Evidence map›Paper›PMID 28378079›Full record

ArticleSurgical endoscopy2017

Primary fascial closure during laparoscopic ventral hernia repair does not reduce 30-day wound complications.

Christina M Papageorge, Luke M Funk, Benjamin K Poulose, Sharon Phillips, Michael J Rosen, Jacob A Greenberg

Abstract readComparative Study
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 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
4.7field-weighted citation impact, top 5% 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, 30 citations in OpenAlex.

  1. Guideline
  2. Seroma prevention strategies in laparoscopic ventral hernia repair: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2020
    Pooled it
  3. Trial
  4. Article
  5. Current practice patterns for initial umbilical hernia repair in the United States.Hernia : the journal of hernias and abdominal wall surgery · 2021
    Article
  6. Recurrent incisional hernia repair: surgical outcomes in correlation with body-mass index.Hernia : the journal of hernias and abdominal wall surgery · 2021
    Article
  7. Article
  8. Article
  9. 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

6 authors at 5 institutions in 1 country.

Christina M PapageorgeDepartment of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, BX 7375 Clinical Science Center - H4, Madison, WI, 53792, USA. cpapageorge@uwhealth.org.
Luke M FunkDepartment of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, BX 7375 Clinical Science Center - H4, Madison, WI, 53792, USA.
Benjamin K PouloseDepartment of Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Sharon PhillipsDepartment of Surgery, Vanderbilt University Medical Center, Nashville, TN, USA.
Michael J RosenDepartment of Surgery, Cleveland Clinic Foundation, Cleveland, OH, USA.
Jacob A GreenbergDepartment of Surgery, University of Wisconsin School of Medicine and Public Health, 600 Highland Ave, BX 7375 Clinical Science Center - H4, Madison, WI, 53792, USA.
Vanderbilt University Medical Center · USCleveland Clinic · USHighland Community College - Illinois · USUniversity of Wisconsin–Madison · USWilliam S. Middleton Memorial Veterans Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic ventral hernia repair (LVHR) is associated with decreased wound morbidity compared to open repair. It remains unclear whether primary fascial closure (PFC) offers any benefit in reducing postoperative seroma compared to bridged repair. We hypothesized that PFC would have no effect on seroma formation following LVHR.

methodsA retrospective cohort study was performed using data from the prospectively maintained Americas Hernia Society Quality Collaborative. All patients undergoing LVHR from 2013 to 2016 were included. The primary outcome was seroma formation, diagnosed either clinically or radiographically. Secondary outcomes included surgical site infections (SSI), surgical site occurrences (SSO), and SSO requiring intervention. Patient characteristics and outcomes were compared between groups with univariate analysis using Pearson's chi-squared or Wilcoxon tests. Multivariable logistic regression controlling for patient and hernia characteristics was then performed to investigate the independent effect of PFC on seroma formation.

results1280 patients were included in the study. 69% (n = 887) underwent PFC. Patients undergoing bridged repairs had slightly larger defects and were more likely to have a recurrent hernia. The overall rate of seroma formation was 10.4% (n = 133). There was no association on univariate analysis between PFC and wound complications. Similarly, on multivariable analysis, PFC had no significant effect on the risk of seroma formation (OR 0.87, 95% CI 0.58-1.31).

conclusionsPFC does not decrease the risk of short-term wound complications. Given that prior studies have also suggested no difference in hernia recurrence, PFC does not appear to improve postoperative outcomes for patients undergoing LVHR.

Indexed as

AdultAgedCohort StudiesDatabases, FactualFasciaFemaleHernia, VentralHerniorrhaphyHumansLaparoscopyLogistic ModelsMaleMiddle AgedRecurrenceRegistriesRetrospective StudiesBridged repairLaparoscopic ventral hernia repairPrimary fascial closureSeromaVentral herniaWound complications

Identifiers

PMID28378079
OpenAlexW2604122041

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.