Evidence map›Paper›PMID 28181089›Full record

Observational studyHernia : the journal of hernias and abdominal wall surgery2017

Ventral hernia repair in patients with abdominal loss of domain: an observational study of one institution's experience.

F K Azar, T C Crawford, K E Poruk, N Farrow, P Cornell, O Nadra, S C Azoury, K C Soares, C M Cooney, F E Eckhauser

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study 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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 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.

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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

10 authors.

F K AzarDepartment of Surgery, The Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD, 21287, USA. fazar1@jhmi.edu.
T C CrawfordDepartment of Surgery, The Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.
K E PorukDepartment of Surgery, The Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.
N FarrowSchool of Medicine, Johns Hopkins University, Baltimore, MD, USA.
P CornellDepartment of Surgery, The Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.
O NadraDepartment of Surgery, The Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.
S C AzouryDepartment of Surgery, The Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.
K C SoaresDepartment of Surgery, The Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.
C M CooneyDepartment of Plastic and Reconstructive Surgery, The Johns Hopkins Hospital, Baltimore, MD, USA.
F E EckhauserDepartment of Surgery, The Johns Hopkins Hospital, 600 N. Wolfe Street, Baltimore, MD, 21287, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAbdominal wall hernias are a common problem. The success of abdominal wall reconstruction decreases with increasing hernia size. This study summarizes the outcomes of one surgeon's experience using a "sandwich" technique for hernia repair in patients with loss of abdominal domain.

methodsWe reviewed our ventral hernia repair (VHR) experience from 2008 to 2015 among patients with loss of domain, as defined by a hernia defect greater than 300 cm

resultsOver the study period, 21 patients underwent VHR. In 17 patients (81%), a "sandwich" technique was utilized. Ten patients had hernia sac-to-abdominal cavity defects less than 30%, and 11 had defects greater than 30%. Preoperative characteristics were similar in both groups with the exception of a higher ASA score in those with giant ventral hernias and more Ventral Hernia Working Group Grade 3 hernias in those without giant ventral hernias. Postoperative outcomes were similar in both groups. There were no mortalities. There were two recurrences (18%) in the giant VHR group and none in the smaller defect group (p = 0.16). Surgical site occurrences were noted in 48% of patients and did not differ between giant and non-giant VHR groups (50 vs 45%, p = 0.84). Average postoperative length of stay was significantly longer in the giant VHR group (31 vs. 17 days, p = 0.03).

conclusionsOur results suggest that the "sandwich" technique for VHR is a safe and durable method to restore abdominal wall integrity in those with LOD, even in patients with giant ventral hernias.

Indexed as

Abdominal CavityAbdominal WallAcellular DermisFemaleHernia, VentralHerniorrhaphyHumansMaleMiddle AgedOrgan SizeRetrospective StudiesSurgical MeshAbdominal ventral herniaIncisional herniaLoss of domain

Identifiers

PMID28181089

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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.