Evidence map›Paper›PMID 26541733›Full record

ArticleSurgical endoscopy2016

Is laparoscopic repair of incarcerated abdominal hernias safe? Analysis of short-term outcomes.

Ahmad Elnahas, Song Hon H Kim, Allan Okrainec, Fayez Quereshy, Timothy D Jackson

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Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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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

1 citing paper in PubMed.

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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.

Ahmad ElnahasDepartment of Surgery, Toronto Western Hospital - University Health Network, University of Toronto, 399 Bathurst Street, Toronto, ON, M5T 2S8, Canada. ahmadelnahas@gmail.com.
Song Hon H KimDepartment of Surgery, Toronto Western Hospital - University Health Network, University of Toronto, 399 Bathurst Street, Toronto, ON, M5T 2S8, Canada.
Allan OkrainecDepartment of Surgery, Toronto Western Hospital - University Health Network, University of Toronto, 399 Bathurst Street, Toronto, ON, M5T 2S8, Canada.
Fayez QuereshyDepartment of Surgery, Toronto Western Hospital - University Health Network, University of Toronto, 399 Bathurst Street, Toronto, ON, M5T 2S8, Canada.
Timothy D JacksonDepartment of Surgery, Toronto Western Hospital - University Health Network, University of Toronto, 399 Bathurst Street, Toronto, ON, M5T 2S8, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a paucity of literature surrounding the safety and feasibility of laparoscopic repair for acutely incarcerated abdominal hernias. The objective of this study was to compare the 30-day morbidity and mortality between laparoscopic and open repairs of incarcerated abdominal hernias.

methodsA retrospective cohort study was conducted using data from the National Surgery Quality Improvement Program from 2005 to 2012. The study population was selected using ICD-9 diagnostic codes describing abdominal hernias with obstruction, but without gangrene. Cases with documented bowel resection were excluded. Group classification was based on CPT coding. Study outcomes included the 30-day major complication, reoperation and mortality rates. Multivariable logistic regression models were used to adjust for confounding for all study outcomes.

resultsA total of 2688 and 15,562 patients were in the laparoscopic and open group, respectively. After adjustment for clinically relevant confounders, laparoscopic surgery was associated with a significantly lower 30-day infectious (OR 0.36, p < 0.001, 95 % CI 0.23-0.56) and serious complication rates (OR 0.66, p < 0.001, 95 % CI 0.55-0.80). However, there was no statistical difference with respect to the 30-day reoperation (OR 0.81, p = 0.28, 95 % CI 0.56-1.18) or mortality rates (OR 0.94, p = 0.80, 95 % CI 0.58-1.53).

conclusionsPatients with incarcerated abdominal hernias who underwent laparoscopic repair had a significantly lower 30-day morbidity compared to patients with open repair. Although the 30-day reoperation and mortality rates were also lower, there was no statistically significant difference. Laparoscopic surgery appears to be safe in the management of select incarcerated abdominal hernias.

Indexed as

AdultAgedCase-Control StudiesDatabases, FactualFemaleHernia, AbdominalHerniorrhaphyHumansIntestinal ObstructionLaparoscopyLaparotomyLogistic ModelsMaleMiddle AgedMortalityMultivariate AnalysisAbdominal herniasIncarcerationLaparoscopyObstruction

Identifiers

PMID26541733

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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.