{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:51:27Z","timestamp":1791568287912,"version":"4.3.4"},"reference-count":8,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:00:00Z","timestamp":1791331200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"abstract":"<jats:p>\n                    Most hernia recurrence literature records follow-up periods from one to five years and focus on hernia recurrence. More recent data suggest many ventral hernia repairs have long-term consequences related not only to hernia recurrence but also reoperation and mesh-related complications. The purpose of this project was to evaluate long-term outcomes of ventral hernia repair and compare outcomes between non-recurrent and recurrent hernias repairs. An IRB approved retrospective review of consecutive patients undergoing ventral hernia repair from August 2008 to July 2014 from a prospectively collected database was performed to allow for long-term follow-up. Demographic and surgical characteristics were recorded as well as short-term outcomes. Long-term outcomes including recurrences, mesh-related complications, and hernia reoperation were obtained by retrospective chart review. Recurrence was defined as documentation of a hernia by physical exam or CT imaging. A total of 200 patients were included. The median follow-up was 4322 [2959, 4787]\u00a0days. Mesh-related complications occurred in 9%, recurrence 21%, and reoperation 19%. In comparing non-recurrent to recurrent hernia repairs, recurrent hernia repairs had a higher rate of mesh complications mesh complications (2.0% vs 16.0% (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001)), hernia recurrence (16.0% vs 42.0% (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001)), and reoperation rate (9.0% vs 29.0% (\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001)) Long-term outcomes associated with ventral hernia repair are less than ideal with a high rate of recurrence, reoperation, and mesh-related complications. Recurrent hernia repair was shown to have worse long-term outcomes compared to primary hernias and represent a high clinical burden to surgeon and patient.\n                  <\/jats:p>","DOI":"10.1177\/00031348261492210","type":"journal-article","created":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T00:14:26Z","timestamp":1791418466000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Cost of Recurrence: Long-Term Outcomes After Recurrent Ventral Hernia Repair"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3385-9228","authenticated-orcid":false,"given":"Amy L.","family":"Gin Gossett","sequence":"first","affiliation":[{"name":"Department of Surgery, Novant Health New Hanover Regional Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andew J.","family":"Cole","sequence":"additional","affiliation":[{"name":"Department of Surgery, Novant Health New Hanover Regional Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Austin T.","family":"Coale","sequence":"additional","affiliation":[{"name":"Department of Surgery, Novant Health New Hanover Regional Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colston A.","family":"Edgerton","sequence":"additional","affiliation":[{"name":"Department of Surgery, Novant Health New Hanover Regional Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"William W.","family":"Hope","sequence":"additional","affiliation":[{"name":"Department of Surgery, Novant Health New Hanover Regional Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,7]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(03)00129-4"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-016-1464-z"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-010-0648-1"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-013-1055-1"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2015.00024"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-015-1350-0"},{"key":"e_1_3_3_8_2","first-page":"15","article-title":"Is pooled data analysis of ventral and incisional hernia repair acceptable?","volume":"2","author":"K\u00f6ckerling F","year":"2015","unstructured":"K\u00f6ckerling F, Schug-Pa\u00df C, Adolf D, Reinpold W, Stechemesser B. Is pooled data analysis of ventral and incisional hernia repair acceptable? Frontiers in surgery. 2015;2:15.","journal-title":"Frontiers in surgery"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2024.1696"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261492210","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348261492210","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261492210","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T17:04:34Z","timestamp":1791565474000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348261492210"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,7]]},"references-count":8,"alternative-id":["10.1177\/00031348261492210"],"URL":"https:\/\/doi.org\/10.1177\/00031348261492210","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,7]]},"article-number":"00031348261492210"}}