ArticlePlastic and reconstructive surgery. Global open2017
Current Risk Stratification Systems Are Not Generalizable across Surgical Technique in Midline Ventral Hernia Repair.
Article in Plastic and reconstructive surgery. Global open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Surgical Complexity and Postoperative Outcomes in Recurrent Versus Primary Incisional Hernias Following Elective Retromuscular Repair: A Retrospective Cohort Study.Diagnostics (Basel, Switzerland) · 2026Article
- Simultaneous Abdominal Wall Reconstruction and Panniculectomy in High-Risk Complex Patients: A Retrospective Cohort Study.Journal of abdominal wall surgery : JAWS · 2025Article
- A Comparison of Open Ventral Hernia Repair Risk Stratification Systems: A Call for Consensus.Journal of clinical medicine · 2024Article
- The modified frailty index predicts postoperative morbidity in elective hernia repair patients: analysis of the national inpatient sample 2015-2019.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- How surgeons use risk calculators and non-clinical factors for informed consent and shared decision making: A qualitative study.American journal of surgery · 2023Article
- Impact of a multidisciplinary team discussion on planned ICU admissions after complex abdominal wall reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- BMI: does it predict the need for component separation?Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Transversus abdominis release (TAR) procedure: a retrospective analysis of an abdominal wall reconstruction group.Scientific reports · 2022Article
- An Evaluation of the Evidence Guiding Adult Midline Ventral Hernia Repair.Surgery journal (New York, N.Y.) · 2022Review
- Bridging repair of the abdominal wall in a rat experimental model. Comparison between uncoated and polyethylene oxide-coated equine pericardium meshes.Scientific reports · 2020Article
- Ventral hernia repair outcomes predicted by a 5-item modified frailty index using NSQIP variables.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
Corrections and comments
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Authors and funding
3 authors.
Funding
Abstract
backgroundCurrent ventral hernia repair risk estimation tools focus on patient comorbidities with the goal of improving clinical outcomes through improved patient selection. However, their predictive value remains unproven.
methodsOutcomes of patients who underwent midline ventral hernia repair with retrorectus placement of mid-weight soft polypropylene mesh between 2010 and 2015 were retrospectively reviewed and compared with predicted wound-related complication risk from 3 tools in the literature: Carolinas Equation for Determining Associated Risk, the Ventral Hernia Working Group (VHWG) grade, and a modified VHWG grade.
resultsA total of 101 patients underwent hernia repair. Mean age was 56 years and mean body mass index was 29 m/kg
conclusionsCurrent risk stratification tools overemphasize patient factors, ignoring the importance of technique in minimizing complications and recurrence. We attribute our low complication rate to retrorectus placement of a narrow, macroporous polypropylene mesh with up to 45 suture fixation points for force distribution in contrast to current strategies that employ wide meshes with minimal fixation.
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