Evidence map›Paper›PMID 28864912›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2017

Evaluation of port site hernias, chronic pain and recurrence rates after laparoscopic ventral hernia repair: a monocentric long-term study.

Emilie Liot, Romain Bréguet, Valérie Piguet, Frédéric Ris, Francesco Volonté, Philippe Morel

Abstract read
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In one paragraph

Article 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 5 papers.

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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Primary non-complicated midline ventral hernia: is laparoscopic IPOM still a reasonable approach?Hernia : the journal of hernias and abdominal wall surgery · 2019
    Review
  5. Fecal incontinence after transanal endoscopic microsurgery.International journal of colorectal disease · 2018
    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.

Emilie LiotUnit of Visceral and Transplant Surgery, Department of Surgery, Service of Visceral Surgery, Geneva University Hospitals and Medical School, Rue Gabrielle Perret-Gentil 4, 1211, Geneva, Switzerland. emliot@yahoo.fr.ORCID http://orcid.org/0000-0002-2856-5260
Romain BréguetDepartment of Radiology, Geneva University Hospitals, Geneva, Switzerland.
Valérie PiguetMultidisciplinary Centre for Evaluation and Treatment of Pain, Geneva University Hospitals, Geneva, Switzerland.
Frédéric RisUnit of Visceral and Transplant Surgery, Department of Surgery, Service of Visceral Surgery, Geneva University Hospitals and Medical School, Rue Gabrielle Perret-Gentil 4, 1211, Geneva, Switzerland.
Francesco VolontéUnit of Visceral and Transplant Surgery, Department of Surgery, Service of Visceral Surgery, Geneva University Hospitals and Medical School, Rue Gabrielle Perret-Gentil 4, 1211, Geneva, Switzerland.
Philippe MorelUnit of Visceral and Transplant Surgery, Department of Surgery, Service of Visceral Surgery, Geneva University Hospitals and Medical School, Rue Gabrielle Perret-Gentil 4, 1211, Geneva, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to evaluate hernia appearance at the trocar site after laparoscopic treatment of primary or incisional ventral hernias using an intraperitoneal prosthetic mesh. Chronic pain at the trocar site and primary hernia recurrence were also evaluated. PATIENTS AND

methodsTwo-hundred and twenty-six consecutive patients who underwent a standardized laparoscopic hernia repair for primary or incisional ventral hernia at our centre between January 2000 and December 2008 were included. All patients had clinical and radiological examinations. Primary end points were port site hernia and the occurrence of chronic trocar site pain. Secondary end point was primary hernia recurrence.

resultsSeventy-eight patients were excluded: 6 declined to participate, 48 were unreachable, and 24 did not meet the inclusion criteria (nine underwent a single site laparoscopic approach, ten died of unrelated disease, three were unable to visit the hospital and two had relocated). After exclusion, 148 remained in our study. Mean follow-up was 49 ± 12.6 months. Mean age at the time of surgery was 60 years (range, 28-83) In total, 504 port sites were clinically and radiologically evaluated, and only one (0.02%) had secondary herniation. Three patients (2.0%) had a recurrent hernia, and 14 (9.5%) had developed chronic pain at time of assessment. Nine patients (6.1%) were re-operated for the recurrent hernia before the follow-up evaluation. The overall recurrence rate is, therefore, 8.1%. Only two minor complications and no major complications occurred after surgery. No mortality was observed.

conclusionLaparoscopic repair for primary or incisional ventral hernias is a safe surgical approach, with low rates of hernia recurrence and a low morbidity rate. When fascial closure is maintained for 10 mm port sites, the incidence of port site hernias is very low. Five millimetre ports do not require closure.

Indexed as

AdultAgedAged, 80 and overChronic PainFemaleHernia, VentralHerniorrhaphyHumansIncidenceLaparoscopyLongitudinal StudiesMaleMiddle AgedPostoperative PainRecurrenceReoperationChronic painLaparoscopic ventral hernia repairLong-term outcomesRecurrence rateTrocar site hernia

Identifiers

PMID28864912

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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.