- Recurrent emergent hernia repairs: who is at risk?Surgical endoscopy · 2025Article
- Risk factors and outcomes for early returns to the operating room following abdominal wall hernia repairs.Surgery in practice and science · 2025Article
- Operative decision making for repair of emergent primary and recurrent ventral hernia.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2025Article
- A Woman With Painful Umbilicus.Journal of the American College of Emergency Physicians open · 2025Review
- Risk factors for incarceration in groin hernia: a prospective observational study.Hernia : the journal of hernias and abdominal wall surgery · 2025Observational
16 more citing papers are in PubMed but not listed here.
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEarly surgical results after emergency repairs for the most frequent ventral hernias (epigastric, umbilical, and incisional) are not well described. Thus, the aim of present study was to investigate early results and risk factors for poor 30-day outcome after emergency versus elective repair for ventral hernias.
methodsAll patients undergoing epigastric, umbilical, or incisional hernia repair registered in the Danish Hernia Database during the period 1 January 2007 to 31 December 2010 were included in the prospective study. Follow-up was obtained through administrative data from the Danish National Patient Register.
resultsIn total, 10,041 elective and 935 emergency repairs were included. The risk for 30-day mortality, reoperation, and readmission was significantly higher (by a factor 2-15) after emergency repairs than after elective repairs (p ≤ 0.003). In addition, there were significantly more patients with concomitant bowel resection after emergency repairs than after elective repairs (p < 0.001). Independent risk factors for emergency umbilical/epigastric hernia repair were female gender, older age, hernia defects >2-7 cm, and repair for a primary hernia (vs recurrent hernia) (all p < 0.05). Independent risk factors for emergency incisional hernia repair were female gender, increasing age, and hernia defects ≤7 cm (all p < 0.05).
conclusionsEmergency umbilical/epigastric or incisional hernia repair was beset with up to 15-fold higher mortality, reoperation, and readmission rates than elective repair. Older age, female gender, and umbilical hernia defects between 2 and 7 cm or incisional hernia defects up to 7 cm were important risk factors for emergency repair.
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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.