Evidence map›Paper›PMID 28063123›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2017

Minimally Invasive Surgery Should Be the Standard of Care for Paraesophageal Hernia Repair.

Francisco Schlottmann, Paula D Strassle, Timothy M Farrell, Marco G Patti

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
  2. Evaluation of the safety and effectiveness of crural reinforcement with bio-aHernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  3. Article
  4. Article
  5. Medium-term safety and efficacy profile of paraesophageal hernia repair with Phasix-STHernia : the journal of hernias and abdominal wall surgery · 2022
    Observational
  6. Management of paraesophageal hernia review of clinical studies: timing to surgery, mesh use, fundoplication, gastropexy and other controversies.Diseases of the esophagus : official journal of the International Society for Diseases of the Esophagus · 2020
    Article
  7. Article
  8. Article
  9. Minimally invasive surgery for large hiatal hernia.Annals of gastroenterological surgery · 2019
    Review
  10. Article
  11. Observational
  12. Article
  13. [Unusual intraoperative findings in laparoscopic fundoplication for paraesophageal hiatal hernia].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2018
    Article
  14. Laparoscopic Paraesophageal Hernia Repair: Utilization Rates of Mesh in the USA and Short-Term Outcome Analysis.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017
    Article
  15. Paraesophageal Hernia Repair in the USA: Trends of Utilization Stratified by Surgical Volume and Consequent Impact on Perioperative Outcomes.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2017
    Article
  16. 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

4 authors at 1 institution in 1 country.

Francisco SchlottmannDepartment of Surgery, University of North Carolina, Chapel Hill, NC, USA. fschlottmann@hotmail.com.
Paula D StrassleDepartment of Surgery, University of North Carolina, Chapel Hill, NC, USA.
Timothy M FarrellDepartment of Surgery, University of North Carolina, Chapel Hill, NC, USA.
Marco G PattiDepartment of Surgery, University of North Carolina, Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is unclear if minimally invasive surgery (MIS) has been universally embraced for paraesophageal hernia (PEH) repair. The aims of this study were: (a) to assess the national utilization of MIS for PEH repair and (b) to compare the perioperative outcomes between MIS and open procedures

methodsA retrospective population-based analysis was performed using the National Inpatient Sample for the period 2000-2013. Adult patients (≥18 years old) who underwent PEH repair were included. Linear and logistic regression, adjusted for patient and hospital characteristics, were used to assess the effect of minimally invasive surgery on patient outcomes

resultsA total of 63,812 patients were included. An abdominal approach was used in 60,087 (94.2%) patients and a thoracic approach in 3725 (5.8%) cases. Between 2000 and 2013, the rate of MIS significantly increased in abdominal and thoracic procedures. Patients undergoing MIS were less likely to experience postoperative infection, bleeding, cardiac failure, renal failure, respiratory failure, shock, and had a lower inpatient mortality. In addition, MIS significantly reduced the length of hospital stay and the overall cost.

conclusionsMIS is associated with significantly better perioperative outcomes and lower costs. These data strongly support the MIS approach as standard of care for PEH repair.

Indexed as

AdultAgedAged, 80 and overFemaleHernia, HiatalHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresRetrospective StudiesStandard of CareUnited StatesMinimally invasive surgeryParaesophageal herniaParaesophageal hernia repair

Identifiers

PMID28063123
OpenAlexW2568472839

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.