Evidence map›Paper›PMID 28634690›Full record

Trial reportHernia : the journal of hernias and abdominal wall surgery2017

Long-term retromuscular and intraperitoneal mesh size changes within a randomized controlled trial on incisional hernia repair, including a review of the literature.

P Rogmark, O Ekberg, A Montgomery

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report 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, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

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

  1. Pooled it
  2. Article
  3. Observational
  4. Efficacy of robotic versus open transversus abdominis release in a porcine model.Hernia : the journal of hernias and abdominal wall surgery · 2019
    Article
  5. An easier Lichtenstein hernioplasty.Hernia : the journal of hernias and abdominal wall surgery · 2018
    Article
  6. Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

P RogmarkDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden. peder.rogmark@skane.se.ORCID 0000-0001-9518-9640
O EkbergDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.
A MontgomeryDepartment of Clinical Sciences, Malmö, Lund University, Lund, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose Ingrowth of fibroblasts in a polypropylene mesh may cause contraction and a later recurrence. We assessed mesh contraction in intraabdominal and retromuscular implantation after incisional hernia repair.

methodsA cohort of patients within an RCT on laparoscopic (LHR) versus open hernia repair (OHR) had their mesh borders marked with metal clips. X-ray was performed on postoperative day 1 and after 1 year. Total length, width, and dislocation were measured. A tacker fixated large-pore polypropylene mesh was used in LHR, and a retromuscular small-pore heavy-weight mesh was sutured to the midline in OHR. Patient's pain was assessed before surgery and after 1 year.

resultsFor analysis 37/47 patients remained: 20 LHR and 17 OHR. Hernia defect area was median 41 cm

conclusionsMesh contraction after 1 year is not a clinical issue for an intraperitoneal large-pore mesh or a retromuscular small-pore mesh. It is not correlated to postoperative pain.

Indexed as

Wound HealingAbdominal MusclesAgedFemaleFibroblastsHernia, VentralHerniorrhaphyHumansIncisional HerniaLaparoscopyMaleMiddle AgedPeritoneal CavityPolypropylenesSurgical MeshPolypropylenesIncisional hernia repairIPOMMesh contractionRetromuscular mesh

Identifiers

PMID28634690
PMCPMC5608776

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.