ArticleWorld journal of surgery2022
Suture or Mesh Repair of the Smallest Umbilical Hernias: A Nationwide Database Study.
Article in World journal of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Protocol for the mesh matters project: evaluating the efficacy of suture mesh vs. planar mesh in small ventral hernia repair - a randomized, blinded multicenter study.Hernia : the journal of hernias and abdominal wall surgery · 2026Trial
- Onlay mesh versus suture repair for smaller umbilical hernias in adults-early results from SUMMER trial: randomized clinical trial.BJS open · 2024Trial
- Short-term complications after onlay versus preperitoneal mesh repair of umbilical hernias: a prospective randomized double-blind trial.Langenbeck's archives of surgery · 2023Trial
- 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
- Robotic primary ventral hernia repair-a multi-national Delphi expert consensus.Journal of robotic surgery · 2025Article
- Emergency umbilical and epigastric hernia repair: nationwide registry-based study of long-term recurrence, mesh-related, and other complications.Surgical endoscopy · 2025Article
- Review
- 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
- Lessons learnt from the construction and implementation of a prospective ventral hernia database.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Ventralex™ ST Hernia Patch Repair for Small Umbilical Hernia is Safe and Effective: A Retrospective Cohort Study.Journal of abdominal wall surgery : JAWS · 2023Article
- Long-Term Outcomes After Epigastric Hernia Repair in Women-A Nationwide Database Study.Journal of abdominal wall surgery : JAWS · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMesh is recommended for umbilical hernias with defects > 1 cm to reduce recurrence. For umbilical hernias with defect width ≤ 1 cm, the literature is sparse. The aim of this nationwide cohort study was to assess outcomes after suture and mesh repair of umbilical hernias with defect width ≤ 1 cm and to evaluate outcomes after onlay mesh repair specifically.
methodsBy merging data from the Danish Hernia Database and the National Patients Registry from 2007 to 2018, patients undergoing elective open repair of an umbilical hernia with defect width ≤ 1 cm were identified. Available data included details about comorbidity, surgical technique, 90-day readmission, 90-day reoperation and operation for recurrence.
resultsA total of 7849 patients were included, of whom 25.7% (2013/7849) underwent mesh repair. Reoperation for recurrence was significantly decreased after mesh repair 3.1% (95% C.I. 2.1-4.1) compared with suture repair 6.7% (95% C.I. 6.0-7.4), P < 0.001. Readmission and reoperation rates were significantly higher for mesh repair 7.9% (159/2013) and 2.6% (52/2013) than for suture repair 6.5% (381/5836) and 1.5% (89/5836), P = 0.036 and P = 0.002, respectively. Onlay mesh repairs had the lowest risk of recurrence 2.0% (95% C.I. 0.6-3.5), and readmission [7.9% (65/826)] and reoperation [3.9% (32/826)] rates within 90 days were comparable to suture repairs [6.5% (381/5836)] and [3.3% (192/5836)], P = 0.149 and P = 0.382, respectively.
conclusionsEven for the smallest umbilical hernias, mesh repair significantly decreased the recurrence rate. Onlay mesh repair was associated with lowest risk of recurrence without increasing early complications.
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