Evidence map›Paper›PMID 42191955›Full record

ArticleSurgical endoscopy2026

Safety of laparoscopic incisional hernia repair after liver transplant: a comparative study from a single institution.

Agustina Altolaguirre, Mauricio Sarmiento Cobos, Amir Bashiri, Samuel Szomstein, Emanuele Lo Menzo

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited 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

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Agustina AltolaguirreDepartment of General Surgery and the Bariatric and Metabolic Institute, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, FL, 33331, USA.
Mauricio Sarmiento CobosDepartment of General Surgery and the Bariatric and Metabolic Institute, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, FL, 33331, USA.
Amir BashiriDepartment of General Surgery and the Bariatric and Metabolic Institute, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, FL, 33331, USA.
Samuel SzomsteinDepartment of General Surgery and the Bariatric and Metabolic Institute, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, FL, 33331, USA.
Emanuele Lo MenzoDepartment of General Surgery and the Bariatric and Metabolic Institute, Cleveland Clinic Florida, 2950 Cleveland Clinic Blvd., Weston, FL, 33331, USA. lomenze@ccf.org.ORCID http://orcid.org/0000-0001-8385-9002

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionVentral incisional hernia (VIH) is a frequent complication after liver transplantation (LT), with incidence rates up to 46%. Repair in LT recipients is particularly challenging due to immunosuppression, comorbidities, and large hernia defects. While laparoscopic incisional hernia repair (LIHR) has shown advantages in the general population, comparative outcomes in LT patients remain underexplored. This study evaluates the safety and short-term outcomes of LIHR in LT recipients versus non-transplant patients.

methodsA retrospective cohort study was conducted of patients undergoing LIHR at a single institution. LT recipients (2016-2025) were compared to non-transplant patients (2020-2022). Demographics, comorbidities, operative variables, and postoperative outcomes-including surgical site occurrences (SSO), infections (SSI), recurrence, readmissions, and mortality-were analyzed. Propensity score matching (1:1) adjusted for baseline differences in age, gender, BMI, diabetes, hypertension, dyslipidemia, and chronic kidney disease.

resultsA total of 147 patients were included (42 LT; 105 non-LT). LT recipients were older, had higher rates of diabetes (38.1 vs. 14.3%) and chronic kidney disease (42.9 vs. 0.07%), and presented with larger hernia defects (median 120 vs. 27.5 cm

conclusionsLIHR in LT recipients is safe and effective, with comparable rates of infection, recurrence, and readmission to non-transplant patients. Increased SSOs in LT patients appear primarily driven by comorbidities and hernia complexity rather than surgical technique. Careful patient selection and perioperative optimization remain essential.

Indexed as

HerniorrhaphyIncisional HerniaLaparoscopyLiver TransplantationPostoperative ComplicationsFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesAbdominal wall reconstructionImmunosuppressionIncisional herniaLaparoscopyLiver transplantationSurgical site occurrence

Identifiers

PMID42191955

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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.