ArticleHernia : the journal of hernias and abdominal wall surgery2018
Decreased re-operation rate for recurrence after defect closure in laparoscopic ventral hernia repair with a permanent tack fixated mesh: a nationwide cohort study.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses 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.
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Who cites it
14 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Association Between Mesh Placement and Recurrence and Chronic Pain After Incisional Hernia Repair: A Systematic Review and Network Meta-Analysis.World journal of surgery · 2026Pooled it
- Chronic pain and foreign body sensation based on mesh placement in primary ventral hernia repair: a systematic review highlighting the evidence gap and a call to action.Langenbeck's archives of surgery · 2025Pooled it
- Laparoscopic treatment of ventral hernias: the Italian national guidelines.Updates in surgery · 2023Guideline
- Recurrence rate and mesh bulging are reduced with primary fascial closure in ventral hernia repair: the PROSECO randomized clinical trial.The British journal of surgery · 2025Trial
- Mesh placement and patient-reported outcomes in primary ventral hernia repair: a nationwide survey- and register-based study.Surgical endoscopy · 2026Article
- Mesh placement and risk of reoperation for recurrence after incisional hernia repair: a nationwide register-based cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Trends in mesh placement in elective ventral hernia repair: an 18-year nationwide register-based study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Laparoscopic ventral hernia repair: A surgeon's insights into defect closure.Surgery in practice and science · 2025Article
- Laparoscopic versus hybrid approach for treatment of incisional ventral hernia: a 5-10-year follow-up of the randomized controlled multicenter study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Laparoscopic intracorporeal rectus aponeuroplasty (LIRA) technique versus intraperitoneal onlay mesh (IPOM plus) for ventral hernia repair: a comparative analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Primary closure of the midline abdominal wall defect during laparoscopic ventral hernia repair: analysis of risk factors for failure and outcomes at 5 years follow-up.Surgical endoscopy · 2022Article
- The influence of mesh removal during laparoscopic repair of recurrent ventral hernias on the long-term outcome.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2019Article
- Two-year patient-related outcome measures (PROM) of primary ventral and incisional hernia repair using a novel three-dimensional composite polyester monofilament mesh: the SymCHro registry study.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- Laparoscopic Ventral Hernia Repair with Poly-4-Hydroxybutyrate Absorbable Barrier Composite Mesh.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo investigate whether defect closure in laparoscopic ventral hernia repair reduces the re-operation rate for recurrence compared with no defect closure.
methodsData were extracted from the Danish Ventral Hernia Database. Adults with an elective laparoscopic ventral hernia repair with tacks used as mesh fixation were included, if their first repair was between the 1st of January 2007 and the 1st of January 2017. Patients with defect closure were compared with no defect closure. Re-operation rates are presented as crude rates and cumulated adjusted re-operation rates. Sub-analyses assessed the effect of the suture material used during defect closure and also whether defect closure affected both primary and incisional hernias equally.
resultsAmong patients with absorbable tacks as mesh fixation, 443 received defect closure and 532 did not. For patients with permanent tacks, 393 had defect closure and 442 did not. For patients with permanent tacks as mesh fixation, the crude re-operation rates were 3.6% with defect closure and 7.2% without defect closure (p = 0.02). The adjusted cumulated re-operation rate was significantly reduced with defect closure and permanent tacks (hazard ratio = 0.53, 95% confidence interval = 0.28-0.999, p = 0.05). The sub-analysis suggested that defect closure was only beneficial for incisional hernias, and not primary hernias. We did not find any benefits of defect closure for patients with absorbable tacks as mesh fixation.
conclusionThis nationwide cohort study showed a reduced risk of re-operation for recurrence if defect closure was performed in addition to permanent tacks as mesh fixation during laparoscopic incisional hernia repair.
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Registered trials
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