{"id":"https://openalex.org/W4414282912","doi":"https://doi.org/10.1016/j.cireng.2025.800211","title":"Impact of an abdominal wall surgery specialist on incisional hernia outcomes: A registry-based analysis","display_name":"Impact of an abdominal wall surgery specialist on incisional hernia outcomes: A registry-based analysis","publication_year":2025,"publication_date":"2025-09-17","ids":{"openalex":"https://openalex.org/W4414282912","doi":"https://doi.org/10.1016/j.cireng.2025.800211","pmid":"https://pubmed.ncbi.nlm.nih.gov/40972720"},"language":"en","primary_location":{"id":"doi:10.1016/j.cireng.2025.800211","doi":"https://doi.org/10.1016/j.cireng.2025.800211","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.cireng.2025.800211","pdf_url":null,"source":{"id":"https://openalex.org/S4210209632","display_name":"Cirug\u00eda Espa\u00f1ola (English Edition)","issn_l":"2173-5077","issn":["2173-5077"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","medline"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cirug\u00eda Espa\u00f1ola (English Edition)","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://doi.org/10.1016/j.cireng.2025.800211","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5028777263","display_name":"Manuel L\u00f3pez Cano","orcid":"https://orcid.org/0000-0003-3337-0756","observed_orcids":["https://orcid.org/0000-0003-3337-0756","https://orcid.org/0000-0001-8843-4038"]},"institutions":[{"id":"https://openalex.org/I123044942","display_name":"Universitat Aut\u00f2noma de Barcelona","ror":"https://ror.org/052g8jq94","country_code":"ES","type":"education","lineage":["https://openalex.org/I123044942"]},{"id":"https://openalex.org/I4210102407","display_name":"Vall d'Hebron Institut de Recerca","ror":"https://ror.org/01d5vx451","country_code":"ES","type":"facility","lineage":["https://openalex.org/I4210102407","https://openalex.org/I4387153040"]},{"id":"https://openalex.org/I4210127641","display_name":"Vall d'Hebron Hospital Universitari","ror":"https://ror.org/03ba28x55","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I157913058","https://openalex.org/I4210127641","https://openalex.org/I4210153292"]}],"countries":["ES"],"is_corresponding":true,"raw_author_name":"Manuel L\u00f3pez-Cano","raw_affiliation_strings":["Abdominal Wall Unit, Department of General Surgery, Hospital Universitari Vall d'Hebron, Universitat Aut\u00f2noma de Barcelona, Barcelona, Spain. Electronic address: Manuel.Lopez@uab.cat","Abdominal Wall Unit, Department of General Surgery, Hospital Universitari Vall d'Hebron, Vall d\u00b4Hebr\u00f3n Institut de Re\u00e7erca (VHIR), Universitat Aut\u00f2noma de Barcelona, Barcelona, Spain. Electronic address: Manuel.Lopez@uab.cat"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Abdominal Wall Unit, Department of General Surgery, Hospital Universitari Vall d'Hebron, Universitat Aut\u00f2noma de Barcelona, Barcelona, Spain. Electronic address: Manuel.Lopez@uab.cat","institution_ids":["https://openalex.org/I123044942","https://openalex.org/I4210127641"]},{"raw_affiliation_string":"Abdominal Wall Unit, Department of General Surgery, Hospital Universitari Vall d'Hebron, Vall d\u00b4Hebr\u00f3n Institut de Re\u00e7erca (VHIR), Universitat Aut\u00f2noma de Barcelona, Barcelona, Spain. Electronic address: Manuel.Lopez@uab.cat","institution_ids":["https://openalex.org/I123044942","https://openalex.org/I4210102407","https://openalex.org/I4210127641"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5084575447","display_name":"Carles Olona Casas","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210151664","display_name":"Hospital Universitari Joan XXIII de Tarragona","ror":"https://ror.org/05s4b1t72","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I157913058","https://openalex.org/I4210151664","https://openalex.org/I4210153292"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Carles Olona Casas","raw_affiliation_strings":["Abdominal Wall Unit, General and Digestive Surgery Department, University Hospital of Tarragona Joan XXIII, Tarragona, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Abdominal Wall Unit, General and Digestive Surgery Department, University Hospital of Tarragona Joan XXIII, Tarragona, Spain","institution_ids":["https://openalex.org/I4210151664"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5011376228","display_name":"Pilar Hern\u00e1ndez-Granados","orcid":"https://orcid.org/0000-0001-8998-5165","observed_orcids":["https://orcid.org/0000-0001-8998-5165"]},"institutions":[{"id":"https://openalex.org/I182083151","display_name":"Universidad Rey Juan Carlos","ror":"https://ror.org/01v5cv687","country_code":"ES","type":"education","lineage":["https://openalex.org/I182083151"]},{"id":"https://openalex.org/I4210101151","display_name":"Hospital Universitario Fundaci\u00f3n Alcorc\u00f3n","ror":"https://ror.org/01435q086","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210101151","https://openalex.org/I4210139293"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Pilar Hern\u00e1ndez-Granados","raw_affiliation_strings":["Abdominal Wall Unit, Hospital Universitario Fundaci\u00f3n Alcorc\u00f3n, Universidad Rey Juan Carlos, Madrid, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Abdominal Wall Unit, Hospital Universitario Fundaci\u00f3n Alcorc\u00f3n, Universidad Rey Juan Carlos, Madrid, Spain","institution_ids":["https://openalex.org/I182083151","https://openalex.org/I4210101151"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5084269992","display_name":"Jos\u00e9 Ant\u00f3nio Pereira","orcid":"https://orcid.org/0000-0003-2457-6955","observed_orcids":["https://orcid.org/0000-0003-2457-6955"]},"institutions":[{"id":"https://openalex.org/I170486558","display_name":"Universitat Pompeu Fabra","ror":"https://ror.org/04n0g0b29","country_code":"ES","type":"education","lineage":["https://openalex.org/I170486558"]},{"id":"https://openalex.org/I4210133106","display_name":"Parc de Salut","ror":"https://ror.org/032exky44","country_code":"ES","type":"healthcare","lineage":["https://openalex.org/I4210133106"]}],"countries":["ES"],"is_corresponding":false,"raw_author_name":"Jos\u00e9 A. Pereira Rodriguez","raw_affiliation_strings":["Department of General and Digestive Surgery, Parc de Salut Mar, Department of Health and Experimental Sciences, University Pompeu Fabra, Barcelona, Spain"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of General and Digestive Surgery, Parc de Salut Mar, Department of Health and Experimental Sciences, University Pompeu Fabra, Barcelona, Spain","institution_ids":["https://openalex.org/I170486558","https://openalex.org/I4210133106"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":8,"corresponding_author_ids":["https://openalex.org/A5028777263"],"corresponding_institution_ids":["https://openalex.org/I123044942","https://openalex.org/I4210102407","https://openalex.org/I4210127641"],"apc_list":{"value":2540,"currency":"USD","value_usd":2540},"apc_paid":{"value":2540,"currency":"USD","value_usd":2540},"fwci":0.6378,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.606485,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"103","issue":"10","first_page":"800211","last_page":"800211"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10961","display_name":"Hernia repair and management","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10961","display_name":"Hernia repair and management","score":0.9990000128746033,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12333","display_name":"Abdominal Surgery and Complications","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12716","display_name":"Congenital Anomalies and Fetal Surgery","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/incisional-hernia-repair","display_name":"incisional hernia repair","score":0.9300000071525574},{"id":"https://openalex.org/keywords/abdominal-wall-surgery","display_name":"abdominal wall surgery","score":0.8519999980926514},{"id":"https://openalex.org/keywords/super-specialization","display_name":"super-specialization","score":0.824999988079071},{"id":"https://openalex.org/keywords/surgeon-specialization","display_name":"surgeon specialization","score":0.503000020980835},{"id":"https://openalex.org/keywords/mesh-repair","display_name":"mesh repair","score":0.6620000004768372},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.7789999842643738},{"id":"https://openalex.org/keywords/hernia-recurrence","display_name":"hernia recurrence","score":0.8970000147819519},{"id":"https://openalex.org/keywords/surgical-site-complications","display_name":"surgical site complications","score":0.8410000205039978},{"id":"https://openalex.org/keywords/bulging","display_name":"bulging","score":0.6740000247955322},{"id":"https://openalex.org/keywords/surgical-workforce-planning","display_name":"surgical workforce planning","score":0.43799999356269836}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8684999942779541},{"id":"https://openalex.org/C2777140462","wikidata":"https://www.wikidata.org/wiki/Q2633160","display_name":"Incisional hernia","level":3,"score":0.7559000253677368},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.6753000020980835},{"id":"https://openalex.org/C2778754067","wikidata":"https://www.wikidata.org/wiki/Q354111","display_name":"Abdominal wall","level":2,"score":0.5864999890327454},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.5504000186920166},{"id":"https://openalex.org/C2779096551","wikidata":"https://www.wikidata.org/wiki/Q133076","display_name":"Hernia","level":2,"score":0.38679999113082886},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.3646000027656555},{"id":"https://openalex.org/C2780120127","wikidata":"https://www.wikidata.org/wiki/Q743664","display_name":"Abdominal surgery","level":2,"score":0.3589000105857849},{"id":"https://openalex.org/C2779983558","wikidata":"https://www.wikidata.org/wiki/Q9597","display_name":"Abdomen","level":2,"score":0.2451999932527542},{"id":"https://openalex.org/C3018741271","wikidata":"https://www.wikidata.org/wiki/Q1346149","display_name":"Surgical complication","level":3,"score":0.2094999998807907}],"mesh":[{"descriptor_ui":"D000069290","descriptor_name":"Incisional Hernia","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011183","descriptor_name":"Postoperative Complications","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D012008","descriptor_name":"Recurrence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012042","descriptor_name":"Registries","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013030","descriptor_name":"Spain","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013043","descriptor_name":"Specialties, Surgical","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D013526","descriptor_name":"Surgical Mesh","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D034861","descriptor_name":"Abdominal Wall","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D059685","descriptor_name":"Herniorrhaphy","qualifier_ui":"Q000009","qualifier_name":"adverse effects","is_major_topic":true},{"descriptor_ui":"D059685","descriptor_name":"Herniorrhaphy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D059685","descriptor_name":"Herniorrhaphy","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true}],"locations_count":3,"locations":[{"id":"doi:10.1016/j.cireng.2025.800211","doi":"https://doi.org/10.1016/j.cireng.2025.800211","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.cireng.2025.800211","pdf_url":null,"source":{"id":"https://openalex.org/S4210209632","display_name":"Cirug\u00eda Espa\u00f1ola (English Edition)","issn_l":"2173-5077","issn":["2173-5077"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","medline"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cirug\u00eda Espa\u00f1ola (English Edition)","raw_type":"journal-article"},{"id":"pmid:40972720","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40972720","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cirugia espanola","raw_type":"Journal Article"},{"id":"pmh:oai:ddd.uab.cat:324168","doi":null,"is_oa":true,"landing_page_url":"https://ddd.uab.cat/record/324168","pdf_url":"https://ddd.uab.cat/pub/artpub/2025/324168/1-s2.0-S2173507725001838-main.pdf","source":{"id":"https://openalex.org/S4306400380","display_name":"Dip\u00f2sit Digital de Documents de la UAB (Universitat Aut\u00f2noma de Barcelona)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I123044942","host_organization_name":"Universitat Aut\u00f2noma de Barcelona","host_organization_lineage":["https://openalex.org/I123044942"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"Article"}],"best_oa_location":{"id":"doi:10.1016/j.cireng.2025.800211","doi":"https://doi.org/10.1016/j.cireng.2025.800211","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.cireng.2025.800211","pdf_url":null,"source":{"id":"https://openalex.org/S4210209632","display_name":"Cirug\u00eda Espa\u00f1ola (English Edition)","issn_l":"2173-5077","issn":["2173-5077"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","medline"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Cirug\u00eda Espa\u00f1ola (English Edition)","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3","score":0.98580002784729}],"study_designs":[{"display_name":"Observational Study","id":"https://openalex.org/study-designs/observational-study"}],"awards":[],"funders":[],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4414282912.pdf","grobid_xml":"https://content.openalex.org/works/W4414282912.grobid-xml"},"referenced_works_count":27,"referenced_works":["https://openalex.org/W1963673294","https://openalex.org/W1979365683","https://openalex.org/W2002547268","https://openalex.org/W2027780012","https://openalex.org/W2068097406","https://openalex.org/W2085124443","https://openalex.org/W2087957929","https://openalex.org/W2102139735","https://openalex.org/W2115173015","https://openalex.org/W2604545873","https://openalex.org/W2758589728","https://openalex.org/W2789104029","https://openalex.org/W2801337044","https://openalex.org/W2802430294","https://openalex.org/W2904964912","https://openalex.org/W2910632137","https://openalex.org/W2912992831","https://openalex.org/W2991097609","https://openalex.org/W3093260814","https://openalex.org/W3145608386","https://openalex.org/W3213134126","https://openalex.org/W4223444755","https://openalex.org/W4295743185","https://openalex.org/W4360829147","https://openalex.org/W4388576560","https://openalex.org/W4391984577","https://openalex.org/W4399682956"],"related_works":["https://openalex.org/W2964631802","https://openalex.org/W2471603921","https://openalex.org/W4379095220","https://openalex.org/W4375863719","https://openalex.org/W4413512136","https://openalex.org/W3206961498","https://openalex.org/W4375866707","https://openalex.org/W4398178865","https://openalex.org/W1983945308","https://openalex.org/W2020623270"],"abstract_inverted_index":{"General":[0],"surgery":[1,28],"is":[2,43],"undergoing":[3],"progressive":[4],"super-specialization":[5,29,57],"with":[6,75,197,237],"conditions":[7],"previously":[8],"managed":[9],"by":[10,16,118],"general":[11,246],"surgeons":[12,96],"now":[13],"being":[14],"treated":[15],"super-specialists":[17,100],"(SS).":[18],"No":[19,252],"universal":[20],"criteria":[21],"currently":[22],"exist":[23],"to":[24,44],"define":[25],"abdominal":[26,267],"wall":[27],"(AWS-SS),":[30],"and":[31,63,71,79,133,216,221,241],"the":[32,46,54,84,91,129,170,183,190,210,229],"designation":[33],"remains":[34],"a":[35,123,173,193,198,226,258,361,419,457,464],"self-reported":[36],"classification.":[37],"The":[38],"aim":[39],"of":[40,48,56,93,131,146,153,161,172,192,201,214,219,225,231],"our":[41],"paper":[42],"evaluate":[45],"outcomes":[47],"incisional":[49,297],"hernia":[50,296],"(IH)":[51],"procedures":[52,156,179],"in":[53,83,128,169,182,189,228],"context":[55],"or":[58,101,120,143],"not,":[59],"focusing":[60],"on":[61],"complications":[62,132],"recurrence":[64,134,207],"rates.":[65],"All":[66],"patients":[67],"who":[68],"underwent":[69],"elective":[70],"emergency":[72],"IH":[73,86,155,178,186,233,315,328,410,454],"repair":[74,230],"mesh":[76],"between":[77],"2017":[78,319],"2022":[80,321],"were":[81,111,149,157,163,180,195],"included":[82,181],"Spanish":[85],"registry":[87],"(EVEREG":[88],"database).":[89],"At":[90],"time":[92],"data":[94],"inclusion,":[95],"self-identified":[97],"as":[98,165],"either":[99],"not":[102],"(SS":[103],"vs":[104],"NSS),":[105],"using":[106],"no":[107,302,342],"predefined":[108],"criteria.":[109],"Patients":[110],"divided":[112],"into":[113],"2":[114,144,212],"groups:":[115],"those":[116],"performed":[117,168,188],"SS":[119],"NSS.":[121],"Using":[122],"1:1":[124],"matched":[125],"analysis,":[126],"differences":[127],"incidence":[130,200],"rates":[135,208,218,240],"within":[136,209],"30":[137,363],"days,":[138],"6":[139],"months,":[140],"one":[141],"year,":[142],"years":[145,213],"follow":[147],"up":[148],"compared.":[150],"A":[151],"total":[152,377],"6231":[154],"analyzed,":[158],"3441":[159],"(55.2%)":[160],"which":[162],"recorded":[164],"having":[166],"been":[167],"presence":[171,191],"super-specialist.":[174],"After":[175],"matching,":[176],"4680":[177],"final":[184,402],"analysis.":[185],"repairs":[187],"super-specialist":[194,227],"associated":[196,236],"lower":[199,217,238],"surgical":[202],"site":[203],"occurrences":[204],"(SSO),":[205],"reduced":[206,242],"first":[211],"follow-up,":[215],"bulging":[220],"overall":[222],"complications.":[223],"Involvement":[224],"an":[232],"can":[234],"be":[235],"complication":[239],"recurrence.":[243],"La":[244,407,444],"cirug\u00eda":[245,263],"est\u00e1":[247],"experimentando":[248],"una":[249,275,420,458,465],"superespecializaci\u00f3n":[250],"progresiva.":[251],"existen":[253],"criterios":[254],"universales":[255],"para":[256],"definir":[257],"un":[259,304,344,347,367,376,392,415,447,453],"superespecialista":[260],"(SE)":[261],"en":[262,274,299,323,334,339,355,389,399,412,429,449],"de":[264,290,292,295,303,314,327,343,359,372,378,381,391,405,409,414,423,427,434,439,446,452,461],"la":[265,270,293,450],"pared":[266],"(AWS":[268],"SE),":[269],"designaci\u00f3n":[271],"se":[272,332,351,397,417],"basa":[273],"autodefinici\u00f3n":[276],"por":[277],"parte":[278],"del":[279],"cirujano.":[280],"El":[281],"objetivo":[282],"es":[283],"evaluar":[284],"los":[285,307,337,362,430],"resultados":[286],"(complicaciones":[287],"y":[288,312,320,357,436,441,463],"tasas":[289,358,426,438],"recurrencia)":[291],"intervenci\u00f3n":[294],"(HI)":[298],"presencia":[300,340,390,413,445],"o":[301,341,369],"SE.":[305,345,393],"Todos":[306],"pacientes":[308,331],"con":[309,316],"reparaci\u00f3n":[310,408,451],"electiva":[311],"urgente":[313],"malla":[317],"entre":[318],"incluidos":[322],"el":[324,395,400],"registro":[325],"espa\u00f1ol":[326],"(EVEREG).":[329],"Los":[330],"dividieron":[333],"dos":[335,370,431],"grupos:":[336],"realizados":[338],"Mediante":[346],"an\u00e1lisis":[348,401],"emparejado":[349],"1:1,":[350],"compararon":[352],"las":[353],"diferencias":[354],"complicaciones":[356,442,462],"recurrencia":[360,428],"d\u00edas,":[364],"seis":[365],"meses,":[366],"a\u00f1o":[368],"a\u00f1os":[371,433],"seguimiento.":[373],"Se":[374,383],"analizaron":[375],"6.231":[379],"procedimientos":[380,404],"IH.":[382,406],"identificaron":[384],"3.441":[385],"(55,2%)":[386],"intervenciones":[387],"realizadas":[388],"Tras":[394],"emparejamiento,":[396],"incluyeron":[398],"4.680":[403],"realizada":[411],"SE":[416,448],"asocia":[418],"menor":[421,459,466],"incidencia":[422],"SSO,":[424],"menores":[425,437],"primeros":[432],"seguimiento":[435],"\u201cabombamiento\u201d":[440],"generales.":[443],"puede":[455],"asociarse":[456],"tasa":[460],"recurrencia.":[467]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2025-10-10T00:00:00"}
