Evidence map›Paper›PMID 27766419›Full record

ArticleLangenbeck's archives of surgery2017

Endoscopic mini/less open sublay technique (EMILOS)-a new technique for ventral hernia repair.

J Schwarz, W Reinpold, Reinhard Bittner

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05912868 (Long-term Results in 174 Patients With a Ventral Hernia in the Midline of the Abdominal Wall After EMILOS), which is not on this map. Cited by 77 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
77citing papers in PubMed, 8 pooled it
–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

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.

NCT05912868 completednot on this map

Long-term Results in 174 Patients With a Ventral Hernia in the Midline of the Abdominal Wall After EMILOS (Endoscopic Mini/Less Open Sublay) Repair

TypeobservationalSponsorDiakonie-Klinikum StuttgartRan2015 to 2022Enrolled174ConditionsHernia, VentralArmsEndoscopic Mini/Less Open Sublay Repair
3 · Its place in the literature

Who cites it

77 citing papers in PubMed, 8 syntheses or guidelines pooled it.

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  8. The Treatment of Incisional Hernia.Deutsches Arzteblatt international · 2018
    Pooled it
  9. Trial
  10. Rectus diastasis is not a single entity: phenotype-specific controversies in surgical management.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Review
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  18. eTEP Access Evolving Variants.Journal of abdominal wall surgery : JAWS · 2025
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17 more citing papers are in PubMed but not listed here.

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

3 authors.

J SchwarzHernia Center Rottenburg, Röntgenstr.38, 72108, Rottenburg a.N, Germany.
W ReinpoldHernia Center, Wilhelmsburger Krankenhaus Groß-Sand, Groß-Sand 3, 21107, Hamburg, Germany.
Reinhard BittnerHernia Center Rottenburg, Röntgenstr.38, 72108, Rottenburg a.N, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe "MILOS concept" (mini/less open sublay repair) was developed to realize the benefits of minimally invasive surgery and avoid the disadvantages of traditional open techniques in repair of primary and secondary abdominal wall hernias. Utilizing the MILOS concept, the mesh can be placed in the retromuscular position without opening of the abdominal cavity or without the necessity to perform a large skin incision. The dissection of the retromuscular plane may be done by an open technique (MILOS) or endoscopically (EMILOS). PATIENTS AND

methodsFrom June 2015 to July 2016, a total of 33 patients were operated using the MILOS concept, 8 patients underwent the original MILOS technique, and 25 patients had the EMILOS operation. The operative steps of this novel endoscopic variation, the EMILOS procedure (endoscopic mini/less open sublay), are described in detail. Operative indications were a midline umbilical, epigastric, or incisional hernia with a coexisting rectus diastasis. In all cases, a large mesh (20 × 30) was implanted in the retromuscular space without any fixation.

resultsThe average skin incision was 5.2 cm; mean operative time was 157 min and 122 min in the last five cases. The average hospital stay was 3.2 days. The median pain score (VAS) under physical stress (e.g., climbing stairs) was 2.7.

conclusionThe EMILOS operation has the potential to become an important supplementary method in the spectrum of surgical techniques for repair of abdominal wall hernias. The technique is reliable, reproducible, and easy to standardize.

Indexed as

AdultAgedCohort StudiesDissectionEndoscopyFemaleHernia, VentralHerniorrhaphyHumansLength of StayMaleMiddle AgedOperative TimeSurgical MeshEndoscopic repairIncisional herniaRectus diastasesSublay repairVentral hernia

Identifiers

PMID27766419

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.