ArticleSurgical endoscopy2022
Open versus laparoscopic umbilical and epigastric hernia repair: nationwide data on short- and long-term outcomes.
Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.
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Who cites it
16 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- 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
- Short-term outcomes of minimally invasive retromuscular ventral hernia repair using an enhanced view totally extraperitoneal (eTEP) approach: systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2022Pooled it
- Robotic ventral hernia repair versus non-robotic techniques: a SAGES systematic review and meta-analysis.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
- What is the preferred mesh placement in primary ventral hernia repair? An international survey of 442 surgeons.Hernia : the journal of hernias and abdominal wall surgery · 2025Observational
- Long-term patient-reported outcomes after plication of rectus diastasis and simultaneous herniorrhaphy with HELP abdominoplasty.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Umbilical hernia repair by the eTEP, a reproducible and valuable technique.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Multicenter observational study comparing robotic retrorectus and open preperitoneal mesh repair for treatment of primary ventral hernias.Hernia : the journal of hernias and abdominal wall surgery · 2025Observational
- Comparison of Laparoscopic eTEP-RS/TAR and IPOM Techniques for Ventral Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Article
- Procedural Costs of Robot-Assisted and Laparoscopic Ventral and Incisional Hernia Repair. A Propensity-Score Matched Nationwide Database Study.Journal of abdominal wall surgery : JAWS · 2025Article
- Using the Da Vinci Single Port Robotic Platform in Abdominal Wall Surgery: Preclinical Exploration of a Suprapubic Single Port Extraperitoneal Approach (SPJournal of abdominal wall surgery : JAWS · 2025Article
- Cost analysis of open versus robot-assisted ventral hernia repair - a retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Ventral hernia repair in India: a Delphi consensus.Hernia : the journal of hernias and abdominal wall surgery · 2024Review
- Short-term outcomes after open versus robot-assisted repair of ventral hernias: a nationwide database study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Multicenter analysis of laparoscopic versus open umbilical hernia repair with mesh: outcomes and quality of life (QoL).Surgical endoscopy · 2022Article
- Management of epigastric, umbilical, spigelian and small incisional hernia as a day case procedure: results of long-term follow-up after open preperitoneal flat mesh technique.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIt is unclear whether an open or laparoscopic approach results in the best outcomes for repair of umbilical and epigastric hernias. The aim of the study was to evaluate the rates of 90-day readmission and reoperation for complication, together with rate of operation for recurrence after either open or laparoscopic mesh repair for primary umbilical or epigastric hernias with defect widths above 1 cm.
methodsA merge of data between the Danish Hernia Database and the National Patient Registry provided data from 2007 to 2018 on perioperative information, 90-day readmission, 90-day reoperation for complication, and long-term operation for hernia recurrence.
resultsA total of 6855 patients were included, of whom 4106 (59.9%) and 2749 (40.1%) patients had an open or laparoscopic repair, respectively. There were significantly more patients readmitted with a superficial surgical site infection 2.5% (102/4106) after open repair compared with laparoscopic repair (0.5% (15/2749), P < 0.001. The 90-day reoperation rate for complications was significantly higher for open repairs 5.0% (205/4106) compared with laparoscopic repairs 2.7% (75/2749), P < 0.001. The incidence of a reoperation for a severe condition was significantly increased after laparoscopic repair 1.5% (41/2749) compared with open repair 0.8% (34/4106), P = 0.010. The 4-year cumulative incidence of operation for hernia recurrence was 3.5% after open and 4.2% after laparoscopic repairs, P = 0.302.
conclusionsRecurrence rates were comparable between open and laparoscopic repair of umbilical and epigastric hernias. Open repair was associated with a significantly higher rate of readmission and reoperation due to surgical site infection, whereas the rate of reoperation due to a severe complication was significantly higher after laparoscopic repair.
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