ArticleHernia : the journal of hernias and abdominal wall surgery2021
What are the trends in incisional hernia repair? Real-world data over 10 years 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 45 papers, 2 of them syntheses that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
45 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Association Between Mesh Placement and Recurrence and Chronic Pain After Incisional Hernia Repair: A Systematic Review and Network Meta-Analysis.World journal of surgery · 2026Pooled it
- Laparoendoscopic extraperitoneal surgical techniques for ventral hernias and diastasis recti repair: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- TACKoMesh - A randomised controlled trial comparing absorbable versus non-absorbable tack fixation in laparoscopic IPOM + repair of primary incisional hernia using post-operative pain and quality of life - Reliatack™ versus Protack™.Hernia : the journal of hernias and abdominal wall surgery · 2024Trial
- Enhanced view/extended totally extraperitoneal plasty (eTEP) Rives-Stoppa repair versus open Rives-Stoppa repair: a single-center retrospective propensity score-matched cohort study.Surgical endoscopy · 2026Article
- Single-incision laparoscopic preperitoneal repair: novel approach to umbilical hernia surgery (with video).Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Incisional hernia repair trends in the last decade (2013-2023): an ACHQC analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Smoking cessation and weight loss before ventral hernia repair - can we really justify this? A single center cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Laparoscopic versus open emergency repair for strangulated abdominal wall hernias: a propensity-score-matched retrospective cohort study.Frontiers in surgery · 2026Article
- The ORION study protocol: impact of prior intraperitoneal versus extraperitoneal mesh placement on subsequent minimally invasive abdominal reoperations.Journal of abdominal wall surgery : JAWS · 2026Article
- What is the association between BMI classes and the outcome in incisional hernia repair?Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- The ACTIVE study: surgical outcomes for minimally invasive and open approach to incisional ventral hernias in a non-elective setting.Updates in surgery · 2025Article
- Umbilical hernia repair by the eTEP, a reproducible and valuable technique.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- A Retrospective Study Comparing the Operative Outcomes of Extraperitoneal, Retrorectus Access Laparoscopic and Robotic-Assisted Ventral Hernia Repairs.World journal of surgery · 2025Article
- Effect of mesh fixation in incisional hernia repair using the open sublay technique: results from the herniamed-registry.Langenbeck's archives of surgery · 2025Article
- 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
- Robotic Surgical Procedures for Ventral Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Review
- Adhesions After Laparoscopic IPOM-How Serious Is the Problem?Journal of abdominal wall surgery : JAWS · 2025Review
- Totally Extraperitoneal Approach With Preperitoneal Repair for the Treatment of Midline Hernia Defects: A Case Series and Single-Center Experience.Journal of abdominal wall surgery : JAWS · 2025Article
- Case Report: Combined Preperitoneal Enhanced-View Totally Extraperitoneal (PeTEP) Repair with Intraoperative Fascial Traction after Prehabilitation with Botulinum Toxin A in a Large Congenital Umbilical Hernia.Journal of abdominal wall surgery : JAWS · 2025Article
- Robotic preperitoneal extended totally extraperitoneal (R-PeTEP) technique description for ventral hernia repair: preliminary results.Updates in surgery · 2024Article
Corrections and comments
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Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThere is an increasingly controversial debate about the best possible incisional hernia repair technique. Despite the good outcomes of laparoscopic IPOM, concerns about the intraperitoneal mesh placement and its potential intraabdominal complications have risen. Against that background, this paper now analyzes changes and trends in incisional hernia repair techniques in the recent decade.
methodsBetween 2010 and 2019 a total of 61,627 patients with primary elective incisional hernia repair were enrolled in the Herniamed Registry. The outcome results were assigned to the year of repair and summarized as curves to visualize trends. The explorative Fisher's exact test was used for statistical calculation of significant differences. Since the number of cases entered into the Herniamed Registry for the years 2010-2012 was still relatively small, the years 2013 and 2019 were compared for statistical analysis.
resultsIn the analyzed time period, the proportion of incisional hernias repaired in open suture technique remained unchanged at about 10%. The proportion of laparoscopic IPOM repairs decreased significantly from 33.8% in 2013 to 21.0% (p < 0.001) in 2019. Conversely, the proportion of open sublay repairs increased significantly from 32.1% in 2013 to 41.4% (p < 0.001) in 2019. Starting in 2015, there has also been the introduction and increasing use (4.5% in 2013 vs. 10.0% in 2019; p < 0.001) of new minimally-invasive techniques with placement of a mesh into the sublay/retromuscular/preperitoneal abdominal wall layer (E/MILOS, eTEP, preperitoneal mesh technique).
conclusionAnalysis of data from the Herniamed Registry shows a significant trend to the disadvantage of the laparoscopic IPOM and to the advantage of the open sublay operation and the new minimally-invasive techniques (E/MILOS, eTEP, preperitoneal mesh technique). Despite all the recommendations in the guidelines, 10% of incisional hernias continue to be treated by means of a suture technique.
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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.