ArticleSurgical endoscopy2024
Long-term mesh-related complications from minimally invasive intraperitoneal onlay mesh for small to medium-sized ventral hernias.
Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis 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
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Outcomes of intraperitoneal compared to retromuscular mesh placement in ventral incisional hernia repair: a systematic review and meta-analysis.Surgical endoscopy · 2026Pooled it
- Long-term outcomes of robotic intraperitoneal onlay mesh (IPOM) versus robotic enhanced-view totally extraperitoneal (eTEP) ventral hernia repair: a propensity-matched analysis.Surgical endoscopy · 2026Article
- Totally Endoscopic Sublay Anterior Repair (TESAR) for diastasis recti, primary and incisional ventral hernias: Long-term clinical outcomes and quality of life.Hernia : the journal of hernias and abdominal wall surgery · 2026Observational
- "Long-term outcomes of ventral hernia repair using heavyweight non-woven polypropylene mesh".Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Article
- Trends in mesh placement in elective ventral hernia repair: an 18-year nationwide register-based study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- What is the preferred mesh placement in primary ventral hernia repair? An international survey of 442 surgeons.Hernia : the journal of hernias and abdominal wall surgery · 2025Observational
- Short-term outcomes after robot-assisted retromuscular versus laparoscopic intraperitoneal onlay mesh repair of small-to-medium ventral hernias: a prospective, multicenter, propensity score-matched analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Comparative analysis of efficacy and quality of life between totally extraperitoneal sublay and intraperitoneal onlay mesh repair for ventral hernia.Scientific reports · 2025Article
- Laparosocpic "Intraperitoneal Underlay Mesh"-Plus: A Viable Approach for Incisional-Ventral Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Review
- The Unfulfilled Potential of Synthetic and Biological Hydrogel Membranes in the Treatment of Abdominal Hernias.Gels (Basel, Switzerland) · 2024Review
- From Meshes to Minimally Invasive Techniques: A Comprehensive Review of Modern Hernia Repair Approaches.Cureus · 2024Review
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionIntraperitoneal onlay mesh (IPOM) placement for small to medium-sized hernias has garnered negative attention due to perceived long-term risk of mesh-related complications. However, sparse data exists supporting such claims after minimally invasive (MIS) IPOM repairs and most is hindered by the lack of long-term follow-up. We sought to report long-term outcomes and mesh-related complications of MIS IPOM ventral hernia repairs. METHODS AND PROCEDURES: Adult patients who underwent MIS IPOM ventral hernia repair at our institution were identified in the Abdominal Core Health Quality Collaborative database from October 2013 to October 2020. Outcomes included hernia recurrence and mesh-related complications or reoperations up to 6 years postoperatively.
resultsA total of 325 patients were identified. The majority (97.2%) of cases were elective, non-recurrent (74.5%), and CDC class I (99.4%). Mean hernia width was 4.16 ± 3.86 cm. Median follow-up was 3.6 (IQR 2.8-5) years. Surgeon-entered or patient-reported follow-up was available for 253 (77.8%) patients at 3 years or greater postoperatively. One patient experienced an early small bowel obstruction and was reoperated on within 30 days. Two-hundred forty-five radiographic examinations were available up to 6 years postoperatively. Twenty-seven patients had hernia recurrence on radiographic examination up to 6 years postoperatively. During long-term follow-up, two mesh-related complications required reoperations: mesh removed for chronic pain and mesh removal at the time of colon surgery for perforated cancer. Sixteen additional patients required reoperation within 6 years for the following reasons: hernia recurrence (n = 5), unrelated intraabdominal pathology (n = 9), obstructed port site hernia (n = 1), and adhesive bowel obstruction unrelated to the prosthesis (n = 1). The rate of reoperation due to intraperitoneal mesh complications was 0.62% (2/325) with up to 6 year follow-up.
conclusionIntraperitoneal mesh for repair of small to medium-sized hernias has an extremely low rate of long-term mesh-related complications. It remains a safe and durable option for hernia surgeons.
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