{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T20:32:51Z","timestamp":1792096371119,"version":"4.4.0"},"reference-count":45,"publisher":"Wiley","issue":"7-8","license":[{"start":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T00:00:00Z","timestamp":1719792000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Ventral hernia repair is a common elective surgical procedure lacking strong evidence for specific operative approaches. This study aimed to evaluate the outcomes of primary suture repair or polypropylene sandwich mesh repair for ventral hernias. The main outcome measures were the rate of hernia recurrence, and evaluation of long\u2010term complications and patient\u2010reported outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cohort study evaluated patient perceived recurrence and pain in patients who had undergone a primary ventral hernia (epigastric, supraumbilical, or umbilical) repair or small (\u226420\u2009mm) midline incisional hernia repair 10\u2009years after the procedure. Short\u2010term follow\u2010up occurred up to 6\u2009weeks after the initial operation, while long\u2010term follow\u2010up included patients who were reviewed clinically or interviewed via telephone at or beyond 3\u2009years after the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Most (75\/100, 75.0%) patients had an extra\u2010peritoneal sandwich mesh repair. Short\u2010term follow\u2010up showed minimal pain and normal activities for all patients (97\/97, 100%). Long\u2010term follow\u2010up (median 12\u2009years [IQR 11\u201313]) was achieved in 95.9% (93\/97) of patients with only a small number reporting a slight bulge (5\/93, 5.4%) and intermittent mild discomfort (8\/93, 8.6%). Nine patients (9\/97, 9.3%) experienced hernia recurrence, diagnosed at a median of 26\u2009months [interquartile range, IQR, 7\u201358] post\u2010operatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>These findings suggest that an open sandwich mesh technique is a safe and effective method for repairing primary ventral hernias and small midline incisional hernias and is associated with favourable long\u2010term patient\u2010reported outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ans.19153","type":"journal-article","created":{"date-parts":[[2024,7,1]],"date-time":"2024-07-01T09:29:05Z","timestamp":1719826145000},"page":"1356-1364","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Long\u2010term patient\u2010reported outcome measures (<scp>PROMs<\/scp>) after primary ventral or small midline incisional hernia repair"],"prefix":"10.1111","volume":"94","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6419-8912","authenticated-orcid":false,"given":"Joanna M. 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