Evidence map›Paper›PMID 27440197›Full record

ArticleSurgical endoscopy2017

What is the BMI threshold for open ventral hernia repair?

Luise I M Pernar, Claire H Pernar, Bryan V Dieffenbach, David C Brooks, Douglas S Smink, Ali Tavakkoli

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06864377 (Ventral Hernia Improvement of Treatment and Life), which is not on this map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
8.5field-weighted citation impact, top 2% 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.

NCT06864377 enrolling by invitationnot on this mapstarted 2025, after this paper: background citation

Ventral Hernia Improvement of Treatment and Life

Typeobservational_patient_registrySponsorLine MarkerRan2025 to 2027Enrolled300ConditionsIncisional Hernia, Parastomal Hernia, Ventral HerniaArmsQuality of life questionnair
3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 85 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Robot ventral hernia repair in class II-IV obesity: early and mid-term results.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  9. Review
  10. Observational
  11. Article
  12. The effect of clinically significant weight loss prior to open ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2024
    Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. BMI: does it predict the need for component separation?Hernia : the journal of hernias and abdominal wall surgery · 2023
    Article
  18. Article
  19. Article
  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 at 2 institutions in 1 country.

Luise I M PernarDepartment of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Claire H PernarDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Bryan V DieffenbachDepartment of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
David C BrooksDepartment of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Douglas S SminkDepartment of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Ali TavakkoliDepartment of Surgery, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA. atavakkoli@partners.org.
Brigham and Women's Hospital · USHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOverweight and obese patients are often asked to lose weight prior to ventral hernia repair (VHR). Improved outcomes are the reasons behind this strategy. Data regarding weight loss targets are scant, and it is not known at what body mass index (BMI) threshold postoperative complications increase. This study aimed to determine the threshold to allow proper patient counseling.

methodsAll patients who underwent open VHR at our institution between 2002 and 2015 captured in the NSQIP database were included. The primary outcome was defined as any (≥1) of 18 captured postoperative complications. Patients were divided into five groups based on BMI: group 1 (<25 kg/m

resultsSixty seven of 922 patients (7.3 %) had at least one postoperative complication following VHR. The adjusted odds of complications in group 5 was 2.89 times greater compared to group 1 (OR 2.89; 95 % CI = 1.22-6.84), while there was no significant differences in odds of postoperative complications for groups 2, 3, or 4 compared to group 1. BMI category was also significantly associated with undergoing recurrent VHR, with 28.7 % of patients in group 5 having a recurrent repair compared to 14 % in patients in group 1 (p = 0.03).

conclusionsAfter VHR, complications are most likely to occur in patients with BMI ≥ 40 kg/m

Indexed as

Body Mass IndexPatient SelectionClinical Decision-MakingDatabases, FactualFemaleHernia, VentralHumansMaleMiddle AgedObesityPostoperative ComplicationsReoperationRisk AssessmentUnited StatesBody mass indexComplicationHerniaObesity

Identifiers

PMID27440197
OpenAlexW2482732635

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.