Evidence map›Paper›PMID 42390803›Full record

ArticleSurgical endoscopy2026

Enhanced view/extended totally extraperitoneal plasty (eTEP) Rives-Stoppa repair versus open Rives-Stoppa repair: a single-center retrospective propensity score-matched cohort study.

Robin Klewitz, Nico Pfander, York Gruenewald, Hans Christian Hillebrecht, Stefan Fichtner-Feigl, Philipp Anton Holzner, Julian Hipp

Abstract readComparative Study
PubMed Full text at PMC 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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0citing papers in PubMed
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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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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

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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

7 authors.

Robin KlewitzDepartment of General and Visceral Surgery, Medical Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Nico PfanderDepartment of General and Visceral Surgery, Medical Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
York GruenewaldDepartment of General and Visceral Surgery, Medical Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Hans Christian HillebrechtDepartment of General and Visceral Surgery, Medical Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Stefan Fichtner-FeiglDepartment of General and Visceral Surgery, Medical Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Philipp Anton HolznerDepartment of General and Visceral Surgery, Medical Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany.
Julian HippDepartment of General and Visceral Surgery, Medical Center, University of Freiburg, Hugstetter Str. 55, 79106, Freiburg, Germany. julian.hipp@uniklinik-freiburg.de.ORCID http://orcid.org/0000-0001-9291-9695

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the comparative effectiveness of extended totally extraperitoneal plasty Rives-Stoppa retromuscular repair (eTEP-RS) and open Rives-Stoppa retromuscular repair (Open-RS) in patients undergoing ventral hernia repair.

methodsClinical data from 850 patients were collected in a prospectively maintained database and retrospectively evaluated. 153 patients undergoing eTEP-RS were compared to 154 selected patients undergoing Open-RS (from the period prior to implementation of eTEP-RS at our university medical center). Short-term perioperative outcomes as well as long-term recurrence rate and quality of life by Carolina Comfort Scale (QoL) were evaluated. Results are shown as median (interquartile range).

resultsOur learning curve phase (first 60 eTEP-RS cases) was compared to eTEP-RS from the steady-state phase (cases 61-153). Significant differences with regard to operation time and perioperative complications were observed indicating a relevant learning curve in the procedure. The eTEP-RS cases from the steady-state cohort were compared to the Open-RS cases. After propensity score matching, 83 eTEP-RS cases were compared to 83 Open-RS cases. While operation time was longer (Open-RS: 135 min (95-161); eTEP-RS: 160 min (126-192); i = 0.004), length of stay was shorter in the eTEP-RS cohort (Open-RS: 7 days (6-9); eTEP-RS: 4 days (3-5); p < 0.001) and postoperative pain was lower on postoperative days 2 and 3. Perioperative complications, hernia recurrence rates, and long-term QoL were not different between the two cohorts.

conclusioneTEP Rives-Stoppa repair offered superior short-term outcomes compared to open Rives-Stoppa repair in suitable patients with medium-sized ventral hernia and selected patients with large ventral hernia. Given the short follow-up period, no statistically significant differences could be observed regarding the long-term outcomes recurrence rate and QoL. Future long-term multicenter studies are necessary to evaluate long-term efficacy.

Indexed as

Hernia, VentralHerniorrhaphyAgedFemaleHumansLearning CurveMaleMiddle AgedOperative TimePostoperative ComplicationsPropensity ScoreQuality of LifeRecurrenceRetrospective StudiesSurgical MeshTreatment OutcomeeTEPMinimally invasive surgeryRetromuscular repairRives–Stoppa repairVentral hernia repair

Identifiers

PMID42390803
PMCPMC13582168

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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.