Evidence map›Paper›PMID 41404209›Full record

ArticleCureus2025

A Prospective Comparative Study of Preperitoneal vs. Retro-Rectus Mesh Placement in Ventral Hernia Repair at a Tertiary Care Hospital.

G Sagar Reddy, R Ashok Reddy

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

2 authors.

G Sagar ReddyGeneral Surgery, Great Eastern Medical School And Hospital, Srikakulam, IND.
R Ashok ReddyGeneral Surgery, Great Eastern Medical School And Hospital, Srikakulam, IND.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Ventral hernia repair commonly requires mesh reinforcement. Among various open approaches, preperitoneal and retro-rectus mesh placements are frequently practiced, but their comparative outcomes remain debated. Aim The aim of the study is to compare postoperative outcomes of preperitoneal versus retro-rectus mesh placement in open ventral hernia repair in a tertiary care hospital. Methods A prospective, randomized comparative study was conducted on 28 patients undergoing open ventral hernia repair. Patients were randomized using block randomization into two groups: Group A (preperitoneal mesh, n = 14) and Group B (retro-rectus mesh, n = 14). Postoperative complications, duration of hospital stay, pain (Visual Analog Scale (VAS) score), and post-surgical occupational downtime were assessed. All patients were followed up for one month postoperatively. Statistical analysis was performed using the chi-square test for categorical variables and the independent t-test for continuous variables, with p < 0.05 considered statistically significant. Results The retro-rectus mesh repair group demonstrated lower rates of seroma formation (one patient out of 14 patients vs. three patients out of 14 patients (7.14% vs. 21.4%, p = 0.042)) and surgical site infection (SSI; one patient out of 14 patients vs. two patients out of 14 patients (7.14% vs. 14.3%, p = 0.037)) compared to the preperitoneal group. The mean hospital stay was significantly shorter in the retro-rectus group (5.3 ± 1.1 days) than in the preperitoneal group (6.8 ± 1.4 days, p = 0.021). Post-surgical occupational downtime was also reduced (8.5 ± 2.1 days vs. 11.3 ± 2.5 days, p = 0.018). Conclusion Retro-rectus mesh repair offers lower postoperative morbidity, shorter hospital stay, and faster recovery compared to preperitoneal repair, with comparable short-term outcomes at one-month follow-up. It may be considered the preferred approach in tertiary care settings.

Indexed as

hernioplastyopen ventral hernia repairpreperitoneal mesh placementretro-rectus mesh placementventral hernia

Identifiers

PMID41404209
PMCPMC12704463

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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.