ArticleHernia : the journal of hernias and abdominal wall surgery2021
Potential influencing factors on the outcome in incisional hernia repair: a registry-based multivariable analysis of 22,895 patients.
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 20 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
20 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.
- The European Hernia Society Prehabilitation Project: a systematic review of patient prehabilitation prior to ventral hernia surgery.Hernia : the journal of hernias and abdominal wall surgery · 2022Pooled it
- Noninvasive fascial traction improves primary fascial closure and reduces the incidence of incisional hernia in open abdomens.The journal of trauma and acute care surgery · 2026Article
- Long-term wound morbidity and hernia recurrence in diabetic patients with HbA1c ≥ 8.5% undergoing open transversus abdominis release: a descriptive longitudinal follow-up of a single-center cohort.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- What is the relationship between hospital caseload and outcome in incisional hernia repair?-A registry-based analysis of 55,584 patients.Langenbeck's archives of surgery · 2025Article
- A multicenter study: optical gasless trocar vs. open method for preperitoneal space establishment in ventral hernia repair.Surgical endoscopy · 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
- Tailoring Weight Loss Before Hernia Surgery: Distinguishing Between Two Types of Obesity.Journal of abdominal wall surgery : JAWS · 2025Article
- 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
- Incisional hernia repair following pancreatic surgery-open vs laparoscopic approach.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- STRONGHOLD first-year results of biomechanically calculated abdominal wall repair: a propensity score matching.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Incidence, risk factors, and burden of incisional hernia repair after abdominal surgery in France: a nationwide study.Hernia : the journal of hernias and abdominal wall surgery · 2023Observational
- What are the influencing factors on the outcome in lateral incisional hernia repair? A registry-based multivariable analysis.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Comparison of outcomes in rectus abdominis diastasis repair-which data do we need in a hernia registry?Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- [Ventral hernias part 1 : Operative treatment techniques].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2021Article
- 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
- Hernia width explains differences in outcomes between primary and incisional hernias: a prospective cohort study of 9159 patients.Hernia : the journal of hernias and abdominal wall surgery · 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
- 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
- Comment to: Hernia research in developing countries-are we looking for needles in haystacks? Follow-up is the Achilles heel of every registry.Hernia : the journal of hernias and abdominal wall surgery · 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
9 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDue to the paucity of randomized controlled trials, meta-analyses of incisional hernia repair can hardly give any insights into the influence factors on the various outcome criteria. Therefore, a multivariable analysis of data from the Herniamed Registry was undertaken with the aim to define potential influencing factors for the outcome.
methodsMultivariable analysis of the data available for 22,895 patients with primary elective incisional hernia repair was performed to assess the confirmatory predefined potential influence factors and their association with the perioperative and 1-year follow-up outcomes. A model validation procedure was implemented using a bootstrap algorithm in order to account for the robustness of results.
resultsHigher European Hernia Society (EHS) width classification, open procedure, female gender, and preoperative pain have a highly significant association with an unfavorable outcome in incisional hernia repair. Larger defect width and open operation have a highly significantly unfavorable relation to the postoperative surgical complications, general complications, and the complication-related reoperations, while female gender and preoperative pain have a highly significantly unfavorable association with the rates of pain at rest, pain on exertion, and chronic pain requiring treatment at 1-year follow-up. The recurrence rate is significantly unfavorably influenced by higher EHS width classification, higher BMI, and lateral EHS classification.
conclusionHigher EHS width classification, open procedure, female gender, higher BMI, and lateral EHS classification, as well as preoperative pain are the most important unfavorable influencing factors associated with a worse outcome in incisional hernia repair.
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