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Transfascial fixation vs no fixation for open retromuscular ventral hernia repairs. A randomized clinical trial.

Ellis RC, Clayton CP, Krpata DM, Beffa LRA, Miller BT, Montelione KC et al.

JAMA Surg 2023; 158: 789-795.

This registry-based RCT included 325 procedures. Recurrence rates after one year were similar after fixation 7.4 per cent, and no fixation 9.2 per cent, P=0.7.

Comment: Fixation is unnecessary.

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