Evidence map›Paper›PMID 26552669›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2016

Total extraperitoneal approach for incarcerated obturator hernia repair.

R Karashima, M Kimura, N Taura, Y Shimokawa, T Nishimura, H Baba

Abstract read
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In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Management and outcomes of obturator hernias: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2023
    Pooled it
  2. Incarcerated obturator hernia, an extremely rare cause of intestinal obstruction: case series.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
    Article
  3. Article
  4. Contemporary management of obturator hernia.Trauma surgery & acute care open · 2022
    Article
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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

6 authors at 2 institutions in 1 country.

R KarashimaDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan. karagon@fc.kuh.kumamoto-u.ac.jp.
M KimuraDepartment of Surgery, Japan Community Health Care Organization, Hitoyoshi Medical Center, Kumamoto, Japan.
N TauraDepartment of Surgery, Japan Community Health Care Organization, Hitoyoshi Medical Center, Kumamoto, Japan.
Y ShimokawaDepartment of Surgery, Japan Community Health Care Organization, Hitoyoshi Medical Center, Kumamoto, Japan.
T NishimuraDepartment of Surgery, Japan Community Health Care Organization, Hitoyoshi Medical Center, Kumamoto, Japan.
H BabaDepartment of Gastroenterological Surgery, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto, 860-8556, Japan.
Kumamoto Medical Center · JPKumamoto University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare the feasibilities and efficacies of the total extraperitoneal (TEP) technique and laparotomy for incarcerated obturator hernia repair.

methodsAll study subjects were diagnosed with incarcerated obturator hernia, preoperatively and TEP was performed as for TEP groin hernia repair. The incarcerated intestine was retracted into the peritoneal cavity with the hernia sac. The obturator foramen was then covered with a rectangular mesh (9 × 13 cm), which also covered the internal inguinal ring, Hesselbach's triangle, and the femoral ring. Non-ischemia of the incarcerated bowel was confirmed laparoscopically. In patients undergoing laparotomy, the obturator foramen was closed by continuous sutures, and no prosthesis was used. We recorded the length of hospital stay, operative time, amount of intraoperative bleeding, and postoperative complications.

resultsTwenty-two patients underwent obturator hernia repair in our hospital between January 2000 and December 2012, of whom 10 were treated with laparotomy and the remaining 12 via TEP. Three patients undergoing TEP were converted to laparotomy. The operation time was significantly longer in the conversion group compared with either the laparotomy or the TEP groups. There was no difference between the laparotomy and TEP groups regarding intraoperative bleeding. Patients who underwent TEP without conversion had a significantly shorter hospital stay than those who underwent laparotomy or required conversion.

conclusionsTEP provides a suitable approach for incarcerated obturator hernia repair, with favorable results regarding hospital stay. TEP is a feasible, minimally invasive technique for the repair of incarcerated obturator hernias.

Indexed as

AgedAged, 80 and overFeasibility StudiesFemaleHernia, ObturatorHerniorrhaphyHumansIntestinal ObstructionLaparoscopyMaleTreatment OutcomeEndoscopic surgeryIncarcerationObturator herniaTotal extraperitoneal

Identifiers

PMID26552669
OpenAlexW2193451446

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.