ArticleWorld journal of surgery2015
Sutured repair of primary small umbilical and epigastric hernias: concomitant rectus diastasis is a significant risk factor for recurrence.
Article in World journal of surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05912868 (Long-term Results in 174 Patients With a Ventral Hernia in the Midline of the Abdominal Wall After EMILOS), which is not on this map. Cited by 67 papers, 2 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.
Long-term Results in 174 Patients With a Ventral Hernia in the Midline of the Abdominal Wall After EMILOS (Endoscopic Mini/Less Open Sublay) Repair
Who cites it
67 citing papers in PubMed, 2 syntheses or guidelines pooled it, 163 citations in OpenAlex.
- Umbilical hernia repair and recurrence: need for a clinical trial?BMC surgery · 2021Pooled it
- EHS and AHS guidelines for treatment of primary ventral hernias in rare locations or special circumstances.BJS open · 2020Pooled it
- No difference in outcomes between large- and small-pore meshes in a prospective, randomized, multicenter trial investigating open retromuscular meshplasty for incisional hernia repair.Langenbeck's archives of surgery · 2023Trial
- Subcutaneous onlay laparoscopic approach (SCOLA) for ventral hernia with concomitant diastasis recti: a single-center experience.Updates in surgery · 2026Article
- Improved quality of life after combined plastic and general surgical retromuscular mesh repair for abdominal wall hernia with concurrent rectus diastasis: a retrospective cohort study of 59 post-partum woman.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Rectus Diastasis With Midline Hernias: Abdominal Wall Reconstruction With Autologous Tissue.Plastic and reconstructive surgery. Global open · 2026Article
- Efficacy of slowly absorbable versus permanent sutures in primary repair of umbilical hernias.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Hybrid approach for ventral hernia associated with rectus diastasis: endoscopic single-port diastasis plication with open preperitoneal hernia repair. ENDOP technique in 10 steps.Surgical endoscopy · 2026Article
- Spiegel hernia in elective repair: a single-center experience with 47 cases, comparison of laparoscopic and open repair outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Elective Umbilical Hernia Repair in Adults in the 21st Century: Challenging the Status Quo.Journal of clinical medicine · 2025Article
- Mesh suture repair of rectus diastasis with and without a concurrent ventral hernia.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Long-term patient-reported outcomes after plication of rectus diastasis and simultaneous herniorrhaphy with HELP abdominoplasty.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Minimally invasive myofascial closure device in combination with laparoscopy for pediatric linea alba hernia repair: a new approach.BMC surgery · 2025Article
- Risk factors and outcomes for early returns to the operating room following abdominal wall hernia repairs.Surgery in practice and science · 2025Article
- Differential linea alba width in pediatric umbilical hernias: a comparative analysis.Surgical and radiologic anatomy : SRA · 2024Article
- An emerging, less explored Subcutaneous onlay laparoscopic approach for ventral hernias with concomitant diastasis recti.Scientific reports · 2024Observational
- Long-term outcomes of primary ventral hernia repair associated with rectus diastasis.Updates in surgery · 2024Observational
- The current role of barbed sutures in fascial closure of ventral hernia repair: a multicenter study using the abdominal core health quality collaborative database.Surgical endoscopy · 2024Article
- Computed tomography for evaluation of abdominal wall hernias-what is the value of the Valsalva maneuver?Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Robotic-assisted endoscopic onlay repair (R-ENDOR) for concomitant ventral hernias and diastasis recti: initial results and surgical technique.Surgical endoscopy · 2024Article
7 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundUmbilical and epigastric hernias are common in the adult population and prompt repair is advised. We aimed to evaluate the impact of concomitant rectus diastasis on the outcome of patients who underwent primary sutured fascia closure of a hernia without mesh.
methodsWe performed a retrospective analysis of 231 consecutive adult patients who had undergone elective suture-based repair of small (<2 cm) and primary umbilical or epigastric hernias with respect to complications, recurrence, and chronic pain.
resultsPatients with rectus diastasis suffered from a significantly increased rate of hernia recurrence (29/93 vs. 9/108; p < 0.001). The use of absorbable sutures also had a negative influence on the recurrence rate (26/90 vs. 12/111; p = 0.001). Obesity (body mass index > 35 kg/m(2)) was associated with more complications (p = 0.02). Wound infections following hernia repair also were associated with a higher rate of recurrence (p = 0.08) and chronic pain (p = 0.02). The mean follow-up via a structured questionnaire was 31 months (range 3-59) and data were available for 201 of 231 patients (87 %).
conclusionWe strongly recommend preoperatively checking for rectus diastasis and using nonabsorbable sutures as an alternative to mesh repair only when repairing small umbilical or epigastric hernias (<2 cm) and there is no concomitant rectus diastasis. Patients with coexistent rectus diastasis definitely benefit from mesh-based repair of the midline to decrease the recurrence rate.
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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.