Evidence map›Paper›PMID 28108822›Full record

SynthesisHernia : the journal of hernias and abdominal wall surgery2017

The feasibility of local anesthesia for the surgical treatment of umbilical hernia: a systematic review of the literature.

A P Jairam, R Kaufmann, F Muysoms, J Jeekel, J F Lange

Open access · hybridAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
2.2field-weighted citation impact, top 13% 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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 18 citations in OpenAlex.

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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

5 authors at 2 institutions in 2 countries.

A P JairamDepartment of Surgery, Erasmus University Medical Center Rotterdam, Room Z-835, 3000 CA, Rotterdam, The Netherlands. a.jairam@erasmusmc.nl.
R KaufmannDepartment of Surgery, Erasmus University Medical Center Rotterdam, Room Z-835, 3000 CA, Rotterdam, The Netherlands.
F MuysomsDepartment of Surgery, Algemeen Ziekenhuis Maria Middelares, Kortrijksesteenweg 1026, 9000, Ghent, Belgium.
J JeekelDepartment of Neuroscience, Erasmus University Medical Center, Rotterdam, 3000 CA, Rotterdam, The Netherlands.
J F LangeDepartment of Surgery, Erasmus University Medical Center Rotterdam, Room Z-835, 3000 CA, Rotterdam, The Netherlands.
Erasmus MC · NLAZ Maria Middelares · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundYearly approximately 4500 umbilical hernias are repaired in The Netherlands, mostly under general anesthesia. The use of local anesthesia has shown several advantages in groin hernia surgery. Local anesthesia might be useful in the treatment of umbilical hernia as well. However, convincing evidence is lacking. We have conducted a systematic review on safety, feasibility, and advantages of local anesthesia for umbilical hernia repair.

methodsA systematic review was conducted according to the PRISMA guidelines. Outcome parameters were duration of surgery, surgical site infection, perioperative and postoperative complications, postoperative pain, hernia recurrence, time before discharge, and patient satisfaction.

resultsThe systematic review resulted in nine included articles. Various anesthetic agents were used, varying from short acting to longer acting agents. There was no consensus regarding the injection technique and no conversions to general anesthesia were described. The most common postoperative complication was surgical site infection, with an overall percentage of 3.4%. There were no postoperative deaths and no allergic reactions described for local anesthesia. The hernia recurrence rate varied from 2 to 7.4%. Almost 90% of umbilical hernia patients treated with local anesthesia were discharged within 24 h, compared with 47% of patients treated with general anesthesia. The overall patient satisfaction rate varied from 89 to 97%.

conclusionLocal anesthesia for umbilical hernia seems safe and feasible. However, the advantages of local anesthesia are not sufficiently demonstrated, due to the heterogeneity of included studies. We, therefore, propose a randomized controlled trial comparing general versus local anesthesia for umbilical hernia repair.

Indexed as

Anesthesia, LocalHerniorrhaphyFeasibility StudiesHernia, UmbilicalHumansLength of StayOperative TimePain MeasurementPatient SatisfactionPostoperative PainRecurrenceSurgical Wound InfectionTreatment OutcomeLocal anesthesiaSystematic reviewUmbilical hernia

Identifiers

PMID28108822
PMCPMC5359377
OpenAlexW2574049459

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.