Evidence map›Paper›PMID 17936430›Full record

ArticleAmerican journal of surgery2007

Current opinions about laparoscopic incisional hernia repair: a survey of practicing surgeons.

Adam C Alder, Stephen C Alder, Edward H Livingston, Charles F Bellows

Open access · greenAbstract read
In one paragraph

Article in American journal of surgery, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Guideline
  2. Article
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  4. Perioperative management of external fixation in staged protocols: an international survey.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2018
    Article
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  8. Review
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  12. Laparoscopic ventral hernia repair in the elderly: does the type of hernia matter?Hernia : the journal of hernias and abdominal wall surgery · 2012
    Article
  13. Article
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

4 authors at 3 institutions in 1 country.

Adam C AlderDepartment of Surgery, UT Southwestern Medical Center, 5323 Harry Hines Ave, Dallas, TX 75390, USA. adam.alder@mac.com
Stephen C Alder
Edward H Livingston
Charles F Bellows
Southwestern Medical Center · USMichael E. DeBakey VA Medical Center · USUniversity of Utah · US

Funding

Southwestern Clinical Science Scholars Program (RMI)K12RR023251 · NCRR · UT SOUTHWESTERN MEDICAL CENTER · PI PACKER, MILTON · 2005 to 2007
$3.5M
NCRR NIH HHS K12 RR023251
6 · The paper itself

Abstract

backgroundIncisional hernias are common. Optimal repair is one of the most analyzed and debated topics; however, there is no consensus as to the appropriate surgical technique.

methodsAn Institutional Review Board-approved protocol was designed using an Internet-based survey site (www.surveymonkey.com) to assess practices and opinions regarding incisional hernia repair.

resultsOf 766 surgeons, 204 (27%) responded. Most respondents practice in an academic, urban hospital, and 85% to 96% perform basic laparoscopic procedures. The median percentage of laparoscopic versus total hernia repair was <10%. Use of the laparoscopic technique was associated with a higher volume of hernia repair (r(Spearman's) = .315, P = .001), concurrent advanced laparoscopic experience (z(Wilcoxon rank sum) = -2.348, P = .019), and completion of a laparoscopic fellowship (z(Wilcoxon rank sum) = -3.317, P = .001). When asked how many would start to perform laparoscopic hernia repair, 81% indicated "no." In that group, 52% indicated that a lack of improved results was the main reason, followed by risk of enterotomy > operative time > cost > experience. Those who would start indicated that the main reason was patient request (54%). Among those that use the laparoscopic technique, 85% indicated that they would perform more of these surgeries. The main reason for this was a lower recurrence rate (42%).

conclusionsThere continues to be a lack of consensus on the most appropriate method of repairing incisional hernias. Surgeons having experience with advanced laparoscopic techniques, laparoscopic fellowship training, and higher volume of hernia repair are more likely to use the laparoscopic approach.

Indexed as

LaparoscopyAcademic Medical CentersHealth Care SurveysHernia, VentralHumansInternetSurgical MeshUrban Population

Identifiers

PMID17936430
PMCPMC2529145
OpenAlexW2002547268

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.