Evidence map›Paper›PMID 26137464›Full record

ArticleFrontiers in surgery2015

How Long Do We Need to Follow-Up Our Hernia Patients to Find the Real Recurrence Rate?

Ferdinand Köckerling, Andreas Koch, Ralph Lorenz, Christine Schug-Pass, Bernd Stechemesser, Wolfgang Reinpold

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In one paragraph

Article in Frontiers in surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 75 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  12. Trial
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  14. Inguinal hernia repair with the trabucco technique: A multicenter analysis with 5-year follow-up.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
  15. Article
  16. Redo TEP in recurrent inguinal hernia After TEP/TAPP: Outcomes and feasibility.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
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  20. Slit mesh technique in laparoscopic inguinal hernia repair: a retrospective analysis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025
    Article

15 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Ferdinand KöckerlingDepartment of Surgery, Center for Minimally Invasive Surgery, Vivantes Hospital, Academic Teaching Hospital of Charité Medical School , Berlin , Germany.
Andreas KochHernia Center Cottbus , Cottbus , Germany.
Ralph Lorenz3CHIRURGEN , Berlin , Germany.
Christine Schug-PassDepartment of Surgery, Center for Minimally Invasive Surgery, Vivantes Hospital, Academic Teaching Hospital of Charité Medical School , Berlin , Germany.
Bernd StechemesserHernia Center Cologne, PAN-Hospital , Cologne , Germany.
Wolfgang ReinpoldDepartment of Surgery, Hernia Center, Wilhelmsburg Hospital Gross-Sand , Hamburg , Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIt is known that recurrences continue to occur after the follow-up period of 1-5 years usually used in most hernia studies. By reviewing the data in the Herniamed Hernia Registry documenting the time interval between the recurrent operation and previous inguinal hernia repair, the present study identifies the temporal course of onset of recurrence. PATIENTS AND

methodsProspective data were recorded in the Herniamed Registry between 1 September 2009 and 4 May 2015 on a total of 145,590 patients with 171,143 inguinal hernia operations. These included 18,774 operations due to an inguinal hernia recurrence (10.94%). During the same period, prospective data were collected on 24,385 incisional hernia operations. The latter cases included 5,328 patients with a recurrent incisional hernia (21.85%).

resultsOnly 57.46% of all inguinal hernia recurrences occurred within 10 years of the previous inguinal hernia operation. Some of the remaining 42.54% of all recurrences occurred only much later, even after more than 50 years. The course of onset of recurrence is markedly different for incisional hernia. About 91.87% of such recurrences occur already within 10 years of the last operation.

conclusionAscertainment of the actual recurrence rate after hernia repair calls for a follow-up of 10 years for incisional hernia and of 50 years for inguinal hernia. The data collected can be used to give an approximate estimate with a shorter follow-up.

Indexed as

follow-upincisional herniainguinal herniarecurrencereoperation

Identifiers

PMID26137464
PMCPMC4468742

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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.