ArticleHernia : the journal of hernias and abdominal wall surgery2023
Gender differences in epigastric hernia repair: a propensity score matching analysis of 15,925 patients from the Herniamed registry.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Impact of surgical approach on complications by sex following ventral and incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Bilateral Inguinal Hernia Repair: Laparoscopic Totally Extraperitoneal Versus Open Lichtenstein.Acta medica Lituanica · 2025Article
- Long-Term Outcomes After Epigastric Hernia Repair in Women-A Nationwide Database Study.Journal of abdominal wall surgery : JAWS · 2023Article
- Matching males and females undergoing Shouldice repair using a prospective, longitudinal design.Canadian journal of surgery. Journal canadien de chirurgieObservational
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Authors and funding
7 authors.
Funding
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Abstract
introductionIn recent surgical literature, gender-specific differences in the outcome of hernia surgery has been analyzed. We already know that female patients are at higher risk to develop chronic postoperative pain after inguinal, incisional, and umbilical hernia surgery. In this study, we evaluated the impact of gender on the outcome after epigastric hernia surgery.
methodsA covariable-adjusted matched-paired analysis with data derived from the Herniamed registry was performed. In total of 15,925 patients with 1-year follow-up data were included in the study. Propensity score matching was performed for the 7786 female (48.9%) and 8139 male (51.1%) patients, creating 6350 pairs (81.6%).
resultsMatched-paired analysis revealed a significant disadvantage for female patients for pain on exertion (12.1% vs. 7.6%; p < 0.001) compared to male patients. The same effect was demonstrated for pain at rest (6.2% in female patients vs. 4.1% in male patients; p < 0.001) and pain requiring treatment (4.6% in female patients vs. 3.1% in male patients; p < 0.001). All other outcome parameters showed no significant differences between female and male patients.
conclusionsFemale patients are at a higher risk for chronic pain after elective epigastric hernia repairs compared to the male patient population. These results complete findings of previous studies showing the same effect in inguinal, umbilical, and incisional hernia repair.
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