SynthesisWorld journal of surgery2016
Suture Versus Mesh Repair in Primary and Incisional Ventral Hernias: A Systematic Review and Meta-Analysis.
Synthesis in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06197854 (Onlay Versus Sublay Hernioplasty in Management of Incisional Hernia), which is not on this map. Cited by 53 papers, 7 of them syntheses that pooled 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.
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.
Onlay Versus Sublay Hernioplasty in Management of Incisional Hernia
Who cites it
53 citing papers in PubMed, 7 syntheses or guidelines pooled it, 108 citations in OpenAlex.
- Systematic review and meta-analysis of mesh versus suture repairs of small umbilical hernias (≤ 2 cm).Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Mesh versus suture for elective primary umbilical hernia open repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Topical antimicrobial treatment of mesh for the reduction of surgical site infections after hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Mesh fixation techniques in primary ventral or incisional hernia repair.The Cochrane database of systematic reviews · 2021Pooled it
- A systematic review on surgical treatment of primary epigastric hernias.Hernia : the journal of hernias and abdominal wall surgery · 2019Pooled it
- Prophylactic mesh placement to avoid incisional hernias after stoma reversal: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2019Pooled it
- Pooled it
- Prevention of Incisional Hernias With Prophylactic Synthetic Mesh Placement During Stoma Reversal: A Randomized Clinical Trial.JAMA surgery · 2025Trial
- Long-term follow-up of full-thickness skin grafting in giant incisional hernia repair: a randomised controlled trial.Hernia : the journal of hernias and abdominal wall surgery · 2022Trial
- Randomized clinical trial comparing laparoscopic hiatal hernia repair using sutures versus sutures reinforced with non-absorbable mesh.Surgical endoscopy · 2018Trial
- Full-thickness skin graft vs. synthetic mesh in the repair of giant incisional hernia: a randomized controlled multicenter study.Hernia : the journal of hernias and abdominal wall surgery · 2018Trial
- Early outcomes of umbilical hernia repair with mesh suture.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Comparative outcomes of laparoscopic intraperitoneal mesh implantation versus transabdominal preperitoneal repair for umbilical hernia: a retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Incisional hernia and the risk of incident depression: a population-based propensity score-matched cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Bioinstructive polymer fibre mats to reduce bacterial pathogen colonisation.RSC applied polymers · 2026Article
- From repair to reconstruction: a holistic perspective in abdominal wall hernia surgery.Frontiers in surgery · 2026Article
- Evaluation of radiologists' accuracy and interrater reliability when interpreting CT scans after ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Article
- Ventral hernia repair with T-line hernia mesh: A multi-institutional experience.Surgery in practice and science · 2025Article
- Clinically Applied Biomechanics of Mesh-reinforced Ventral Hernia Repair: A Practical Review.Plastic and reconstructive surgery. Global open · 2024Review
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 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundToday, ventral hernia repair is predominantly performed with meshes. There is no meta-analysis of high quality evidence that compares the results of suture to mesh repair. The objective of this systematic review with meta-analysis is to compare patient centred outcomes of suture versus mesh repair.
methodsA systematic literature search was performed in EMBASE, MEDLINE and CENTRAL (inception to 06/2014). Furthermore a hand search was performed. RCTs comparing suture versus mesh repair in primary and incisional ventral hernia repair were included. Data on patient characteristics, interventions and results were extracted in standardized tables. Risk of bias was assessed with the cochrane risk of bias tool. Results of studies were pooled with a meta-analysis. All steps were performed by two reviewers. Discrepancies were discussed until a consensus.
resultsThe search in the databases resulted in 1560 hits. After screening, 10 randomized controlled trials including 1215 patients satisfied all inclusion criteria. Risk of bias was moderate to high. The relative risk for recurrence was 0.36 [95% CI (0.27, 0.49); I (2) = 0; heterogeneity p = 0.70]. Other complications did not differ significantly. Results for chronic pain were heterogeneous across studies.
conclusionMesh repair reduces the number of recurrences significantly. In patients without recurrence mesh repairs seem to be associated with a risk of chronic pain especially if the mesh is fixed sublay.
Indexed as
Identifiers
What OpenQuestion holds
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.