ArticleSurgical endoscopy2026
Sex-based outcomes after elective open abdominal wall reconstruction: a propensity score-matched analysis.
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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Abstract
backgroundSex-based differences in hernia outcomes have gained increasing attention, with some emerging evidence suggesting that female patients may experience higher complication rates compared to males for abdominal wall reconstruction (AWR). This study compared perioperative and long-term outcomes between female and male patients undergoing elective hernia repair at a tertiary hernia center.
methodsA prospective database at a tertiary AWR program was queried for adults undergoing elective, open AWR. Propensity-score matching (PSM 1:1) was performed for females vs. males based on age, BMI, diabetes, smoking status, CDC wound class, primary versus recurrent repair, defect size, panniculectomy, and mesh type. Standard statistical analyses were performed.
resultsAmong 3764 patients (2152 females; 1612 males), PSM yielded 319 matched pairs. Females and males had similar average BMI (31.2 ± 5.3 vs. 31.1 ± 5.3 kg/m
conclusionIn this tertiary AWR program, females and males undergoing AWR had no significant differences in short and long-term outcomes when adjusting for comorbidities and operative factors. These findings suggest sex-based differences may be attenuated when patients undergo standardized, preoperative optimization and operative management.
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