Evidence map›Paper›PMID 28396955›Full record

Observational studyHernia : the journal of hernias and abdominal wall surgery2017

Crura augmentation with Bio-A

E Asti, A Sironi, G Bonitta, A Lovece, P Milito, L Bonavina

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 19 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 4 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

19 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Efficacy and safety of mesh reinforced cruroplasty with Phasix™ ST vs. Bio-AHernia : the journal of hernias and abdominal wall surgery · 2026
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Evaluation of the safety and effectiveness of crural reinforcement with bio-aHernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  8. Review
  9. Article
  10. Laparoscopic posterior cruroplasty: a patient tailored approach.Hernia : the journal of hernias and abdominal wall surgery · 2022
    Article
  11. Article
  12. Medium-term safety and efficacy profile of paraesophageal hernia repair with Phasix-STHernia : the journal of hernias and abdominal wall surgery · 2022
    Observational
  13. Article
  14. Paraesophageal hernia: to fundoplicate or not?Annals of translational medicine · 2021
    Review
  15. Laparoscopic repair of a giant hiatal hernia after minimally invasive oesophagectomy.Annals of the Royal College of Surgeons of England · 2020
    Article
  16. Article
  17. Article
  18. Use of absorbable meshes in laparoscopic paraesophageal hernia repair.World journal of gastrointestinal surgery · 2019
    Review
  19. 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.

E AstiDivision of General Surgery, IRCCS Policlinico San Donato, Department of Biomedical Sciences for Health, University of Milano Medical School, Piazza Malan 1, San Donato Milanese, 20097, Milano, Italy.
A SironiDivision of General Surgery, IRCCS Policlinico San Donato, Department of Biomedical Sciences for Health, University of Milano Medical School, Piazza Malan 1, San Donato Milanese, 20097, Milano, Italy.
G BonittaDivision of General Surgery, IRCCS Policlinico San Donato, Department of Biomedical Sciences for Health, University of Milano Medical School, Piazza Malan 1, San Donato Milanese, 20097, Milano, Italy.
A LoveceDivision of General Surgery, IRCCS Policlinico San Donato, Department of Biomedical Sciences for Health, University of Milano Medical School, Piazza Malan 1, San Donato Milanese, 20097, Milano, Italy.
P MilitoDivision of General Surgery, IRCCS Policlinico San Donato, Department of Biomedical Sciences for Health, University of Milano Medical School, Piazza Malan 1, San Donato Milanese, 20097, Milano, Italy.
L BonavinaDivision of General Surgery, IRCCS Policlinico San Donato, Department of Biomedical Sciences for Health, University of Milano Medical School, Piazza Malan 1, San Donato Milanese, 20097, Milano, Italy. luigi.bonavina@unimi.it.ORCID 0000-0002-4880-1670

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe potential utility of both non-absorbable and absorbable meshes to reinforce the esophageal hiatus and prevent recurrent hernia has been investigated in observational studies and a few randomized clinical trials. Use of absorbable mesh has been associated with lesser side-effects, but the long-term safety and effectiveness are still debated. This rather scanty clinical evidence is due to heterogeneity and bias regarding the type of mesh and operation used, the modalities of follow-up, and the reporting of objective results.

objectivesThe aim of the study was to assess safety, quality of life, and recurrence-free probability after laparoscopic repair of hiatal hernia reinforced with a synthetic absorbable mesh.

methodsObservational, retrospective, single-center cohort study. All patients with hiatal hernia who underwent laparoscopic crura repair using a biosynthetic mesh (Gore Bio A

resultsFrom September 2011 to March 2016, a total of 100 patients underwent hiatal hernia repair using a Bio-A

conclusionsThe use of a synthetic absorbable mesh to reinforce the esophageal hiatus is safe and appears to be effective and durable over a medium-term follow-up.

Indexed as

Surgical MeshAbsorbable ImplantsAgedFemaleHernia, HiatalHerniorrhaphyHumansLaparoscopyMaleMiddle AgedPostoperative PeriodProstheses and ImplantsQuality of LifeRecurrenceReoperationRetrospective StudiesFundoplicationHiatus herniaLaparoscopic hiatus hernia repairRecurrent hernia

Identifiers

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.