ArticleSurgical endoscopy2023
Sex disparities in the treatment and outcomes of ventral and incisional hernia repair.
Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Clinical outcomes from robotic transabdominal preperitoneal inguinal hernia repair in patients under and over 70 years old: a single institution retrospective cohort study with a comprehensive systematic review on behalf of TROGSS - The Robotic Global Surgical Society.Aging clinical and experimental research · 2024Pooled it
- Women have more complications but better reported quality of life after elective ventral hernia repair.Surgical endoscopy · 2026Article
- Sex-based outcomes after elective open abdominal wall reconstruction: a propensity score-matched analysis.Surgical endoscopy · 2026Article
- Disparities in access to and outcomes of minimally invasive surgery: a scoping review.Surgical endoscopy · 2026Article
- From preoperative to postoperative: gender differences in elective ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Representation in robotic surgery randomised controlled trials: a systematic review.BMJ connections surgery · 2026Article
- Risk factors and outcomes for early returns to the operating room following abdominal wall hernia repairs.Surgery in practice and science · 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
- Laparoscopic versus open mesh repairs for small-sized ventral and incisional hernias: a propensity score analysis of a retrospective cohort of patients.Surgical endoscopy · 2025Article
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- Variation in surgical approach and postoperative complication among older adults undergoing ventral hernia repair.Surgical endoscopy · 2024Article
- Variation in approach for midsize (4-6cm) ventral hernias across a statewide quality improvement collaborative.Surgery in practice and science · 2024Article
- 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
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDespite females accounting for nearly half of ventral and incisional hernia repairs performed each year in the United States, shockingly little attention has been paid to sex disparities in hernia treatment and outcomes. We explored sex-based differences in operative approach and outcomes using a population-level hernia registry.
methodsWe performed a retrospective review of the Michigan Surgical Quality Collaborative Hernia Registry (MSQC-HR) to identify patients undergoing clean ventral or incisional hernia repair between January 1, 2020 to December 31, 2021. The primary outcomes were risk-adjusted rates of laparoscopic/robotic approach, mesh use, and composite 30-day adverse events stratified by sex. Risk adjustment between sex was performed using all patient, clinical, and hernia characteristics.
results5269 patients underwent ventral and incisional hernia repair of whom 2295 (43.6%) patients were female. Mean age was 53.9 (14.5) years. Females had slightly larger hernias (3.5 cm vs. 3.0 cm, P < 0.001), fewer umbilical hernias (50.9% vs. 73.0%, P < 0.001), and a higher prevalence of prior hernia repair (17.9% vs. 13.4%, P < 0.001). In a multivariable logistic regression adjusting for differences between males and females, female sex was associated with lower odds of mesh use [aOR 0.62 (95% CI 0.52-0.74)] and higher odds of laparoscopic/robotic repair [aOR 1.26 (95% CI 1.10-1.44)]. In a similar multivariable model, female sex was also associated with significantly higher odds of composite 30-day adverse events [aOR 1.64 (95% CI 1.32-2.02)]. This equates to predicted probabilities of 11.7% (95% CI 10.3-13.0%) vs. 7.6% (95% CI 6.6-8.6%) for adverse events in females compared to males.
conclusionsDespite being younger and having fewer comorbidities, women were more likely to experience adverse events after surgery. Moreover, women were less likely to have mesh placed. Additional work is needed to understand the factors that drive these gender disparities in ventral hernia treatment and outcomes.
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