ArticleHernia : the journal of hernias and abdominal wall surgery2020
Female sex as independent risk factor for chronic pain following elective incisional hernia repair: registry-based, propensity score-matched comparison.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed, 36 citations in OpenAlex.
- Laparoscopic ventral hernia repair: early follow-up of a randomized controlled study of primary fascial closure before mesh placement.The British journal of surgery · 2024Trial
- Women have more complications but better reported quality of life after elective ventral hernia repair.Surgical endoscopy · 2026Article
- Interactive interdisciplinary pain research in adolescent and young adult females: a pilot investigation of brain, physiological, and emotional functioning following orthopedic surgery.Journal of pediatric psychology · 2025Article
- Impact of surgical approach on complications by sex following ventral and incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Matching males and females undergoing non mesh primary unilateral inguinal hernia repair: evaluating sex differences in preoperative and acute postoperative pain.Updates in surgery · 2024Article
- Lichtenstein versus TIPP versus TAPP versus TEP for primary inguinal hernia, a matched propensity score study on the French Club Hernie Registry.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Gender differences in epigastric hernia repair: a propensity score matching analysis of 15,925 patients from the Herniamed registry.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Sex disparities in the treatment and outcomes of ventral and incisional hernia repair.Surgical endoscopy · 2023Article
- Mesh fixation to fascia during incisional hernia repair results in increased prevalence of pain at long-term follow up: a multicenter propensity score matched prospective observational study.Surgical endoscopy · 2022Observational
- Longitudinal cohort study on preoperative pain as a risk factor for chronic postoperative inguinal pain after groin hernia repair at 2-year follow-up.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- [Ventral hernias part 1 : Operative treatment techniques].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- What are the trends in incisional hernia repair? Real-world data over 10 years from the Herniamed registry.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Potential influencing factors on the outcome in incisional hernia repair: a registry-based multivariable analysis of 22,895 patients.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Analysis of 4,015 recurrent incisional hernia repairs from the Herniamed registry: risk factors and outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Circulating inflammatory biomarkers in adolescents: evidence of interactions between chronic pain and obesity.Pain reports · 2021Article
- Matching males and females undergoing Shouldice repair using a prospective, longitudinal design.Canadian journal of surgery. Journal canadien de chirurgieObservational
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionTo date, little attention has been paid by surgical scientific studies to sex as a potential influence factor on the outcome. Therefore, there is a sex bias in the surgical literature. With an incidence of more than 20% after 3 years, incisional hernias are a common complication following abdominal surgical procedures. The proportion of women affected is around 50%. There are very few references in the literature to the influence of sex on the outcome of elective incisional hernia repair. MATERIALS AND
methodsIn all, 22,895 patients with elective incisional hernia repair from the Herniamed Registry were included in the study. The patients had undergone elective incisional hernia repair in a laparoscopic IPOM, open sublay, open IPOM, open onlay or suture technique. 1-year follow-up was available for all patients. Propensity score matching was performed for the 11,480 female (50.1%) and 11,415 male (49.9%) patients, creating 8138 pairs (82.0%) within fixed surgical procedures.
resultsFor pain on exertion (11.7% vs 18.3%; p < 0.001), pain at rest (7.53% vs 11.1%; p < 0.001), and pain requiring treatment (5.4% vs 9.1%; p < 0.001) highly significant disadvantages were identified for the female sex when comparing the different results within the matched pairs. That was also confirmed on comparing sex within the individual surgical procedures. No sex-specific differences were identified for the postoperative complications, complication-related reoperations or recurrences. Less favorable intraoperative complication results in the female sex were observed only for the onlay technique.
conclusionsFemale sex is an independent risk factor for chronic pain after elective incisional hernia repair.
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