Evidence map›Paper›PMID 17058029›Full record

SynthesisWorld journal of surgery2006

Outcomes following laparoscopic versus open repair of incisional hernia.

Parvinder S Sains, Henry S Tilney, Sanjay Purkayastha, Ara W Darzi, Thanos Athanasiou, Paris P Tekkis, Alexander G Heriot

Abstract readComparative StudyMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in World journal of surgery, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 59 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Observational
  8. Article
  9. Laparoscopic surgery: A qualified systematic review.World journal of methodology · 2015
    Article
  10. Assessing the safety of outpatient ventral hernia repair: a NSQIP analysis of 7666 patients.Hernia : the journal of hernias and abdominal wall surgery · 2015
    Article
  11. Article
  12. Article
  13. Incisional hernia repair - laparoscopic or open surgery?Annals of the Royal College of Surgeons of England · 2009
    Article
  14. Review
  15. Minimally invasive ventral herniorrhaphy: an analysis of 6,266 published cases.Hernia : the journal of hernias and abdominal wall surgery · 2008
    Review
  16. Article
  17. Operative treatment of ventral hernia using prosthetic materials.Hernia : the journal of hernias and abdominal wall surgery · 2007
    Article
  18. Laparoscopic ventral hernia repair: pros and cons compared with open hernia repair.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Parvinder S SainsDepartment of Biosurgery and Surgical Technology, Imperial College London, St. Mary's Hospital, London, UK.
Henry S Tilney
Sanjay Purkayastha
Ara W Darzi
Thanos Athanasiou
Paris P Tekkis
Alexander G Heriot
St Mary's Hospital · GBImperial College London · GBPeter MacCallum Cancer Centre · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe purpose of this study was to compare short- and long-term outcomes for patients undergoing laparoscopic or open surgery for incisional hernia repair using meta-analytical techniques.

methodsA literature search was performed to identify comparative studies reporting outcomes on laparoscopic versus open surgery for incisional hernia repair. A random-effect meta-analytical model was used and subgroup analysis performed on high-quality studies, those reporting on more than 30 patients, and those published since 2000.

resultsFive studies, with a total of 351 patients, satisfied the inclusion criteria. Laparoscopic surgery was attempted in 148 (42.2%) patients. Overall, in the laparoscopic group, operative time was significantly longer--by 12.0 minutes (P = 0.03) and length of stay reduced by 3.3 days (P < 0.003) although this finding was associated with significant heterogeneity between studies (P < 0.001). There was no difference in the short-term adverse events between the groups, but there were fewer wound infections for laparoscopic patients in high-quality studies [odds ratio (OR) = 0.22, 95% confidence interval (CI): 0.05, 0.85, P = 0.03] and those reporting on more than 30 patients (OR = 0.19, 95% CI: 0.04, 0.84, P = 0.03). No difference in hernia recurrence was shown in the overall or subgroup analysis.

conclusionsLaparoscopic incisional hernia repair was associated with a reduced length of stay and lower wound infection rate. The impact on post-operative quality of life and financial implications needs further prospective, validated evaluation.

Indexed as

LaparoscopyHernia, VentralHumansTreatment Outcome

Identifiers

PMID17058029
OpenAlexW2039533367

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.