ArticleLangenbeck's archives of surgery2025
Effect of mesh fixation in incisional hernia repair using the open sublay technique: results from the herniamed-registry.
Article in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
What it found
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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.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Is mesh fixation necessary in open retromuscular ventral hernia repair? A meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeIncisional hernias reflect a common complication after abdominal surgery. Main treatment consists of defect closure and mesh insertion using the sublay method. The aim of the present study was to assess the association of mesh fixation to patients' outcome.
methodsUsing the Herniamed registry, data from 13'452 incisional hernia repairs were analyzed retrospectively. Three groups of patients were compared: those with mesh fixation (n = 9'986), those with self-fixing meshes (n = 2'725), and those without mesh fixation (n = 741). Postoperative complications, recurrence and postoperative pain scores were assessed over a follow-up period of one year postoperatively.
resultsTaking into account that patients without mesh fixation had smaller defects and were treated with smaller meshes indicating non-equivalent groups, postoperative complications (general, intra- and postoperative complications, as well as complication-related reoperations), were similar among groups except that self-fixing meshes showed a lower general complication rate compared to fixed meshes (OR = 0.733 [0.579; 0.929]; p = 0.010). Mesh fixation had no relation to recurrence rate. Self-fixating meshes were associated with increased pain at rest rate (OR = 1.325 [1.156; 1.518]; p < 0.001), pain on exertion rate (OR = 1.255 [1.125; 1.400], p < 0.001) and chronic pain requiring treatment (OR = 1.271 [1.086; 1.488], p = 0.003) compared to fixed meshes. Self-fixating (OR = 1.675 [1.322; 2.120], p < 0.001) and fixed meshes (OR = 1.334 [1.069; 1.666], p = 0.011) were associated to increased pain on exertion rate compared to non-fixed meshes.
conclusionIt appears that mesh fixation can be omitted during sublay incisional hernia repair.
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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.