Evidence map›Paper›PMID 31571064›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2019

MILOS and EMILOS repair of primary umbilical and epigastric hernias.

W Reinpold, M Schröder, C Berger, W Stoltenberg, F Köckerling

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05912868 (Long-term Results in 174 Patients With a Ventral Hernia in the Midline of the Abdominal Wall After EMILOS), which is not on this map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 1 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
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Umbilical hernia repair by the eTEP, a reproducible and valuable technique.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  6. Robotic Surgical Procedures for Ventral Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Robotic transabdominal retromuscular rectus diastasis (r-TARRD) repair: a new approach.Hernia : the journal of hernias and abdominal wall surgery · 2022
    Article
  17. Article
  18. Review
  19. Article
  20. Review
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

5 authors.

W ReinpoldDepartment of Surgery and Reference Hernia Center, Gross Sand Hospital Hamburg, Academic Teaching Hospital of Hamburg University Hospital, Gross-Sand 3, 21107, Hamburg, Germany. wreinpold@gmx.net.ORCID http://orcid.org/0000-0002-8293-2092
M SchröderDepartment of Surgery and Reference Hernia Center, Gross Sand Hospital Hamburg, Academic Teaching Hospital of Hamburg University Hospital, Gross-Sand 3, 21107, Hamburg, Germany.
C BergerDepartment of Surgery and Reference Hernia Center, Gross Sand Hospital Hamburg, Academic Teaching Hospital of Hamburg University Hospital, Gross-Sand 3, 21107, Hamburg, Germany.
W StoltenbergDepartment of Surgery and Reference Hernia Center, Gross Sand Hospital Hamburg, Academic Teaching Hospital of Hamburg University Hospital, Gross-Sand 3, 21107, Hamburg, Germany.
F KöckerlingDepartment of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstrasse 6, 13585, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe currently mainly used techniques of primary ventral hernia repair have specific disadvantages and risks.

methodsTo minimize complications of the existing open and laparoscopic techniques of ventral hernia repair, the endoscopic-assisted or endoscopic Mini- or Less-Open Sublay (E/MILOS) concept was developed. This paper reports on our experience with the E/MILOS concept for the management of primary umbilical and epigastric hernias. All E/MILOS operations were prospectively documented in the German hernia registry "Herniamed". For 1 year follow-up, all patients and their general practitioners received a questionnaire.

resultsFive hundred and twenty primary umbilical and 554 epigastric E/MILOS operations with complete 1-year follow-up were included. Concomitant RD were treated in 18.3% and 14.1% of the umbilical and epigastric hernia cohort, respectively. Total perioperative complication rates and reoperation rates were 1.2% and 0.9% for both umbilical and epigastric hernias, respectively. Infection rates were 0.0% and 0.2% after umbilical and epigastric hernia operations, respectively. Recurrence rates 1 year after E/MILOS umbilical and epigastric hernia were 0.0% and 0.5%, respectively. One year rates of chronic pain at rest, chronic pain during physical activities, and chronic pain requiring treatment after umbilical and epigastric hernia repair were 1.5% and 2.7%, 2.1% and 4.2%, and 0.6% and 1.8%; respectively.

conclusionThe E/MILOS concept allows the endoscopically assisted (MILOS) or endoscopic (EMILOS) transhernial minimal invasive sublay mesh repair of primary umbilical and epigastric hernias with or without rectus diastasis with low complication, recurrence, and chronic pain rates.

Indexed as

EndoscopyHerniorrhaphyFemaleGermanyHernia, VentralHumansMaleMiddle AgedPostoperative ComplicationsReoperationSecondary PreventionSurgical MeshEndoscopic retromuscular hernia repairEndoscopic ventral hernia repairEpigastric herniaMinimal invasive sublay repairPrimary abdominal wall herniaUmbilical hernia

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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.