SynthesisBJS open2020
Mesh versus suture in elective repair of umbilical hernia: systematic review and meta-analysis.
Synthesis in BJS open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 3 of them syntheses that pooled 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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
20 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Systematic review and meta-analysis of mesh versus suture repairs of small umbilical hernias (≤ 2 cm).Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- The Italian national consensus conference on the diagnosis and treatment of Rectus Abdominis diastasis in Post-gravidic Women.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Mesh versus suture for elective primary umbilical hernia open repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Onlay mesh versus suture repair for smaller umbilical hernias in adults-early results from SUMMER trial: randomized clinical trial.BJS open · 2024Trial
- Young women are more often dissatisfied with appearance after primary ventral hernia repair: a nationwide survey- and register-based study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Smoking, obesity and reoperation after elective open mesh repair of umbilical hernia: nationwide cohort study.BJS open · 2026Article
- Early outcomes of umbilical hernia repair with mesh suture.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Improved quality of life after combined plastic and general surgical retromuscular mesh repair for abdominal wall hernia with concurrent rectus diastasis: a retrospective cohort study of 59 post-partum woman.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- From Elective to Emergent: The Clinical Consequences of Delayed Umbilical Hernia Repair.Cureus · 2026Article
- Trends and determinants of hospitalization costs for umbilical hernia: a 13-year retrospective analysis from 2012 to 2024.Frontiers in surgery · 2026Article
- Trends and Prevalence of Surgical Methods in Umbilical Hernia Repairs in Sweden: A Nationwide Population-Based Registry Cohort Study.Journal of abdominal wall surgery : JAWS · 2026Article
- Surgical practices in emergency umbilical hernia repair and implications for trial design.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Repair of umbilical hernias concomitant to other procedures is safe: a propensity score-matched database study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- The role of computed tomography in acute bowel obstruction due to a supravesical hernia: a case report from Nepal.Annals of medicine and surgery (2012) · 2024Article
- Clinician preferences in the treatment of acutely symptomatic hernia: the 'MASH' survey.Annals of the Royal College of Surgeons of England · 2023Article
- Ventralex™ ST Hernia Patch Repair for Small Umbilical Hernia is Safe and Effective: A Retrospective Cohort Study.Journal of abdominal wall surgery : JAWS · 2023Article
- Effectiveness of simultaneous umbilical hernia primary repair with laparoscopic cholecystectomy.Northern clinics of Istanbul · 2023Article
- Assessment of potential influencing factors on the outcome in small (< 2 cm) umbilical hernia repair: a registry-based multivariable analysis of 31,965 patients.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Treatment of small (< 2 cm) umbilical hernias: guidelines and current trends from the Herniamed Registry.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Trocar umbilical hernia repair by open suture repair and open suture-mesh repair in an ambulatory setting in comparison to recurrent and primary umbilical hernia repair.Journal of surgical case reports · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
backgroundMesh repair of umbilical hernia has been associated with a reduced recurrence rate compared with suture closure, but potentially at the expense of increased postoperative complications and chronic pain. The objective of this systematic review and meta-analysis was to examine the outcomes after elective open mesh and suture repair for umbilical hernia in adults.
methodsA literature search was conducted to identify studies presenting original data on elective open mesh and suture repair of umbilical hernia. The primary outcome was hernia recurrence. Secondary outcomes included surgical-site infection (SSI), seroma, haematoma and chronic pain. Meta-analyses were undertaken.
resultsThe search resulted in 5353 hits and led to 14 studies being included (6 RCTs and 8 observational studies) describing a total of 2361 patients. Compared with suture, mesh repair was associated with a lower risk of recurrence (risk ratio (RR) 0·48, 95 per cent c.i. 0·30 to 0·77), with number needed to treat 19 (95 per cent c.i. 14 to 31). Mesh repair was associated with a higher risk of seroma (RR 2·37, 1·45 to 3·87), with number needed to harm 30 (17 to 86). There was no significant difference in the risk of SSI, haematoma or chronic pain.
conclusionThe use of mesh in elective repair of umbilical hernia reduced the risk of recurrence compared with suture closure without altering the risk of chronic pain.
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