{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,15]],"date-time":"2026-11-15T06:27:44Z","timestamp":1794724064181,"version":"4.9.1"},"reference-count":25,"publisher":"BMJ","issue":"11","license":[{"start":{"date-parts":[[2025,11,25]],"date-time":"2025-11-25T00:00:00Z","timestamp":1764028800000},"content-version":"unspecified","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2025,10,8]]},"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Phasix mesh is a fully resorbable synthetic mesh for use in clean and contaminated ventral incisional hernia repairs. Long-term absorbable Phasix mesh appears to be a safe and promising device in incisional hernia repair, with low recurrence rates; however, data on long-term complications after surgery, particularly after the resorption period of the mesh, are scarce.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and analysis<\/jats:title>\n                    <jats:p>This protocol describes a study of several European registries on the use of a Phasix mesh in incisional hernia repair. The primary endpoint of the study is long-term complications at 2\u20135\u2009year follow-up after mesh implantation, with secondary endpoints including hernia recurrence and complications during short-term follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Ethics and dissemination<\/jats:title>\n                    <jats:p>Ethical approval was not required for this protocol as the study is based on anonymised registry data collected with prior patient consent in each registry. Each participating registry has its own ethical approval process, and this study will adhere to those regulations. The results will be disseminated through peer-reviewed publications and conference presentations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2024-098099","type":"journal-article","created":{"date-parts":[[2025,11,27]],"date-time":"2025-11-27T03:50:20Z","timestamp":1764215420000},"page":"e098099","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Short- and long-term complications after slowly resorbable biosynthetic P4HB mesh (Phasix) implantation in European centres: a protocol paper for a multiregistry study"],"prefix":"10.1136","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8850-6166","authenticated-orcid":false,"given":"Rudolf","family":"van den Berg","sequence":"first","affiliation":[{"name":"Department of Surgery, Erasmus University Medical Centre, Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7206-1812","authenticated-orcid":false,"given":"Marie","family":"Wieser","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, University of Strasbourg, Hautepierre, Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Jeekel","sequence":"additional","affiliation":[{"name":"Department of Neuroscience, Erasmus University Medical Centre, Rotterdam, the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cesare","family":"Stabilini","sequence":"additional","affiliation":[{"name":"Department of Surgery, Policlinico San Martino IRCCS and Department of Surgical Sciences, University of Genoa, Genova, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9","family":"Bueno-Lled\u00f3","sequence":"additional","affiliation":[{"name":"Unit of Abdominal Wall Surgery, Department of Digestive Surgery, Hospital Universitari I Poltecnic La Fe, Fernando Abril Martorell, Valencia, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ferdinand","family":"K\u00f6ckerling","sequence":"additional","affiliation":[{"name":"Hernia Center, Vivantes Humboldt-Hospital, Academic Teaching Hospital of Charit\u00e9 University Medicine, Berlin, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grigorios","family":"Chatzimavroudis","sequence":"additional","affiliation":[{"name":"Complex Hernia and Abdominal Wall Reconstruction Center, European Interbalkan Medical Center, Thessaloniki, Greece"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lars Nannestad","family":"J\u00f8rgensen","sequence":"additional","affiliation":[{"name":"Digestive Disease Center Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Benoit","family":"Romain","sequence":"additional","affiliation":[{"name":"Department of Digestive Surgery, University of Strasbourg, Hautepierre, Strasbourg, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,11,26]]},"reference":[{"key":"2026111421182155000_15.11.e098099.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2013.03.044"},{"key":"2026111421182155000_15.11.e098099.2","doi-asserted-by":"crossref","first-page":"238067","DOI":"10.1155\/2013\/238067","article-title":"Characterization of the mechanical strength, resorption properties, and histologic characteristics of a fully absorbable material (poly-4-hydroxybutyrate-phasix mesh) in a porcine model of hernia repair","volume":"2013","author":"Deeken","year":"2013","journal-title":"ISRN Surg"},{"key":"2026111421182155000_15.11.e098099.3","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/j.ijsu.2020.08.053","article-title":"Outcomes of a new slowly resorbable biosynthetic mesh (phasixTM) in potentially contaminated incisional hernias: a prospective, multi-center, single-arm trial","volume":"83","author":"van Rooijen","year":"2020","journal-title":"Int J Surg"},{"key":"2026111421182155000_15.11.e098099.4","doi-asserted-by":"crossref","unstructured":"Deeken CR , Chen DC , Lopez-Cano M , et al . 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