Evidence map›Paper›PMID 41758373›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2026

Long-term outcomes of IPOM plus and eTEP Rives-Stoppa techniques for midline incisional ventral hernias.

Georgy B Ivakhov, Deividas Kuzmauskas, Svetlana M Titkova, Aleksandra A Kalinina, Andrey V Andriyashkin, Svetlana A Ekaterinina, Alexander V Sazhin

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Article in Hernia : the journal of hernias and abdominal wall surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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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.

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4 · The record

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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

7 authors.

Georgy B IvakhovPirogov Russian National Research Medical University, 1, Ostrovityanov str., Moscow, 117513, Russia. ivakhovsurg@gmail.com.ORCID http://orcid.org/0000-0002-9773-4953
Deividas KuzmauskasPirogov Russian National Research Medical University, 1, Ostrovityanov str., Moscow, 117513, Russia.ORCID http://orcid.org/0009-0008-9436-2155
Svetlana M TitkovaPirogov Russian National Research Medical University, 1, Ostrovityanov str., Moscow, 117513, Russia.ORCID http://orcid.org/0000-0001-5477-0084
Aleksandra A KalininaPirogov Russian National Research Medical University, 1, Ostrovityanov str., Moscow, 117513, Russia.ORCID http://orcid.org/0000-0003-2154-4085
Andrey V AndriyashkinPirogov Russian National Research Medical University, 1, Ostrovityanov str., Moscow, 117513, Russia.ORCID http://orcid.org/0000-0002-4170-9521
Svetlana A EkaterininaPirogov Russian National Research Medical University, 1, Ostrovityanov str., Moscow, 117513, Russia.ORCID http://orcid.org/0009-0004-9611-9563
Alexander V SazhinPirogov Russian National Research Medical University, 1, Ostrovityanov str., Moscow, 117513, Russia.ORCID http://orcid.org/0000-0001-6188-6093

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncisional ventral hernia repair remains important and one of the most complex problems in abdominal wall reconstruction surgery. Introduction of extended-view totally extraperitoneal (eTEP) approach changed significantly the concept of incisional ventral hernia repair. However, long-term results for the eTEP Rives-Stoppa (eTEP RS) remains under-investigated. This study aimed to evaluate the long-term outcomes of IPOM plus and eTEP RS techniques for midline incisional ventral hernias based on CT scan data and quality-of-life (QoL) assessment. MATERIALS AND

methodsA single-center, retrospective cohort study was conducted based on data from 117 patients with midline incisional ventral hernias who underwent either IPOM plus (n = 42), or eTEP RS (n = 75) from March 2018 to December 2022. Long-term outcomes were assessed by physical examination and CT scans at rest and during the Valsalva maneuver with a follow-up of more than one and half year. QoL was assessed using the Carolinas Comfort Scale (CCS) and the EuraHS quality-of-life score (EuraHS-QoL).

resultsEarly postoperative complications were comparable; a larger mesh size was used in the eTEP RS group (p < 0.001). Long-term outcomes, assessed in 80 (68.4%) patients, demonstrated a significantly lower hernia recurrence rate in the eTEP RS group (2% vs. 19.3%, p = 0.012). A normal postoperative CT scan (without postoperative abdominal wall changes) was confirmed in 89.8% of eTEP RS patients and 58.1% in the IPOM plus group (p = 0.0009). Both the CCS and EuraHS-QoL scores were significantly better in the eTEP RS group (p < 0.05). Patients with normal CT scans had better results of QoL comparing with those who had recurrence, posterior rectus sheath (PRS) rupture or bulging.

conclusionLong-term follow-up demonstrates less hernia recurrence rate and higher QoL for eTEP RS in comparison with IPOM plus procedure for midline incisional ventral hernia repair that does not require separation of components. Bulging should be considered as a significant adverse event along with recurrence, since both are associated with a deterioration in the QoL. Prospective trials are needed to determine the optimal technique of minimally invasive procedure for midline ventral hernia repair.

Indexed as

Hernia, VentralHerniorrhaphyIncisional HerniaAgedFemaleHumansMaleMiddle AgedPostoperative ComplicationsQuality of LifeRecurrenceRetrospective StudiesSurgical MeshTomography, X-Ray ComputedTreatment OutcomeeTEPIncisional herniaIPOMQuality of lifeRectus diastasisRecurrenceRives-StoppaVentral hernia

Identifiers

PMID41758373

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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.