SynthesisDeutsches Arzteblatt international2018
The Treatment of Incisional Hernia.
Synthesis in Deutsches Arzteblatt international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 47 papers, 4 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
47 citing papers in PubMed, 4 syntheses or guidelines pooled it, 91 citations in OpenAlex.
- Is it safe not to fix the mesh in an open incisional hernia repair? Literature review.BMC surgery · 2025Pooled it
- Systematic review and meta-analysis of the incidence of incisional hernia in urological surgery.Langenbeck's archives of surgery · 2024Pooled it
- The effect of prophylactic mesh implantation on the development of incisional hernias in patients with elevated BMI: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- Incisional hernia after surgical correction of abdominal congenital anomalies in infants: a systematic review with meta-analysis.Scientific reports · 2020Pooled it
- Off-midline versus supraumbilical specimen extraction sites in robot-assisted radical prostatectomy.BJU international · 2026Article
- A 3D-Bioprinted, Cell-Guiding Hydrogel Patch Promotes Functional Repair of Abdominal Incisions via Anisotropic ECM Remodeling.Smart medicine · 2026Article
- Enhanced view/extended totally extraperitoneal plasty (eTEP) Rives-Stoppa repair versus open Rives-Stoppa repair: a single-center retrospective propensity score-matched cohort study.Surgical endoscopy · 2026Article
- Incidence and risk factors for incisional hernia after partial liver resection via an inverted L-incision: a retrospective single-centre cohort study.BMC surgery · 2026Article
- Exploring the application of the TAPP procedure for the treatment of upper abdominal ventral hernias.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Trunk muscle strength assessment as a predictor of complications in patients undergoing incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Enhancing abdominal wall healing using an oriented polycaprolactone microfibrous scaffold prepared using the fiber drawing method: A rabbit model study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Evaluation of quality of life and recurrence rate after intraperitoneal onlay mesh laparoscopic repair of ventral hernia with or without closure of the defect (pIPOM vs. sIPOM).Frontiers in surgery · 2026Article
- Patient Experience and Surgical Outcomes of Botulinum Toxin A Treatment in Complex Abdominal Wall Hernias: A Retrospective Analysis.Journal of abdominal wall surgery : JAWS · 2026Article
- Incisional Hernia after Robotic Urological Surgery.Current urology reports · 2025Review
- Effect of mesh fixation in incisional hernia repair using the open sublay technique: results from the herniamed-registry.Langenbeck's archives of surgery · 2025Article
- An Adapted Hybrid of Open and Laparoscopic Techniques for Ventral Hernia Repair in a Resource-Constrained Setting.Cureus · 2025Article
- Safety and outcome of elective synthetic mesh repair for incisional ventral hernias in immunosuppressed patients - a retrospective propensity-score-matched analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Application of bridging mesh repair in giant ventral incisional hernia.Updates in surgery · 2024Article
- Incarcerated incisional hernia on an old orthopedics incision, a rare case report and a review of the literature.Journal of surgical case reports · 2024Article
- Outcomes of Surgical Repair of Incisional Hernia in Patients With Severe and Morbid Obesity: A Comparative Study.Cureus · 2024Article
Corrections and comments
- Erratum issuedErratum.2018
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA meta-analysis of studies from multiple countries has shown that the incidence of incisional hernia varies from 4% to 10% depending on the type of operation. No epidemiological surveys have been conducted so far. The worst possible complication of an incisional hernia if it is not treated surgically is incarceration. In this article, we present the main surgical methods of treating this condition. We also evaluate the available randomized and controlled trials (RCTs) in which open and laparoscopic techniques were compared and analyze the patients' quality of life.
methodsWe selectively searched PubMed for relevant literature using the search terms "incisional hernia" and "randomized controlled trial." 9 RCTs were included in the analysis. The endpoints of the meta-analysis were the number of reoperations, complications, and recurrences. The observed events were studied statistically by correlation of two unpaired groups with a fixed-effects model and with a random-effects model. We analyzed the quality of life in our.
resultsOpen surgery and laparoscopic surgery for the repair of incisional hernias have similar rates of reoperation (odds ratio [OR] 0.419 favoring laparoscopy, 95% confidence interval [0.159; 1.100]; p = 0.077). The rates of surgical complications are also similar (OR 0.706; 95% CI [0.278; 1.783]; p = 0.461), although the data are highly heterogeneous, and the recurrence rates are comparable as well (OR 1.301; 95% CI [0,761; 2,225]; p = 0.336). In our own patient cohort in Würzburg, the quality of life was better in multiple categories one year after surgery.
conclusionThe operative treatment of incisional hernia markedly improves patients' quality of life. The currently available evidence regarding the complication rates of open and laparoscopic surgical repair is highly heterogeneous, and further RCTs on this subject would therefore be desirable. Moreover, new study models are needed so that well-founded individualized treatment algorithms can be developed.
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.