Evidence map›Paper›PMID 21538150›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2011

A nationwide study on readmission, morbidity, and mortality after umbilical and epigastric hernia repair.

T Bisgaard, H Kehlet, M Bay-Nielsen, M G Iversen, J Rosenberg, L N Jørgensen

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04171921 (Robotic Versus Open Primary Ventral Hernia Repair), which is not on this map. Cited by 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT04171921 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Robotic Versus Open Primary Ventral Hernia Repair: a Randomized Controlled Trial

TypeinterventionalSponsorUniversity of Geneva, SwitzerlandRan2019 to 2023Enrolled162ConditionsVentral HerniaArmsRobotic ventral hernia repair, Open ventral hernia repair
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. A systematic review on surgical treatment of primary epigastric hernias.Hernia : the journal of hernias and abdominal wall surgery · 2019
    Pooled it
  3. General and vascular surgery readmissions: a systematic review.Journal of the American College of Surgeons · 2014
    Pooled it
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  13. Unplanned readmissions after hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023
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  19. Tentacle-shaped mesh for fixation-free repair of umbilical hernias.Hernia : the journal of hernias and abdominal wall surgery · 2019
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  20. 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

6 authors.

T BisgaardDanish Hernia Database, Køge Hospital, University of Copenhagen, Copenhagen, Denmark. thuebisgaard@tdcadsl.dk
H Kehlet
M Bay-Nielsen
M G Iversen
J Rosenberg
L N Jørgensen

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRepair for umbilical and epigastric hernia is a minor and common surgical procedure. Early outcomes are not well documented.

methodsAll patients ≥18 years operated on for umbilical or epigastric hernia in Denmark during a 2-year period (2005-2006) were analysed according to hospital stay, risk of readmission, complications, and mortality <30 days after operation. Patients with acute operations and patients having an umbilical and epigastric hernia repair secondary to other surgical procedures were excluded. Results were based on data from the National Patient Registry.

resultsA total 3,431 operations (open repairs 3,165; laparoscopic repairs 266) in 3,383 patients were performed. The median hospital stay was 0 day (range 0-61 days) (open 0 day; laparoscopic 1 day); 75% stayed in hospital for 0 days, 20% for 1 day and 5% > 1 day. Readmissions occurred in 5.3% of cases (open 4.9%; laparoscopic 10.5%). In the majority of patients readmissions were due to wound-related problems (haematoma, bleeding and/or infection) (46%), seroma (19%), or pain (7%). At 30 days, complications and mortality occurred in 4.1% (open 3.7%; laparoscopic 8.2%) and 0.1% (open 0.1%; laparoscopic 0.4%), respectively.

conclusionThis first prospective nationwide study on elective umbilical and epigastric hernia repair found low morbidity and mortality but a high readmission rate mostly because of wound problems, seroma formation, or pain. Future research should focus on early outcomes in terms of wound problems, seroma formation, and pain after umbilical and epigastric hernia repair.

Indexed as

AdolescentAdultAgedAged, 80 and overDenmarkFemaleHematomaHernia, UmbilicalHerniorrhaphyHumansLaparoscopyLength of StayMaleMiddle AgedPatient ReadmissionPostoperative Hemorrhage

Identifiers

PMID21538150

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Registered trials

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.