Evidence map›Paper›PMID 30604264›Full record

ArticleSurgical endoscopy2019

Laparoscopic IPOM versus open sublay technique for elective incisional hernia repair: a registry-based, propensity score-matched comparison of 9907 patients.

F Köckerling, T Simon, D Adolf, D Köckerling, F Mayer, W Reinpold, D Weyhe, R Bittner

2 registry-linked trialsAbstract read
In one paragraph

Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 61 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 4 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.

NCT05912868 completednot on this map

Long-term Results in 174 Patients With a Ventral Hernia in the Midline of the Abdominal Wall After EMILOS (Endoscopic Mini/Less Open Sublay) Repair

TypeobservationalSponsorDiakonie-Klinikum StuttgartRan2015 to 2022Enrolled174ConditionsHernia, VentralArmsEndoscopic Mini/Less Open Sublay Repair
NCT06643234 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

Sublay Versus Intraperitoneal Onlay Mesh Repair in Large Ventral Hernias. A New Technique

TypeinterventionalSponsorAhmed Kahlawy Mahrous MohamedRan2024 to 2026Enrolled50ConditionsVentral HerniaArmsVentral hernia repair
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  16. Adhesions After Laparoscopic IPOM-How Serious Is the Problem?Journal of abdominal wall surgery : JAWS · 2025
    Review
  17. Review
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  19. Robotic-assisted surgical treatment of complex giant incisional hernias: A report of 3 cases.Zhong nan da xue xue bao. Yi xue ban = Journal of Central South University. Medical sciences · 2024
    Article
  20. Review

1 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

8 authors.

F KöckerlingDepartment of Surgery, Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstrasse 6, 13585, Berlin, Germany. ferdinand.koeckerling@vivantes.de.
T SimonDepartment of General and Visceral Surgery, GRN - Hospital Weinheim, Röngtenstraße 1, 69469, Weinheim, Germany.
D AdolfStatConsult GmbH, Halberstädter Straße 40 a, 39112, Magdeburg, Germany.
D KöckerlingImperial College School of Medicine, South Kensington Campus, SW7 2A2, London, UK.
F MayerDepartment of Surgery, Paracelsus Medical University, Müllner Hauptstrasse 48, 5020, Salzburg, Austria.
W ReinpoldDepartment of Surgery, Wilhelmsburger Hospital Groß Sand, Academic Teaching Hospital of University Hamburg, Groß Sand 3, 21107, Hamburg, Germany.
D WeyheDepartment of General and Visceral Surgery, Pius Hospital, University Hospital of Visceral Surgery, Georgstraße 12, 26121, Oldenburg, Germany.
R BittnerWinghofer Medicum Hernia Center, Winghofer Straße 42, 72108, Rottenburg am Neckar, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor comparison of laparoscopic IPOM versus sublay technique for elective incisional hernia repair, the number of cases included in randomized controlled trials and meta-analyses is limited. Therefore, an urgent need for more comparative data persists.

methodsIn total, 9907 patients with an elective incisional hernia repair and 1-year follow-up were selected from the Herniamed Hernia Registry between September 1, 2009 and June 1, 2016. Using propensity score matching, 3965 (96.5%) matched pairs from 4110 laparoscopic IPOM and 5797 sublay operations were formed for comparison of the techniques.

resultsComparison of laparoscopic IPOM versus open sublay revealed disadvantages for the sublay operation regarding postoperative surgical complications (3.4% vs. 10.5%; p < 0.001), complication-related reoperations (1.5% vs. 4.7%; p < 0.001), and postoperative general complications (2.5% vs. 3.7%; p = 0.004). The majority of surgical postoperative complications were surgical site infection, seroma, and bleeding. Laparoscopic IPOM had disadvantages in terms of intraoperative complications (2.3% vs. 1.3%; p < 0.001), mainly bleeding, bowel, and other organ injuries. No significant differences in the recurrence and pain rates at 1-year follow-up were observed.

conclusionLaparoscopic IPOM was found to have advantages over the open sublay technique regarding the rates of both surgical and general postoperative complications as well as complication-related reoperations, but disadvantages regarding the rate of intraoperative complications.

Indexed as

LaparoscopyElective Surgical ProceduresFemaleFollow-Up StudiesHerniorrhaphyHumansIncisional HerniaIntraoperative ComplicationsMaleMatched-Pair AnalysisMiddle AgedPainPostoperative ComplicationsPropensity ScoreRegistriesReoperationComplicationsHernia registryIncisional herniaLaparoscopic IPOMSublay

Identifiers

PMID30604264
PMCPMC6722046

What OpenQuestion holds

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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.