Evidence map›Paper›PMID 42301441›Full record

ArticleSurgical endoscopy2026

Delayed elective ventral hernia repair may increase risk in patients with obesity.

Ramsey M Dallal, Noah Streitfeld, Samantha Ekanayake, Sami Tannouri

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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.

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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Ramsey M DallalDepartment of Surgery, Jefferson Health, 5501 Old York Rd, Suite 510, Philadelphia, PA, 19141, USA. ramsey.dallal@jefferson.edu.ORCID http://orcid.org/0000-0002-0477-9803
Noah StreitfeldSidney Kimmel Medical College, Thomas Jefferson University, 1025 Walnut Street, Philadelphia, PA, 19107, USA.
Samantha EkanayakeSidney Kimmel Medical College, Thomas Jefferson University, 1025 Walnut Street, Philadelphia, PA, 19107, USA.
Sami TannouriDepartment of Surgery, Jefferson Health, 5501 Old York Rd, Suite 510, Philadelphia, PA, 19141, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccess to elective ventral hernia repair is often limited for patients with obesity due to presumed higher risks of recurrence and complications. We hypothesize that higher BMI alone does not increase the risk of recurrence, and that delayed access may lead to worse outcomes.

methodsA retrospective cohort of 11,979 index ventral hernia repairs performed by 200 surgeons across 30 facilities (2017-2025) within a single system. The primary endpoint was reoperation for recurrence; secondary patient-centered outcomes included urgent presentation, length of stay (LOS), and 30-day readmission. Mixed-effects multivariable survival models were used to estimate hazard ratios (HRs).

resultsCompared to BMI 20-25 kg/m

conclusionsBeyond a BMI of 25 kg/m

Indexed as

Elective Surgical ProceduresHernia, VentralHerniorrhaphyObesityTime-to-TreatmentAgedBody Mass IndexFemaleHumansLaparoscopyLength of StayMaleMiddle AgedPatient ReadmissionPostoperative ComplicationsRecurrenceBMIHernia meshRecurrenceReoperationUmbilical herniaVentral hernia

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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.