Trial reportSurgical endoscopy2020
Laparoscopic versus hybrid approach for treatment of incisional ventral hernia: a prospective randomised multicentre study, 1-year results.
Trial report in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02542085 (Comparison of Hybrid and Laparoscopic Incisional Hernia Repair), which is not on this map. Cited by 21 papers, 7 of them syntheses that pooled it.
What it found
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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.
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.
Comparison of Hybrid and Laparoscopic Incisional Hernia Repair: A Prospective Randomized Multicentre Study
Who cites it
21 citing papers in PubMed, 7 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- A Systematic Review and Meta-Analysis of Randomized Controlled Trials on Fascial Defect Closure Versus Bridged Repair in Laparoscopic Ventral Hernia Mesh Repair.World journal of surgery · 2026Pooled it
- Comparison of facial defect closure and non-fascial closure in ventral hernia repair: A systematic review and Meta-analysis of randomized controlled trials with trial sequential analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Hybrid intraperitoneal onlay mesh repair for incisional hernias: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Comparative effectiveness of hybrid and laparoscopic techniques for repairing complex incisional ventral hernias: a systematic review and meta-analysis.BMC surgery · 2023Pooled it
- Laparoscopic treatment of ventral hernias: the Italian national guidelines.Updates in surgery · 2023Guideline
- Pooled it
- Long-term patient-reported outcomes and quality of the evidence in ventral hernia mesh repair: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2020Pooled it
- 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
- Robotic versus laparoscopic ventral hernia repair: multicenter, blinded randomized controlled trial.BMJ (Clinical research ed.) · 2020Trial
- Article
- 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
- Midline incisional hernia guidelines: the European Hernia Society.The British journal of surgery · 2023Article
- Article
- Fascial Defect Closure During Ventral Hernia Repair: A Systematic Review of Randomized Controlled Trials.HCA healthcare journal of medicine · 2023Article
- Ventral hernia repair with a hybrid laparoscopic technique.ANZ journal of surgery · 2022Article
- Comparison of two fascial defect closure methods for laparoscopic incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Outcomes and complications of open, laparoscopic, and hybrid giant ventral hernia repair.World journal of clinical cases · 2022Article
- A new three-step hybrid approach is a safe procedure for incisional hernia: early experiences with a single centre retrospective cohort.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Primary non-complicated midline ventral hernia: is laparoscopic IPOM still a reasonable approach?Hernia : the journal of hernias and abdominal wall surgery · 2019Review
- 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
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
13 authors at 6 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLaparoscopic incisional ventral hernia repair (LIVHR) is often followed by seroma formation, bulging and failure to restore abdominal wall function. These outcomes are risk factors for hernia recurrence, chronic pain and poor quality of life (QoL). We aimed to evaluate whether LIVHR combined with defect closure (hybrid) follows as a diminished seroma formation and thereby has a lower rate of hernia recurrence and chronic pain compared to standard LIVHR.
methodsThis study is a multicentre randomised controlled clinical trial. From November 2012 to May 2015, 193 patients undergoing LIVHR for primary incisional hernia with fascial defect size from 2 to 7 cm were recruited in 11 Finnish hospitals. Patients were randomised to either a laparoscopic (LG) or a hybrid (HG) repair group. The main outcome measure was hernia recurrence, evaluated clinically and radiologically at a 1-year follow-up visit. At the same time, chronic pain scores and QoL were also measured.
resultsAt the 1-year-control visit, we found no difference in hernia recurrence between the study groups. Altogether, 11 recurrent hernias were found in ultrasound examination, producing a recurrence rate of 6.4%. Of these recurrences, 6 (6.7%) were in the LG group and 5 (6.1%) were in the HG group (p > 0.90). The visual analogue scores for pain were low in both groups; the mean visual analogue scale (VAS) was 1.5 in LG and 1.4 in HG (p = 0.50). QoL improved significantly comparing preoperative status to 1 year after operation in both groups since the bodily pain score increased by 7.8 points (p < 0.001) and physical functioning by 4.3 points (p = 0.014).
conclusionLong-term follow-up is needed to demonstrate the potential advantage of a hybrid operation with fascial defect closure. Both techniques had low hernia recurrence rates 1 year after operation. LIVHR reduces chronic pain and physical impairment and improves QoL. TRIAL REGISTRY: Clinical trial number NCT02542085.
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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.