{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,17]],"date-time":"2026-01-17T22:36:18Z","timestamp":1768689378922,"version":"3.49.0"},"reference-count":39,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T00:00:00Z","timestamp":1696896000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T00:00:00Z","timestamp":1696896000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100017515","name":"Heidelberger Stiftung Chirurgie","doi-asserted-by":"publisher","award":["2016\/22"],"award-info":[{"award-number":["2016\/22"]}],"id":[{"id":"10.13039\/501100017515","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017515","name":"Heidelberger Stiftung Chirurgie","doi-asserted-by":"publisher","award":["2017\/171"],"award-info":[{"award-number":["2017\/171"]}],"id":[{"id":"10.13039\/501100017515","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017515","name":"Heidelberger Stiftung Chirurgie","doi-asserted-by":"publisher","award":["2018\/215"],"award-info":[{"award-number":["2018\/215"]}],"id":[{"id":"10.13039\/501100017515","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017515","name":"Heidelberger Stiftung Chirurgie","doi-asserted-by":"publisher","award":["2019\/288"],"award-info":[{"award-number":["2019\/288"]}],"id":[{"id":"10.13039\/501100017515","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100017515","name":"Heidelberger Stiftung Chirurgie","doi-asserted-by":"publisher","award":["2020\/376 und 2021\/444"],"award-info":[{"award-number":["2020\/376 und 2021\/444"]}],"id":[{"id":"10.13039\/501100017515","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100018936","name":"Universit\u00e4tsklinikum Heidelberg","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100018936","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>Every year around 70,000 people in Germany suffer from an abdominal incisional hernia that requires surgical treatment. Five years after reconstruction about 25% reoccur. Incisional hernias are usually closed with mesh using various reconstruction techniques, summarized here as standard reconstruction (SR). To improve hernia repair, we established a concept for biomechanically calculated reconstructions (BCR). In the BCR, two formulas enable customized patient care through standardized biomechanical measures. This study aims to compare the clinical outcomes of SR and BCR of incisional hernias after 1 year of follow-up based on the Herniamed registry.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>SR includes open retromuscular mesh augmented incisional hernia repair according to clinical guidelines. BCR determines the required strength (<jats:bold>C<\/jats:bold>ritical <jats:bold>R<\/jats:bold>esistance to <jats:bold>I<\/jats:bold>mpacts related to <jats:bold>P<\/jats:bold>ressure\u2009=\u2009CRIP) preoperatively depending on the hernia size. It supports the surgeon in reliably determining the <jats:bold>G<\/jats:bold>ained <jats:bold>R<\/jats:bold>esistance, based on the mesh-defect-area-ratio, further mesh and suture factors, and the tissue stability. To compare SR and BCR repair outcomes in incisional hernias at 1 year, propensity score matching was performed on 15 variables. Included were 301 patients with BCR surgery and 23,220 with standard repair.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>BCR surgeries show a significant reduction in recurrences (1.7% vs. 5.2%, <jats:italic>p<\/jats:italic>\u2009=\u20090.0041), pain requiring treatment (4.1% vs. 12.0%, <jats:italic>p<\/jats:italic>\u2009=\u20090.001), and pain at rest (6.9% vs. 12.7%, <jats:italic>p<\/jats:italic>\u2009=\u20090.033) when comparing matched pairs. Complication rates, complication-related reoperations, and stress-related pain showed no systematic difference.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Biomechanically calculated repairs improve patient care. BCR shows a significant reduction in recurrence rates, pain at rest, and pain requiring treatment at 1-year follow-up compared to SR.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s10029-023-02897-7","type":"journal-article","created":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T15:02:33Z","timestamp":1696950153000},"page":"63-73","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["STRONGHOLD first-year results of biomechanically calculated abdominal wall repair: a propensity score matching"],"prefix":"10.1007","volume":"28","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9062-7728","authenticated-orcid":false,"given":"C.","family":"Lesch","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Nessel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D.","family":"Adolf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Hukauf","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"K\u00f6ckerling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F.","family":"Kallinowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"For the STRONGHOLD\/Herniamed-Collaborators GROUP","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Willms","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R.","family":"Schwab","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K.","family":"Zarras","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,10,10]]},"reference":[{"key":"2897_CR1","doi-asserted-by":"publisher","first-page":"78","DOI":"10.3389\/fsurg.2017.00078","volume":"4","author":"F Kallinowski","year":"2018","unstructured":"Kallinowski F, Harder F, Gutjahr D et al (2018) Assessing the GRIP of ventral hernia repair: how to securely fasten DIS classified meshes. 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Datenschutzrechtliche Aufkl\u00e4rung und Einwilligung inkl. Information gem. Art.13 DS-GVO und Information \u00fcber die wesentlichen Inhalte der Vereinbarung \u00fcber die gemeinsame Verantwortlichkeit nach Art. 26 Abs. 2 S.2 der DS-GVO. 2022; Available from: https:\/\/www.herniamed.de\/sites\/default\/files\/Einwilligungserklaerung.pdf"}],"container-title":["Hernia"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10029-023-02897-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10029-023-02897-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10029-023-02897-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,23]],"date-time":"2024-02-23T12:07:13Z","timestamp":1708690033000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10029-023-02897-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,10]]},"references-count":39,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,2]]}},"alternative-id":["2897"],"URL":"https:\/\/doi.org\/10.1007\/s10029-023-02897-7","relation":{},"ISSN":["1248-9204"],"issn-type":[{"value":"1248-9204","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,10]]},"assertion":[{"value":"12 June 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 September 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 October 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The other authors declare that there is no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"The studies for computed tomography at rest and during Valsalva maneuver were reviewed and approved by the Ethics Committee of the Heidelberg University vote S-522\/2020. STRONGHOLD as part of the HERNIAMED registry complies with the Declaration of Consent of the HERNIAMED database []. The Herniamed Registry has ethical approval (BASEC Nr. 2016-00123, 287\/2017BO2\/F-2022-111). The patients\/participants provided their written informed consent to participate in the respective study\u00a0in accordance with the national legislation and the institutional requirements. I, Carolin Lesch, hereby confirm that for the manuscript \u201cSTRONGHOLD First year results of biomechanically calculated abdominal wall repair: A propensity score matching\u201d the following is fulfilled: (1) This material is the authors' own original work, which has not been previously published elsewhere. (2) The paper is not currently being considered for publication elsewhere. (3) The paper reflects the authors' own research and analysis in a truthful and complete manner. (4) The paper properly credits the meaningful contributions of co-authors and co-researchers. (5) The results are appropriately placed in the context of prior and existing research. (6) All sources used are properly disclosed. Literature references are correctly cited. Literally copying of text was not performed. (7) All authors have been personally and actively involved in substantial work leading to the paper and will take public responsibility for its content.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Jacob Relle, Philipp L\u00f6sel, and Vincent Heuveline developed the evaluation routine and analyzed the CT scans as approved by the Ethics Committee of the Heidelberg University vote S-522\/2020. The patients\/participants had provided their written informed consent to participate in this study.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}