SynthesisHernia : the journal of hernias and abdominal wall surgery2025
Ventral hernia is a chronic disease: a systematic review of long-term outcomes beyond 5 years.
Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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.
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Who cites it
3 citing papers in PubMed.
- Validation of a novel hernia recurrence grading classification system: a surgeon survey using clinical vignettes.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- From repair to reconstruction: a holistic perspective in abdominal wall hernia surgery.Frontiers in surgery · 2026Article
- Mesh removal and ventral hernia repair with long-term absorbable mesh in case of mesh infection.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo systematically evaluate the long-term outcomes of ventral hernia repair (VHR) and reassess its classification as a definitive surgical intervention. This review synthesizes evidence on postoperative complications including recurrence, chronic pain, and patient-reported outcomes to characterize the long-term burden of VHR and its impact on patient management. This study underscores the necessity of prolonged postoperative surveillance to accurately assess surgical efficacy and inform evidence-based follow-up trategies.
methodsA systematic review was conducted in accordance with PRISMA guidelines, searching PubMed, Embase, and Web of Science for studies with a mean or median follow-up of ≥5 years. Eligible studies reported outcomes including recurrence, reoperation, mesh infection, chronic pain, and quality of life. A random-effects meta-analysis was performed using STATA MP 18 to pool event rates for each outcome.
resultsAmong 2,721 patients followed for ≥5 years, 13% (95% CI: 9-17%) experienced recurrence. Long-term complications included seroma in 11% (95% CI: 6-17%, n = 1,778) and reoperation in 8% (95% CI: 5-11%, n = 1,833) of patients. Patient-reported outcomes, including chronic pain, were collected, with 15% (95% CI: 8-23%, n = 1,220) reporting its occurrence.
conclusionThis systematic review evaluates the complexity of ventral hernia repair and proposes conceptual realignment in managing ventral hernias, viewing them through the lens of chronic disease to align treatment goals with long-term patient outcomes. The data suggests that ventral hernias exhibit characteristics of a chronic condition, requiring sustained medical oversight and potential reinterventions for chronic pain, recurrence, and other quality-of-life complications.
Indexed as
Identifiers
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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.