Evidence map›Paper›PMID 28741192›Full record

ArticleWorld journal of surgery2017

Parastomal Hernia Repair with a 3D Funnel Intraperitoneal Mesh Device and Same-Sided Stoma Relocation: Results of 56 Cases.

Ines Fischer, Helwig Wundsam, Martin Mitteregger, Gernot Köhler

Abstract read
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In one paragraph

Article in World journal of surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 5 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

21 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Outcomes of surgical techniques for parastomal hernia repair: a bayesian network meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Pooled it
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  3. End-colostomy parastomal hernia repair: a systematic review on laparoscopic and robotic approaches.Hernia : the journal of hernias and abdominal wall surgery · 2024
    Pooled it
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  7. Parastomal hernia in the difficult patient: is Tophat plasty the solution?Hernia : the journal of hernias and abdominal wall surgery · 2026
    Observational
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  17. [Principles and parallels of prevention and repair of parastomal hernia with meshes].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2020
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Ines FischerDepartment of General and Visceral Surgery, Congregation Hospital Sisters of Charity, 4010, Linz, Austria.
Helwig WundsamDepartment of General and Visceral Surgery, Congregation Hospital Sisters of Charity, 4010, Linz, Austria.
Martin MittereggerDepartment of Surgery, St John of God Hospital, Marschallgasse 12, 8020, Graz, Austria.
Gernot KöhlerDepartment of General and Visceral Surgery, Congregation Hospital Sisters of Charity, 4010, Linz, Austria. gernot.koehler@ordensklinikum.at.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParastomal hernias (PSHs) are a common and challenging issue. In previous studies, three-dimensional (3D) funnel mesh devices have been used successfully for the repair of PSHs.

methodsWe performed an analysis of prospectively collected data of patients who underwent a same-sided stoma reposition with 3D funnel-shaped mesh augmentation in intraperitoneal (IPOM) position at our department between the years of 2012 and 2015. Primary outcome parameters were intra- and postoperative surgical complications and recurrence rate during the follow-up period.

resultsFifty-six patients could be included in this analysis. PSH repair was performed in 89.3% as elective surgery and in 73% in laparoscopic technique. A concomitant incisional hernia (EHS type 2 and 4) was found in 50% and repaired in a single-step procedure with PSH. Major postoperative complications requiring redo surgery (Clavien-Dindo ≥3b) were identified in 8.9% (5/56). Overall recurrence rate was 12.5% (7/56). Median follow-up time was 38 months, and a 1-year follow-up rate of 96.4% was reached.

conclusionPSH repair with 3D funnel mesh in IPOM technique is safe, efficient and easy to perform in laparoscopic and open surgical approaches providing advantageous results compared to other techniques. Furthermore, simultaneous detection and treatment of concomitant incisional hernias has shown favorable. However, the mesh funnel distends and becomes shortened encasing a bulky bowel mesentery and further shrinkage happens eccentric. Changing mesh construction according to lengthening the funnel could possibly lead to reduction in recurrence.

Indexed as

AdultAgedAged, 80 and overFemaleHernia, AbdominalHerniorrhaphyHumansIncisional HerniaLaparoscopyMaleMiddle AgedPostoperative ComplicationsProstheses and ImplantsRecurrenceReoperationSurgical Mesh

Identifiers

PMID28741192

What OpenQuestion holds

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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.