{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T19:09:56Z","timestamp":1792609796367,"version":"4.5.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"3","license":[{"start":{"date-parts":[[2020,3,19]],"date-time":"2020-03-19T00:00:00Z","timestamp":1584576000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,3,19]],"date-time":"2020-03-19T00:00:00Z","timestamp":1584576000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hernia"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>A retrospective analysis was carried out to compare the results of patch repair using ready-made, synthetic mesh (PR) and sutured repair (SR) based on standard protocols. The accumulated recurrence rate was accepted as the primary outcome. Pain at rest and during exercise, cosmetic effect and treatment satisfaction were chosen as the secondary endpoints.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Adult patients after elective, open surgical repair of a single, primary umbilical hernia &lt;\u20092\u00a0cm in diameter were included. Patients with incarceration or strangulation, after previous umbilical hernia repair or other abdominal surgical interventions were excluded. In the SR group, single-layer sutures were placed using the short-stitch technique. In PR group, a 6.3-mm ready-made Parietene Ventral Patch (Medtronic) was used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>161 patients (104 in PR and 57 in SR groups) were included in the study (22\u00a0months follow-up). Nine recurrences were observed [six in PR (5.8%) and three in SR group (5.2%)]. In PR group, three patients (2.9%) reported complaints at rest and none in SR group, while 18 patients (17.3%) in PR group reported pain during exercises and 7 (12.3%) in SR group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>For the smallest umbilical hernias, the use of dense fascia suturing (short-stitch technique) may be an effective alternative to patch repair techniques in patients with no additional risk factors for recurrence. The mesh patch repair method is associated with a significantly higher risk of postsurgical pain. Diastasis recti is a factor favoring umbilical hernia recurrence after both pure tissue repair and patch repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s10029-020-02170-1","type":"journal-article","created":{"date-parts":[[2020,3,19]],"date-time":"2020-03-19T01:17:12Z","timestamp":1584580632000},"page":"571-577","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Is mesh always necessary in every small umbilical hernia repair? Comparison of standardized primary sutured versus patch repair: retrospective cohort study"],"prefix":"10.1007","volume":"25","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2227-4550","authenticated-orcid":false,"given":"K.","family":"Mitura","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Skolimowska-Rzewuska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Rzewuska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Wyrzykowska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2020,3,19]]},"reference":[{"key":"2170_CR1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.11489","author":"NA Henriksen","year":"2020","unstructured":"Henriksen NA, Montgomery A, Kaufmann R, Berrevoet F, East B, Fischer J, Hope W, Klassen D, Lorenz R, Renard Y, Garcia Urena MA, Simons MP (2020) European and Americas Hernia Societies (EHS and AHS). Guidelines for treatment of umbilical and epigastric hernias from the European Hernia Society and Americas Hernia Society. Br J Surg. https:\/\/doi.org\/10.1002\/bjs.11489","journal-title":"Br J Surg"},{"key":"2170_CR2","doi-asserted-by":"publisher","first-page":"2548","DOI":"10.1007\/s00268-013-2160-0","volume":"37","author":"MW Christoffersen","year":"2013","unstructured":"Christoffersen MW, Helgstrand F, Rosenberg J et al (2013) Lower reoperation rate for recurrence after mesh versus sutured elective repair in small umbilical and epigastric hernias. A nationwide register study. World J Surg 37:2548\u20132552","journal-title":"World J Surg"},{"key":"2170_CR3","doi-asserted-by":"publisher","first-page":"65","DOI":"10.1007\/s00423-013-1119-9","volume":"399","author":"M Westen","year":"2014","unstructured":"Westen M, Christoffersen MW, Jorgensen LN et al (2014) Chronic complaints after simple sutured repair for umbilical or epigastric hernias may be related to recurrence. Langenbecks Arch Surg 399:65\u201369","journal-title":"Langenbecks Arch Surg"},{"issue":"5","key":"2170_CR4","doi-asserted-by":"publisher","first-page":"873","DOI":"10.1007\/s10029-019-02051-2","volume":"23","author":"H Alkhatib","year":"2019","unstructured":"Alkhatib H, Fafaj A, Olson M, Stewart T, Krpata DM (2019) Primary uncomplicated midline ventral hernias: factors that influence and guide the surgical approach. Hernia 23(5):873\u2013883. https:\/\/doi.org\/10.1007\/s10029-019-02051-2","journal-title":"Hernia"},{"issue":"5","key":"2170_CR5","doi-asserted-by":"publisher","first-page":"415","DOI":"10.1001\/jamasurg.2013.5014","volume":"149","author":"MT Nguyen","year":"2014","unstructured":"Nguyen MT, Berger RL, Hicks SC, Davila JA, Li LT, Kao LS, Liang MK (2014) Comparison of outcomes of synthetic mesh vs suture repair of elective primary ventral herniorrhaphy: a systematic review and meta-analysis. JAMA Surg 149(5):415\u2013421","journal-title":"JAMA Surg"},{"key":"2170_CR6","first-page":"350","volume":"12","author":"L Venclauskas","year":"2017","unstructured":"Venclauskas L, Jokubauskas M, Zilinskas J, Zviniene K, Kiudelis M (2017) Long-term follow-up results of umbilical hernia repair. Wideochir Inne Tech Maloinwazyjne 12:350\u2013356","journal-title":"Wideochir Inne Tech Maloinwazyjne"},{"issue":"10123","key":"2170_CR7","doi-asserted-by":"publisher","first-page":"860","DOI":"10.1016\/S0140-6736(18)30298-8","volume":"391","author":"R Kaufmann","year":"2018","unstructured":"Kaufmann R, Halm JA, Eker HH, Klitsie PJ, Nieuwenhuizen J, van Geldere D, Simons MP, van der Harst E, van\u2019t Riet M, van der Holt B, Kleinrensink GJ, Jeekel J, Lange JF (2018) Mesh versus suture repair of umbilical hernia in adults: a randomised, double-blind, controlled, multicentre trial. Lancet 3 391(10123):860\u2013869. https:\/\/doi.org\/10.1016\/S0140-6736(18)30298-8","journal-title":"Lancet 3"},{"key":"2170_CR8","doi-asserted-by":"publisher","first-page":"187","DOI":"10.1177\/1457496918812208","volume":"108","author":"T Bisgaard","year":"2018","unstructured":"Bisgaard T, Kaufmann R, Christoffersen MW, Strandfelt P, Gluud LL (2018) Lower risk of recurrence after mesh repair versus non-mesh sutured repair in open umbilical hernia repair: a systematic review and meta-analysis of randomized controlled trials. Scand J Surg 108:187\u2013193","journal-title":"Scand J Surg"},{"key":"2170_CR9","doi-asserted-by":"publisher","first-page":"143","DOI":"10.1007\/s10029-018-1843-8","volume":"23","author":"JL Porrero","year":"2019","unstructured":"Porrero JL, Cano-Valderrama O, Villar S, S\u00e1nchez-Cabezudo C, Ramos B, Porrero B et al (2019) Umbilical hernia repair with composite prosthesis: a single-centre experience. Hernia 23:143\u2013147","journal-title":"Hernia"},{"key":"2170_CR10","doi-asserted-by":"publisher","first-page":"531","DOI":"10.1007\/s10029-011-0816-y","volume":"15","author":"T Tollens","year":"2011","unstructured":"Tollens T, Den Hondt M, Devroe K, Terry C, Speybroeck S, Aelvoet C et al (2011) Retrospective analysis of umbilical, epigastric, and small incisional hernia repair using the Ventralex\u2122 hernia patch. Hernia 15:531\u2013540","journal-title":"Hernia"},{"key":"2170_CR11","doi-asserted-by":"publisher","first-page":"493","DOI":"10.1007\/s10029-012-0988-0","volume":"17","author":"J Dalenb\u00e4ck","year":"2013","unstructured":"Dalenb\u00e4ck J, Andersson C, Ribokas D, Rimb\u00e4ck G (2013) Long-term follow-up after elective adult umbilical hernia repair: low recurrence rates also after non-mesh repairs. Hernia 17:493\u2013497","journal-title":"Hernia"},{"key":"2170_CR12","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1016\/j.amjsurg.2004.09.021","volume":"190","author":"C Polat","year":"2005","unstructured":"Polat C, Dervisoglu A, Senyurek G, Bilgin M, Erzurumlu K, Ozkan K (2005) Umbilical hernia repair with the prolene hernia system. Am J Surg 190:61\u201364","journal-title":"Am J Surg"},{"key":"2170_CR13","doi-asserted-by":"publisher","first-page":"1321","DOI":"10.1046\/j.0007-1323.2001.01893.x","volume":"88","author":"A Arroyo","year":"2001","unstructured":"Arroyo A, Garc\u00eda P, P\u00e9rez F, Andreu J, Candela F, Calpena R (2001) Randomized clinical trial comparing suture and mesh repair of umbilical hernia in adults. Br J Surg 88:1321\u20131323","journal-title":"Br J Surg"},{"key":"2170_CR14","doi-asserted-by":"publisher","first-page":"62","DOI":"10.1016\/j.ijsu.2018.12.015","volume":"62","author":"D Shrestha","year":"2019","unstructured":"Shrestha D, Shrestha A, Shrestha B (2019) Open mesh versus suture repair of umbilical hernia: meta-analysis of randomized controlled trials. Int J Surg 62:62\u201366","journal-title":"Int J Surg"},{"key":"2170_CR15","doi-asserted-by":"publisher","first-page":"826","DOI":"10.1007\/s00268-015-3311-2","volume":"40","author":"T Mathes","year":"2016","unstructured":"Mathes T, Walgenbach M, Siegel R (2016) Suture versus mesh repair in primary and incisional ventral hernias: a systematic review and meta-analysis. World J Surg 40:826\u2013835","journal-title":"World J Surg"},{"key":"2170_CR16","doi-asserted-by":"publisher","first-page":"3097","DOI":"10.1007\/s00268-014-2722-9","volume":"38","author":"DH Nguyen","year":"2014","unstructured":"Nguyen DH, Nguyen MT, Askenasy EP, Kao LS, Liang MK (2014) Primary fascial closure with laparoscopic ventral hernia repair: systematic review. World J Surg 38:3097\u20133104","journal-title":"World J Surg"},{"key":"2170_CR17","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1007\/s00268-014-2765-y","volume":"39","author":"G K\u00f6hler","year":"2015","unstructured":"K\u00f6hler G, Luketina RR, Emmanuel K (2015) Sutured repair of primary small umbilical and epigastric hernias: concomitant rectus diastasis is a significant risk factor for recurrence. World J Surg 39:121\u2013126","journal-title":"World J Surg"},{"key":"2170_CR18","doi-asserted-by":"publisher","first-page":"334","DOI":"10.1007\/s10029-005-0010-1","volume":"9","author":"JA Halm","year":"2005","unstructured":"Halm JA, Heisterkamp J, Veen HF, Weidema WF (2005) Long-term follow-up after umbilical hernia repair: are there risk factors for recurrence after simple and mesh repair. Hernia 9:334\u2013337","journal-title":"Hernia"},{"issue":"5","key":"2170_CR19","doi-asserted-by":"publisher","first-page":"1207","DOI":"10.1016\/S0039-6109(03)00119-1","volume":"83","author":"U Muschaweck","year":"2003","unstructured":"Muschaweck U (2003) Umbilical and epigastric hernia repair. Surg Clin North Am 83(5):1207\u20131221","journal-title":"Surg Clin North Am"},{"issue":"1","key":"2170_CR20","doi-asserted-by":"publisher","first-page":"93","DOI":"10.1186\/s12893-019-0555-z","volume":"19","author":"F Berrevoet","year":"2019","unstructured":"Berrevoet F, Doerhoff C, Muysoms F, Hopson S, Muzi MG, Nienhuijs S, Kullman E, Tollens T, Schwartz M, Leblanc K, Velanovich V, J\u00f8rgensen LN (2019) Open ventral hernia repair with a composite ventral patch\u2014final results of a multicenter prospective study. BMC Surg 19(1):93. https:\/\/doi.org\/10.1186\/s12893-019-0555-z","journal-title":"BMC Surg"},{"issue":"1","key":"2170_CR21","doi-asserted-by":"publisher","first-page":"33","DOI":"10.1097\/SLA.0000000000003086","volume":"270","author":"JEH Ponten","year":"2019","unstructured":"Ponten JEH, Leclercq WKG, Lettinga T, Heemskerk J, Konsten JLM, Bouvy ND, Nienhuijs SW (2019) Mesh OR patch for hernia on epigastric and umbilical sites (MORPHEUS-trial): the complete two-year follow-up. Ann Surg 270(1):33\u201337. https:\/\/doi.org\/10.1097\/SLA.0000000000003086","journal-title":"Ann Surg"},{"issue":"5","key":"2170_CR22","doi-asserted-by":"publisher","first-page":"935","DOI":"10.1007\/s10029-019-02056-x","volume":"23","author":"W Reinpold","year":"2019","unstructured":"Reinpold W, Schr\u00f6der M, Berger C, Stoltenberg W, K\u00f6ckerling F (2019) MILOS and EMILOS repair of primary umbilical and epigastric hernias. Hernia 23(5):935\u2013944. https:\/\/doi.org\/10.1007\/s10029-019-02056-x","journal-title":"Hernia"},{"issue":"1","key":"2170_CR23","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1007\/s10029-014-1342-5","volume":"19","author":"FE Muysoms","year":"2015","unstructured":"Muysoms FE, Antoniou SA, Bury K, Campanelli G, Conze J, Cuccurullo D, de Beaux AC, Deerenberg EB, East B, Fortelny RH, Gillion JF, Henriksen NA, Israelsson L, Jairam A, J\u00e4nes A, Jeekel J, L\u00f3pez-Cano M, Miserez M, Morales-Conde S, Sanders DL, Simons MP, \u015amieta\u0144ski M, Venclauskas L, Berrevoet F, European Hernia Society (2015) European Hernia Society guidelines on the closure of abdominal wall incisions. Hernia 19(1):1\u201324. https:\/\/doi.org\/10.1007\/s10029-014-1342-5","journal-title":"Hernia"},{"issue":"7","key":"2170_CR24","doi-asserted-by":"publisher","first-page":"2001","DOI":"10.1007\/s00268-017-4433-5","volume":"42","author":"F K\u00f6ckerling","year":"2018","unstructured":"K\u00f6ckerling F, Koch A, Adolf D, Keller T, Lorenz R, Fortelny RH, Schug-Pass C (2018) Has shouldice repair in a selected group of patients with inguinal hernia comparable results to lichtenstein, TEP and TAPP techniques? World J Surg 42(7):2001\u20132010. https:\/\/doi.org\/10.1007\/s00268-017-4433-5","journal-title":"World J Surg"},{"issue":"1","key":"2170_CR25","doi-asserted-by":"publisher","first-page":"120","DOI":"10.1016\/j.ejvs.2018.03.021","volume":"56","author":"R Indrakusuma","year":"2018","unstructured":"Indrakusuma R, Jalalzadeh H, van der Meij JE, Balm R, Koelemay MJW (2018) Prophylactic mesh reinforcement versus sutured closure to prevent incisional hernias after open abdominal aortic aneurysm repair via midline laparotomy: a systematic review and meta-analysis. Eur J Vasc Endovasc Surg 56(1):120\u2013128. https:\/\/doi.org\/10.1016\/j.ejvs.2018.03.021","journal-title":"Eur J Vasc Endovasc Surg"},{"issue":"3","key":"2170_CR26","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1002\/bjs.10402","volume":"104","author":"AJ Cross","year":"2017","unstructured":"Cross AJ, Buchwald PL, Frizelle FA, Eglinton TW (2017) Meta-analysis of prophylactic mesh to prevent parastomal hernia. Br J Surg 104(3):179\u2013186. https:\/\/doi.org\/10.1002\/bjs.10402","journal-title":"Br J Surg"},{"issue":"10","key":"2170_CR27","doi-asserted-by":"publisher","first-page":"1223","DOI":"10.1089\/lap.2018.0018","volume":"28","author":"G K\u00f6hler","year":"2018","unstructured":"K\u00f6hler G, Fischer I, Kaltenb\u00f6ck R, Schrittwieser R (2018) Minimal invasive linea alba reconstruction for the treatment of umbilical and epigastric hernias with coexisting rectus abdominis diastasis. J Laparoendosc Adv Surg Tech A 28(10):1223\u20131228. https:\/\/doi.org\/10.1089\/lap.2018.0018","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"6","key":"2170_CR28","doi-asserted-by":"publisher","first-page":"1101","DOI":"10.1007\/s10029-018-1825-x","volume":"22","author":"F Muysoms","year":"2018","unstructured":"Muysoms F, Van Cleven S, Pletinckx P, Ballecer C, Ramaswamy A (2018) Robotic transabdominal retromuscular umbilical prosthetic hernia repair (TARUP): observational study on the operative time during the learning curve. Hernia 22(6):1101\u20131111. https:\/\/doi.org\/10.1007\/s10029-018-1825-x","journal-title":"Hernia"},{"issue":"5","key":"2170_CR29","doi-asserted-by":"publisher","first-page":"837","DOI":"10.1007\/s10029-018-1795-z","volume":"22","author":"I Belyansky","year":"2018","unstructured":"Belyansky I, Reza Zahiri H, Sanford Z, Weltz AS, Park A (2018) Early operative outcomes of endoscopic (eTEP access) robotic-assisted retromuscular abdominal wall hernia repair. Hernia 22(5):837\u2013847. https:\/\/doi.org\/10.1007\/s10029-018-1795-z","journal-title":"Hernia"}],"container-title":["Hernia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10029-020-02170-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10029-020-02170-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10029-020-02170-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,12]],"date-time":"2021-06-12T17:04:06Z","timestamp":1623517446000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10029-020-02170-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,19]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["2170"],"URL":"https:\/\/doi.org\/10.1007\/s10029-020-02170-1","relation":{},"ISSN":["1265-4906","1248-9204"],"issn-type":[{"value":"1265-4906","type":"print"},{"value":"1248-9204","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,19]]},"assertion":[{"value":"24 January 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"6 March 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 March 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Compliance with ethical standards"}},{"value":"All other authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures related to this study were in compliance with the current national law. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"This article does not contain any studies with human participants or animals performed by any of the authors.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human and animal rights"}},{"value":"The project only involved analysis of existing de-identified data, so informed consent was waived.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}