Impact of surgical approach on complications by sex following ventral and incisional hernia repair
Following both open and MIS VIHR, female patients have a higher risk of postoperative complications compared to male patients, with this risk increasing after open repairs. The outcome disparity persists even after accounting for differences in comorbidities and hernia characteristics. Although this sex-based outcome disparity is not fully eliminated, MIS approaches mitigate the gap, suggesting that MIS repairs should be prioritized in female patients when feasible.
Authors
- Jenny M. Shao (ORCID: https://orcid.org/0000-0002-9182-9548)
- Leah Schoel (ORCID: https://orcid.org/0000-0003-0461-2998)
- Brian T. Fry (ORCID: https://orcid.org/0000-0002-7185-8579)
- Anne P. Ehlers
- Sean O’Neill (ORCID: https://orcid.org/0000-0001-7759-8942)
- Alexander Hallway (ORCID: https://orcid.org/0000-0003-1647-203X)
- Michael Rubyan (ORCID: https://orcid.org/0000-0002-5549-4488)
- Dana Alexa Telem (ORCID: https://orcid.org/0000-0002-7441-3954)
- John P. Fischer (ORCID: https://orcid.org/0000-0002-0458-3034)
- Joshua Sinamo
Institutions
- University of Michigan (US)
- VA Ann Arbor Healthcare System (US)
- Michigan Medicine (US)
- University of Pennsylvania (US)
Publication Details
- Journal
- Hernia
- Published
- 2025-05-23
- DOI
- https://doi.org/10.1007/s10029-025-03371-2
- Citations
- 1
- Primary Topic
- Hernia repair and management
- Type
- article
- Field-Weighted Citation Impact
- 2.01
Funders
- Americas Hernia Society Foundation
- National Institute on Aging