{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T12:22:54Z","timestamp":1793276574949,"version":"4.5.0"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"4","license":[{"start":{"date-parts":[[2023,6,27]],"date-time":"2023-06-27T00:00:00Z","timestamp":1687824000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,6,27]],"date-time":"2023-06-27T00:00:00Z","timestamp":1687824000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100017412","name":"Becton, Dickinson and Company","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100017412","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Hernia"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Purpose<\/jats:title>\n                <jats:p>Incisional hernias are common after laparotomies. The aims of this study were to assess the rate of incisional hernia repair after abdominal surgery, recurrence rate, hospital costs, and risk factors, in France.\n<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>This national, retrospective, longitudinal, observational study was based on the exhaustive hospital discharge database (PMSI). All adult patients (\u2265\u200918\u00a0years old) hospitalised for an abdominal surgical procedure between 01-01-2013 and 31-12-2014 and hospitalised for incisional hernia repair within five years were included. Descriptive analyses and cost analyses from the National Health Insurance (NHI) viewpoint (hospital care for the hernia repair) were performed. To identify risk factors for hernia repair a multivariable Cox model and a machine learning analysis were performed.\n<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>In 2013\u20132014, 710074 patients underwent abdominal surgery, of which 32633 (4.6%) and 5117 (0.7%) had\u2009\u2265\u20091 and\u2009\u2265\u20092 incisional hernia repair(s) within five years, respectively. Mean hospital costs amounted to \u20ac4153\/hernia repair, representing nearly \u20ac67.7 million\/year. Some surgical sites exposed patients at high risk of incisional hernia repair: colon and rectum (hazard ratio [HR] 1.2), and other sites on the small bowel and the peritoneum (HR 1.4). Laparotomy procedure and being\u2009\u2265\u200940\u00a0years old put patients at high risk of incisional hernia repair even when operated on low-risk sites such as stomach, duodenum, and hepatobiliary.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>The burden of incisional hernia repair is high and most patients are at risk either due to age\u2009\u2265\u200940 or the surgery site. New approaches to prevent the onset of incisional hernia are warranted.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10029-023-02825-9","type":"journal-article","created":{"date-parts":[[2023,6,27]],"date-time":"2023-06-27T09:06:09Z","timestamp":1687856769000},"page":"861-871","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":45,"title":["Incidence, risk factors, and burden of incisional hernia repair after abdominal surgery in France: a nationwide study"],"prefix":"10.1007","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7874-7743","authenticated-orcid":false,"given":"P.","family":"Ortega-Deballon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6036-0006","authenticated-orcid":false,"given":"Y.","family":"Renard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"de Launay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T.","family":"Lafon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Q.","family":"Roset","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G.","family":"Passot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,6,27]]},"reference":[{"key":"2825_CR1","doi-asserted-by":"publisher","first-page":"1515","DOI":"10.1111\/codi.15581","volume":"23","author":"B Gignoux","year":"2021","unstructured":"Gignoux B, Bayon Y, Martin D et al (2021) Incidence and risk factors for incisional hernia and recurrence: retrospective analysis of the French national database. 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YR declares consultancy fees from Becton, Dickinson and Company, Medtronic, and Hartmann. JdL works for Becton, Dickinson and Company. TL and QR both work for Heva. GP declares speaker fees from Becton, Dickinson and Company.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"This study respected human rights, complied with regulations in force and patient consent was not necessary because it uses pseudonymised secondary data and the protection of patients\u2019 rights and freedom were guaranteed. In France, all patients are informed of the implementation of the SNDS and the possible re-use of their personal health data in accordance with the procedures defined by Article R.1461-9 of the Public Health Code. Access to the data fell under the 006 framework (MR-006) developed by the French data protection authority (Commission Nationale de l\u2019Informatique et des Libert\u00e9s, CNIL). The study was registered at the Health Data Hub on 21\/04\/2021 (Declaration of conformity No. 2214421v0 of 17\/07\/2019).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human and animal rights and Informed consent"}}]}}