ArticleHernia : the journal of hernias and abdominal wall surgery2021
What is the outcome of the open IPOM versus sublay technique in the treatment of larger incisional hernias?: A propensity score-matched comparison of 9091 patients from the Herniamed Registry.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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Who cites it
13 citing papers in PubMed.
- Evaluation of NBCA(n-butyl-2-cyanoacrylate) surgical glue for mesh fixation in laparoscopic treatment of primary lateral incisional hernias.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Laparoscopic Intraperitoneal Onlay Mesh Plus Repair of a Hernia Adjacent to a Vesicocutaneous Urinary Diversion: A Case Report.Surgical case reports · 2026Article
- The Clinical Impact of the Introduction of a Robot-Assisted Program in a Specialized Hernia Center: A Propensity Score Matched Cohort Study on Short-Term Outcomes.World journal of surgery · 2025Article
- Article
- Open IPOMs for medium/large incisional ventral hernia repairs in the French Hernia Registry: factors associated with their use and mesh-related outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Open intraperitoneal onlay mesh repair with anterior component separation as a bail-out procedure in the management of complex hernias.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Laparoscopic Intraperitoneal Onlay Mesh (IPOM) in the Treatment of Ventral Hernias: Technique Discussion Points.Cureus · 2024Review
- Clinical outcomes and costs of retromuscular and intraperitoneal onlay mesh techniques in robotic incisional hernia repair.Surgical endoscopy · 2024Article
- Laparoscopic Intraperitoneal Onlay Mesh (IPOM) "Swiss Cheese" Ventral Incisional Hernia Repair with Urinary Bladder Mobilization: A Case Report.The American journal of case reports · 2022Article
- [Abdominal wall hernias part 2 : Operative treatment techniques].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- [Management of late onset septic complications after IPOM implantation: case series from a hernia center].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- Mesh fixation in IPOM with glue, a matter of solution?Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Review
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8 authors.
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Abstract
introductionIn an Expert Consensus guided by systematic review, the panel agreed that for open elective incisional hernia repair, sublay mesh location is preferred, but open intraperitoneal onlay mesh (IPOM) may be useful in certain settings. This analysis of data from the Herniamed Registry aimed to compare the outcomes of open IPOM and sublay technique.
methodsPropensity score matching of 9091 patients with elective incisional hernia repair and with defect width ≥ 4 cm was performed. The following matching variables were selected: age, gender, risk factors, ASA score, preoperative pain, defect size, and defect localization.
resultsFor the 1977 patients with open IPOM repair and 7114 patients with sublay repair, n = 1938 (98%) pairs were formed. No differences were seen between the two groups with regard to the intraoperative, postoperative and general complications, complication-related reoperations and recurrences. But significant disadvantages were identified for the open IPOM repair in respect of pain on exertion (17.1% vs. 13.7%; p = 0.007), pain at rest (10.4% vs. 8.3%; p = 0.040) and chronic pain requiring treatment (8.8% vs. 5.8%; p < 0.001), in addition to rates of 3.8%, 1.1% and 1.1%, respectively, occurring in both matched patients. No relationship with tacker mesh fixation was identified. There are only very few reports in the literature with comparable findings.
conclusionCompared with sublay repair, open IPOM repair appears to pose a higher risk of chronic pain. This finding concords with the Expert Consensus recommending that incisional hernia should preferably be repaired using the sublay technique.
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