Evidence map›Paper›PMID 41995937›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2026

From preoperative to postoperative: gender differences in elective ventral hernia repair.

William Head, Courtney M Collins, Ashley Aldridge, Li-Ching Huang, Marisa Blackman, Courtney E Collins

Abstract read
In one paragraph

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.

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

6 authors.

William HeadCenter for Abdominal Core Health, Department of Surgery, The Ohio State University Wexner Medical Center, 410 W. 10Th St., Columbus, OH, 43210, USA. William.Head@OSUMC.edu.ORCID http://orcid.org/0000-0001-9482-979X
Courtney M CollinsCenter for Abdominal Core Health, Department of Surgery, The Ohio State University Wexner Medical Center, 410 W. 10Th St., Columbus, OH, 43210, USA.
Ashley AldridgeCenter for Abdominal Core Health, Department of Surgery, The Ohio State University Wexner Medical Center, 410 W. 10Th St., Columbus, OH, 43210, USA.
Li-Ching HuangDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, USA.
Marisa BlackmanDepartment of Biostatistics, Vanderbilt University Medical Center, Nashville, USA.
Courtney E CollinsCenter for Abdominal Core Health, Department of Surgery, The Ohio State University Wexner Medical Center, 410 W. 10Th St., Columbus, OH, 43210, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGender represents an important social construct, yet its impact on hernia care is poorly understood. This study aims to evaluate gender-based differences across the continuum of elective ventral hernia management.

methodsA retrospective cohort study was conducted for adults undergoing elective ventral hernia repair with mesh in the Abdominal Core Health Quality Collaborative registry. Patients were categorized as men or women. Variables analyzed included demographics, comorbidities, hernia characteristics, operative decision-making, postoperative outcomes, and patient-reported outcomes (PROs). Multivariable regression modeling evaluated associations between gender and postoperative outcomes.

results27,046 patients were evaluated (53% men, 47% women). Women less often had private insurance (48% vs 56%, p < 0.001) and presented more frequently with larger (width 5 cm vs 4 cm; length 8 cm vs 4 cm, p < 0.001) and recurrent hernias (31% vs 24%, p < 0.001). Operative approach did not differ, yet women more often underwent lengthier repairs (> 2 h 53% vs 40%, p < 0.001) and myofascial release (44% vs 34%, p < 0.001). Women had worse adjusted length of stay (effect 0.219 days, p < 0.001), surgical site infection within 30 days (OR 1.310, p < 0.001), and surgical site infection/occurrence interventions within 30 days (OR 1.144, p = 0.047). They also reported lower quality of life and pain interference at baseline with greater gains across two years (p < 0.001).

conclusionWomen presented with more advanced hernia disease requiring more complex reconstruction with worse early morbidity. Despite this, women achieved greater gains in PRO scores relative to men. These findings highlight the need for earlier recognition and targeted optimization to ensure equitable management patterns of ventral hernias.

Indexed as

Elective Surgical ProceduresHernia, VentralHerniorrhaphyAgedFemaleHumansLength of StayMaleMiddle AgedPatient Reported Outcome MeasuresPostoperative ComplicationsRecurrenceRetrospective StudiesSex FactorsSurgical MeshGenderHernia RepairVentral Hernia

Identifiers

PMID41995937
PMCPMC13090267

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LicenceCC BY
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Registered trials

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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.