ArticleInfection control and hospital epidemiology2015
Stratification of surgical site infection by operative factors and comparison of infection rates after hernia repair.
Article in Infection control and hospital epidemiology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04393532 (Laparoscopic Primary Umbilical Hernia Repair With Routine Defect Closure Using Su2ura Approximation Device), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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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.
Laparoscopic Primary Umbilical Hernia Repair With Routine Defect Closure Using Su2ura Approximation Device
Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Emergency parastomal hernia repair - a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Inguinal hernia repair under crisis: a retrospective cohort study of surgical outcomes across the COVID-19 era in China.Journal of minimally invasive surgery · 2025Article
- Article
- Polypropylene vs. stainless-steel wire suture: short-term recurrence rate after shouldice primary inguinal hernia repair, a non-inferior analysis among 1120 patients. A case-control study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Comparing Robot-Assisted and Laparoscopic Inguinal Hernia Repair: A Systematic Review and Meta-Analysis.Cureus · 2024Review
- Surgical aspects and early morbidity of patients undergoing open recurrent inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Article
- Do postoperative complications correlate to chronic pain following inguinal hernia repair? A prospective cohort study from the Swedish Hernia Register.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Robotic abdominal wall repair: adoption and early outcomes in a large academic medical center.Journal of robotic surgery · 2022Article
- Review
- Mesh infection in cases of polypropylene mesh hernioplasty.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Associations Between Social Risk Factors and Surgical Site Infections After Colectomy and Abdominal Hysterectomy.JAMA network open · 2019Article
- Use of polypropylene mesh in contaminated and dirty strangulated hernias: short-term results.Hernia : the journal of hernias and abdominal wall surgery · 2018Observational
- Surgical site infection: the "Achilles Heel" of all types of abdominal wall hernia reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2018Review
- Modified 2-port laparoscopic herniorrhaphy with Kirschner wire in children: A retrospective review.Medicine · 2018Article
- Risk factors for postoperative infection after gastrointestinal surgery among adult patients with inflammatory bowel disease: Findings from a large observational US cohort study.JGH open : an open access journal of gastroenterology and hepatology · 2018Article
- Article
- de Garengeot hernia with appendicitis treated by two-way-approach surgery: a case report.Journal of surgical case reports · 2017Article
- Risk Factors for Surgical Site Infection After Cholecystectomy.Open forum infectious diseases · 2017Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
objectiveTo investigate whether operative factors are associated with risk of surgical site infection (SSI) after hernia repair.
designRetrospective cohort study. Patients Commercially insured enrollees aged 6 months-64 years with International Classification of Diseases, Ninth Revision, Clinical Modification procedure or Current Procedural Terminology, fourth edition, codes for inguinal/femoral, umbilical, and incisional/ventral hernia repair procedures from January 1, 2004, through December 31, 2010.
methodsSSIs within 90 days after hernia repair were identified by diagnosis codes. The χ2 and Fisher exact tests were used to compare SSI incidence by operative factors.
resultsA total of 119,973 hernia repair procedures were analyzed. The incidence of SSI differed significantly by anatomic site, with rates of 0.45% (352/77,666) for inguinal/femoral, 1.16% (288/24,917) for umbilical, and 4.11% (715/17,390) for incisional/ventral hernia repair. Within anatomic sites, the incidence of SSI was significantly higher for open versus laparoscopic inguinal/femoral (0.48% [295/61,142] vs 0.34% [57/16,524], P=.020) and incisional/ventral (4.20% [701/16,699] vs 2.03% [14/691], P=.005) hernia repairs. The rate of SSI was higher following procedures with bowel obstruction/necrosis than procedures without obstruction/necrosis for open inguinal/femoral (0.89% [48/5,422] vs 0.44% [247/55,720], P<.001) and umbilical (1.57% [131/8,355] vs 0.95% [157/16,562], P<.001), but not incisional/ventral hernia repair (4.01% [224/5,585] vs 4.16% [491/11,805], P=.645).
conclusionsThe incidence of SSI was highest after open procedures, incisional/ventral repairs, and hernia repairs with bowel obstruction/necrosis. Stratification of hernia repair SSI rates by some operative factors may facilitate accurate comparison of SSI rates between facilities.
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