Evidence map›Paper›PMID 42426385›Full record

ArticleSurgical endoscopy2026

Long-term outcomes of open local onlay mesh parastomal hernia repair with ostomy revision.

Claudia Theis, Victor Andrade Nunes, Patricia Marcolin, Arielle J Perez, Sergio Mazzola Poli de Figueiredo

Abstract read
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.

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

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

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

5 authors.

Claudia TheisDepartment of General Surgery, University of North Carolina, 160 Dental Circle, Chapel Hill, NC, USA. claudia_theis@med.unc.edu.ORCID http://orcid.org/0000-0002-1303-298X
Victor Andrade NunesDepartment of General Surgery, University of North Carolina, 160 Dental Circle, Chapel Hill, NC, USA.
Patricia MarcolinDepartment of General Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Arielle J PerezDepartment of General Surgery, PeaceHealth Sacred Heart Medical Center, Springfield, OR, USA.
Sergio Mazzola Poli de FigueiredoDepartment of General Surgery, University of North Carolina, 160 Dental Circle, Chapel Hill, NC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParastomal hernia is a frequent long-term complication after stoma creation, and recurrence after repair remains a major clinical problem. Open local onlay mesh parastomal hernia repair with ostomy revision (OLOMPHROR) is a technique for which contemporary long-term outcome data are limited.

methodsWe conducted a retrospective cohort study of consecutive adults undergoing open onlay mesh repair for parastomal hernia at a single academic center (2014-2025). Patient demographics, comorbidities, hernia characteristics, and operative details were collected. The primary outcome was parastomal hernia recurrence, diagnosed clinically or radiographically. Secondary outcomes included 30-day complications and reoperations for any indication. Time-to-recurrence was analyzed using Kaplan-Meier methods and multivariable Cox regression.

resultsA total of 113 patients underwent open local onlay parastomal hernia repair with ostomy revision (mean age 61.4 ± 17.5 years; mean BMI 28.9 ± 6.0 kg/m

conclusionsOpen onlay parastomal hernia repair with ostomy revision was associated with a 34.5% recurrence rate and a 44.2% reoperation rate at long-term follow-up. COPD/asthma and recurrent parastomal hernia were associated with the highest risk of failure, whereas no operative or technique-related factors were independently associated with recurrence. These findings underscore the importance of careful patient selection and suggest that alternative repair strategies should be considered in high-risk patients.

Indexed as

Hernia, VentralHerniorrhaphyIncisional HerniaOstomyReoperationSurgical MeshSurgical StomasAgedFemaleHumansMaleMiddle AgedPostoperative ComplicationsRecurrenceRetrospective StudiesTreatment OutcomeLocal parastomal hernia repairLong-term outcomesOpen onlay parastomal repairParastomal herniaParastomal hernia repair

Identifiers

PMID42426385

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.