Observational studyHernia : the journal of hernias and abdominal wall surgery2023
Incidence, risk factors, and burden of incisional hernia repair after abdominal surgery in France: a nationwide study.
Observational study 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 26 papers, 2 of them syntheses that pooled it.
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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.
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Who cites it
26 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.
- Machine learning, deep learning and hernia surgery. Are we pushing the limits of abdominal core health? A qualitative systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Predictive factors for complexity in abdominal wall hernias: a literature scope review.Revista do Colegio Brasileiro de Cirurgioes · 2024Pooled it
- Surgical Complexity and Postoperative Outcomes in Recurrent Versus Primary Incisional Hernias Following Elective Retromuscular Repair: A Retrospective Cohort Study.Diagnostics (Basel, Switzerland) · 2026Article
- The choice of extraction site modulates the incidence of incisional hernia in colorectal surgery: a cohort analysis.Updates in surgery · 2026Observational
- A traction suture for abdominal wall closure in large incisional hernias: a prospective analysis of the "suitcase technique" - a simple horizontal offloading z-suture for gradual myofascial approximation.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Umbilical fat is useful for evaluating the risk of incisional hernia after laparoscopic colorectal surgery.Surgery today · 2026Article
- Outpatient care or less than 48-hour length of hospital stay after open complex abdominal wall surgery: current reality or just a surgeon fantasy?International journal of surgery (London, England) · 2026Article
- Risk factors for recurrence and surgical site infection after abdominal wall hernia repair: a systematic review and meta analysis.Frontiers in surgery · 2026Review
- Systematic Review and Meta-Analysis of the Prevalence and Risk Factors Associated With the Occurrence of Incisional Hernia in Patients Undergoing Midline Laparotomy.Journal of abdominal wall surgery : JAWS · 2026Review
- Impact of incisional hernia on quality of life after colorectal cancer surgery - results of the Rein4CeTo1 randomized clinical trial.Journal of abdominal wall surgery : JAWS · 2026Article
- Could preoperative physical activity level predict serious complications after incisional hernia repair?Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Multimodal Prehabilitation for Hernia Repair: Linking Metabolic Modulation and Mechanical Methods.Biomedicines · 2025Review
- Comprehensive bibliometric and visualized analysis of research on incisional hernia and component separation from 1996 to 2023.JPRAS open · 2025Review
- Age as a non-contraindication for surgical intervention in patients with abdominal wall incisional hernia: an exploration and analysis.Langenbeck's archives of surgery · 2025Article
- Successful photodynamic therapy for infectious complications of abdominoplasty using mesh implants: a case report.Photochemical & photobiological sciences : Official journal of the European Photochemistry Association and the European Society for Photobiology · 2025Article
- Defining the Subscarpal Lipo-Aponeurotic System (SLAS): Anatomical, Histopathological, and Biomechanical Analysis.Aesthetic surgery journal. Open forum · 2025Article
- Simultaneous Abdominal Wall Reconstruction and Panniculectomy in High-Risk Complex Patients: A Retrospective Cohort Study.Journal of abdominal wall surgery : JAWS · 2025Article
- Adhesions After Laparoscopic IPOM-How Serious Is the Problem?Journal of abdominal wall surgery : JAWS · 2025Review
- Article
- Relationship between immune cell traits, circulating inflammatory cytokines, and the risk of incisional hernia after gastric surgery.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
Corrections and comments
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Authors and funding
6 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIncisional hernias are common after laparotomies. The aims of this study were to assess the rate of incisional hernia repair after abdominal surgery, recurrence rate, hospital costs, and risk factors, in France.
methodsThis national, retrospective, longitudinal, observational study was based on the exhaustive hospital discharge database (PMSI). All adult patients (≥ 18 years old) hospitalised for an abdominal surgical procedure between 01-01-2013 and 31-12-2014 and hospitalised for incisional hernia repair within five years were included. Descriptive analyses and cost analyses from the National Health Insurance (NHI) viewpoint (hospital care for the hernia repair) were performed. To identify risk factors for hernia repair a multivariable Cox model and a machine learning analysis were performed.
resultsIn 2013-2014, 710074 patients underwent abdominal surgery, of which 32633 (4.6%) and 5117 (0.7%) had ≥ 1 and ≥ 2 incisional hernia repair(s) within five years, respectively. Mean hospital costs amounted to €4153/hernia repair, representing nearly €67.7 million/year. Some surgical sites exposed patients at high risk of incisional hernia repair: colon and rectum (hazard ratio [HR] 1.2), and other sites on the small bowel and the peritoneum (HR 1.4). Laparotomy procedure and being ≥ 40 years old put patients at high risk of incisional hernia repair even when operated on low-risk sites such as stomach, duodenum, and hepatobiliary.
conclusionThe burden of incisional hernia repair is high and most patients are at risk either due to age ≥ 40 or the surgery site. New approaches to prevent the onset of incisional hernia are warranted.
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