Evidence map›Paper›PMID 38222215›Full record

ReviewCureus2023

Incisional Hernia: A Surgical Complication or Medical Disease?

Islam Omar, Tilemachos Zaimis, Abby Townsend, Mohamed Ismaiel, Jeremy Wilson, Conor Magee

Registry-linked trialAbstract readReview
In one paragraph

Review in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07401446 (Comparison of Complication Rates of Onlay vs Sublay Mesh Repair of Incisional Hernia), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07401446 nacompletednot on this map

Comparison of Complication Rates of Onlay vs Sublay Mesh Repair of Incisional Hernia

TypeinterventionalSponsorHayat Abad Medical Complex, PeshawarRan2020 to 2025Enrolled350ConditionsHernia, Ventral Hernia Repair, Incisional Hernia Repair, Abdominal Wall HerniaArmsSublay Mesh Repair, Onlay Mesh Repair
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Robotic management of Morgagni hernias: a case series from a specialized hernia center.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Incisional Hernia Development: Wound Healing Gone Wrong?Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Islam OmarGeneral Surgery, The Hillingdon Hospitals NHS Foundation Trust, Uxbridge, GBR.
Tilemachos ZaimisGeneral Surgery, Wirral University Teaching Hospital NHS Foundation Trust, Wirral, GBR.
Abby TownsendGeneral Surgery, Wirral University Teaching Hospital NHS Foundation Trust, Wirral, GBR.
Mohamed IsmaielGeneral Surgery, Altnagelvin Area Hospital, Londonderry, GBR.
Jeremy WilsonGeneral Surgery, Wirral University Teaching Hospital NHS Foundation Trust, Wirral, GBR.
Conor MageeGeneral Surgery, Wirral University Teaching Hospital NHS Foundation Trust, Wirral, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Incisional hernia (IH) is a frequent complication following abdominal surgery. The development of IH could be more sophisticated than a simple anatomical failure of the abdominal wall. Reported IH incidence varies among studies. This review presented an overview of definitions, molecular basis, risk factors, incidence, clinical presentation, surgical techniques, postoperative care, cost, risk prediction tools, and proposed preventative measures. A literature search of PubMed was conducted to include high-quality studies on IH. The incidence of IH depends on the primary surgical pathology, incision site and extent, associated medical comorbidities, and risk factors. The review highlighted inherent and modifiable risk factors. The disorganisation of the extracellular matrix, defective fibroblast functions, and ratio variations of different collagen types are implicated in molecular mechanisms. Elective repair of IH alleviates symptoms, prevents complications, and improves the quality of life (QOL). Recent studies introduced risk prediction tools to implement preventative measures, including suture line reinforcement or prophylactic mesh application in high-risk groups. Elective repair improves QOL and prevents sinister outcomes associated with emergency IH repair. The watchful wait strategy should be reviewed, and options should be discussed thoroughly during patients' counselling. Risk stratification tools for predicting IH would help adopt prophylactic measures.

Indexed as

abdomen ventral herniabowel obstructionelective herniaemergency herniaincisional herniaincisional ventral hernialaparotomymesh repairstrangulation

Identifiers

PMID38222215
PMCPMC10788045

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.