Evidence map›Paper›PMID 22170318›Full record

ArticleSurgical endoscopy2012

Biomechanics of the front abdominal wall as a potential factor leading to recurrence with laparoscopic ventral hernia repair.

Maciej Smietański, Kamil Bury, Agnieszka Tomaszewska, Izabela Lubowiecka, Czesław Szymczak

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06197854 (Onlay Versus Sublay Hernioplasty in Management of Incisional Hernia), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.5field-weighted citation impact, top 8% 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.

NCT06197854 unknown statusnot on this mapstarted 2024, after this paper: background citation

Onlay Versus Sublay Hernioplasty in Management of Incisional Hernia

TypeobservationalSponsorAssiut UniversityRan2024 to 2025Enrolled40ConditionsIncisional HerniaArmsHernioplasty
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 51 citations in OpenAlex.

  1. Trial
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  11. Review
  12. New minimally invasive technique of parastomal hernia repair - methods and review.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2015
    Article
  13. The management of abdominal wall hernias - in search of consensus.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2015
    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

5 authors at 2 institutions in 1 country.

Maciej SmietańskiDepartment of General, Endocrine Surgery and Transplantation, Medical University of Gdansk, ul. Dębinki 7, 80-211, Gdańsk, Poland. smietanski@herniaweb.org
Kamil Bury
Agnieszka Tomaszewska
Izabela Lubowiecka
Czesław Szymczak
Gdańsk University of Technology · PLGdańsk Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntraabdominal pressure often is blamed as the cause of mesh-fascia junction failure after laparoscopic ventral hernia repair. Stretching of the mesh during a cough or defecation may lead to recurrence. Little is known about the movements of mesh in the abdominal cavity after this operation. This study investigated the front abdominal wall to describe its elasticity in vivo and searched for elongations that possibly stretched an implanted mesh, thereby causing fixation failure and subsequent recurrence.

methodsTo measure front abdominal wall elongations, a model of fascia movements was created. Eight healthy volunteers were measured during exercise to determine the extent of elongations in their front abdominal wall. Videos were analyzed in three positions to create a mathematical shell structure. A computerized model based on the net movement of nodes was calculated to determine the axes and values for maximum elongations.

resultsThe largest average elongations were measured for the upper midline (32.08%) and the transverse line in the low lateral area (34.06%). The maximum values for these lines were larger than 100% for the middle line (133.78%) and exceeded 50% for the entire middle line. The values for the horizontal lines did not reach 10% at any level. According to these data, areas of both high and low elasticity were defined.

conclusionsThe presented experiment adds new parameters to the understanding of in vivo mesh behavior. Elongation of the front abdominal wall may stretch implanted mesh and could be a cause of recurrence in cases of insufficient fixation.

Indexed as

Abdominal WallBiomechanical PhenomenaFemaleHernia, VentralHerniorrhaphyHumansLaparoscopyMalePressureRecurrenceSurgical MeshYoung Adult

Identifiers

PMID22170318
OpenAlexW1972649486

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.