Evidence map›Paper›PMID 27519589›Full record

ArticleSurgical endoscopy2017

Doxycycline alters collagen composition following ventral hernia repair.

Job C Tharappel, Jennifer W Harris, Crystal Totten, Brittany A Zwischenberger, John S Roth

Abstract 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. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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 1 institution in 1 country.

Job C TharappelDivision of General Surgery, Department of Surgery, University of Kentucky College of Medicine, 800 Rose Street, UKMC C-225, Lexington, KY, 40536-0298, USA.
Jennifer W HarrisDivision of General Surgery, Department of Surgery, University of Kentucky College of Medicine, 800 Rose Street, UKMC C-225, Lexington, KY, 40536-0298, USA.
Crystal TottenDivision of General Surgery, Department of Surgery, University of Kentucky College of Medicine, 800 Rose Street, UKMC C-225, Lexington, KY, 40536-0298, USA.
Brittany A ZwischenbergerDivision of General Surgery, Department of Surgery, University of Kentucky College of Medicine, 800 Rose Street, UKMC C-225, Lexington, KY, 40536-0298, USA.
John S RothDivision of General Surgery, Department of Surgery, University of Kentucky College of Medicine, 800 Rose Street, UKMC C-225, Lexington, KY, 40536-0298, USA. s.roth@uky.edu.
University of Kentucky · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDoxycycline, a nonspecific metalloproteinase (MMP) inhibitor, has been demonstrated to impact the strength of the polypropylene (PP) mesh-repaired hernia with an increase in the deposition of collagen type 1. The impact of doxycycline with porcine acellular dermal matrices (PADM) is unknown; therefore, we evaluated the impact of doxycycline administration upon hernia repair with PP and PADM mesh.

methodsSprague-Dawley rats weighing ~400 g underwent laparotomy with creation of a midline ventral hernia. After a 27-day recovery, animals were randomly assigned to four groups of eight and underwent intraperitoneal underlay hernia repair with either PP or PADM. Groups were assigned to daily normal saline (S) or daily doxycycline in normal saline 10 mg/kg (D) via oral gavage for 8 weeks beginning 24 h preoperatively. Animals were euthanized at 8 weeks and underwent tensiometric testing of the abdominal wall and western blot analyses for collagen subtypes and MMPs.

resultsThirty-two animals underwent successful hernia creation and repair with either PADM or PP. At 8 weeks, 15 of 16 PP-implanted animals survived with only 12 of 16 PADM-implanted animals surviving. There were no differences in the mesh to fascial interface tensiometric strength between groups. Densitometric counts in the PADM-D group demonstrated increased collagen type 1 compared to PP-S (PADM-D [1286.5], PADM-S [906.9], PP-S [700.4], p = 0.037) and decreased collagen type 3 compared to PP-S (PADM-D [7446.9], PADM-S [8507.6], PP-S [11,297.1], p = 0.01). MMP-9 levels were increased in PADM-D (PP-S vs. PADM-D, p = 0.04), while MMP-2 levels were similar between PADM-D and PADM-S, respectively.

conclusionsCollagen type 1 deposition at the mesh to fascial interface is enhanced following administration of doxycycline in ventral hernia repairs with porcine acellular dermal matrices. Doxycycline administration may have implications for enhancing hernia repair outcomes using biologic mesh.

Indexed as

HerniorrhaphyAbdominal WallAcellular DermisAnimalsAnti-Bacterial AgentsCollagenCollagen Type ICollagen Type IIIDisease Models, AnimalDoxycyclineHernia, VentralMatrix Metalloproteinase 2Matrix Metalloproteinase 9Random AllocationRatsRats, Sprague-DawleyAnti-Bacterial AgentsCollagenCollagen Type ICollagen Type IIIDoxycyclineMatrix Metalloproteinase 2Matrix Metalloproteinase 9Mmp2 protein, ratMmp9 protein, ratCollagenDoxycyclineHerniaMatrix metalloproteinaseMesh

Identifiers

PMID27519589
OpenAlexW2509844217

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.