Evidence map›Paper›PMID 28729881›Full record

ArticleWorld journal of emergency surgery : WJES2017

Outcomes following repair of incarcerated and strangulated ventral hernias with or without synthetic mesh.

Sameh Hany Emile, Hesham Elgendy, Ahmad Sakr, Waleed Ahmed Gado, Ahmed Aly Abdelmawla, Mahmoud Abdelnaby, Alaa Magdy

Open access · goldAbstract read
In one paragraph

Article in World journal of emergency surgery : WJES, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 40 citations in OpenAlex.

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  18. What's New in the Management of Incarcerated Hernia.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2020
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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

7 authors at 1 institution in 1 country.

Sameh Hany EmileGeneral surgery department, faculty of Medicine, Mansoura University Hospitals, Elgomhuoria Street, Mansoura city, Egypt.
Hesham ElgendyGeneral surgery department, faculty of Medicine, Mansoura University Hospitals, Elgomhuoria Street, Mansoura city, Egypt.
Ahmad SakrGeneral surgery department, faculty of Medicine, Mansoura University Hospitals, Elgomhuoria Street, Mansoura city, Egypt.
Waleed Ahmed GadoGeneral surgery department, faculty of Medicine, Mansoura University Hospitals, Elgomhuoria Street, Mansoura city, Egypt.
Ahmed Aly AbdelmawlaGeneral surgery department, faculty of Medicine, Mansoura University Hospitals, Elgomhuoria Street, Mansoura city, Egypt.
Mahmoud AbdelnabyGeneral surgery department, faculty of Medicine, Mansoura University Hospitals, Elgomhuoria Street, Mansoura city, Egypt.
Alaa MagdyGeneral surgery department, faculty of Medicine, Mansoura University Hospitals, Elgomhuoria Street, Mansoura city, Egypt.
Mansoura University Hospital · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of synthetic mesh for ventral hernia repair under contaminated conditions is a controversial issue due to the considerable risk of surgical site infection (SSI). This study aimed to review the outcomes of repair of incarcerated and strangulated ventral hernias with or without synthetic mesh in compliance with established clinical guidelines regarding the incidence of SSI and hernia recurrence.

methodsThe records of patients with complicated ventral hernias who were treated with or without synthetic mesh repair were reviewed. Variables collected included the characteristics of patients and of ventral hernias, type of repair, and incidence of SSI and recurrence.

resultsOne hundred twenty-two patients (56 males) of a mean age of 56 years were included. Fifty-two (42.6%) and 70 (57.4%) patients presented with incarcerated and strangulated ventral hernias, respectively. Sixty-six (54%) patients were treated with on-lay mesh repair, and 56 (46%) were managed with suture repair. Twenty-one patients required bowel resection. SSI was detected in eight (6.5%) patients. There was no significant difference between both groups regarding the incidence of SSI (7.5% for mesh group vs 5.3% for suture group). Recurrence occurred in seven patients. Median follow-up period was 24 months. The suture repair group had a significantly higher incidence of recurrence than the mesh group. Diabetes mellitus, previous recurrence, and intestinal resection were significant predictors for SSI.

conclusionFollowing established guidelines, synthetic mesh repair of incarcerated and strangulated ventral hernias attained lower recurrence rate, comparable incidence of SSI, and higher rate of seroma formation than suture repair.

trial registrationResearch Registry, researchregistry1891.

Indexed as

AdultAgedAged, 80 and overChi-Square DistributionFemaleHernia, VentralHumansMaleMiddle AgedMultivariate AnalysisOutcome Assessment, Health CarePolypropylenesProspective StudiesSurgical MeshPolypropylenesIncarceratedMesh, syntheticOutcome, infectionStrangulatedVentral hernia

Identifiers

PMID28729881
PMCPMC5516310
OpenAlexW2737153203

What OpenQuestion holds

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LicenceCC BY
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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.