Evidence map›Paper›PMID 28887764›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2017

Humanitarianism in surgery.

A D Schroeder, G Campanelli, M Cavalli, R Cusick, R Fitzgibbons, A Gilbert, C Lawson, J Manion, B Matthews, W Reinpold and 5 more

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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Observational
  2. The SWIFTSS hernia model: putting ultra-low-cost hernia simulation in everybody's hands.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
  3. Edoardo Bassini 1844-1924.Hernia : the journal of hernias and abdominal wall surgery · 2025
    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

15 authors.

A D SchroederDepartment of Surgery, Creighton University School of Medicine, 601 North 30th Street, Omaha, NE, 68131, USA.
G CampanelliDepartment of Surgery, Instituto Clinico Sant' Ambrogio, University of Insubria, Milan, Italy.
M CavalliDepartment of Surgery, Instituto Clinico Sant' Ambrogio, University of Insubria, Milan, Italy.
R CusickDepartment of Surgery, Creighton University School of Medicine, 601 North 30th Street, Omaha, NE, 68131, USA.
R FitzgibbonsDepartment of Surgery, University of Miami-Miller School of Medicine, 1600 NW 10th Ave #1140, Miami, FL, 33136, USA.
A GilbertDepartment of Surgery, University of Miami-Miller School of Medicine, 1600 NW 10th Ave #1140, Miami, FL, 33136, USA.
C LawsonHernia Repair for the Underserved, 3537 N 57th St, Omaha, NE, 68104, USA.
J ManionDepartment of Anesthesiology, Creighton University School of Medicine, 601 North 30th Street, Omaha, NE, 68131, USA.
B MatthewsDepartment of General Surgery, Carolinas Medical Center, 1000 Blythe Blvd, Charlotte, NC, 28203, USA.
W ReinpoldWilhelmsburg Gross Sand Hospital, Teaching Hospital of the University of Hamburg, Groß-Sand 3, 21107, Hamburg, Germany.
S RollDivision of General Surgery, School of Medical Sciences of Santa Casa de São Paulo, São Paulo, Brazil.
L-F TelemaqueDepartment of Surgery, State University of Haiti Hospital, Rue Mgr Guilloux, Port-au-Prince, Haiti.
J P WagnerDepartment of Surgery, David Geffen School of Medicine at UCLA, 10833 Le Conte Ave. 72-227 CHS, Los Angeles, CA, 90095, USA.
D C ChenDepartment of Surgery, David Geffen School of Medicine at UCLA, 10833 Le Conte Ave. 72-227 CHS, Los Angeles, CA, 90095, USA.
C J FilipiDepartment of Surgery, Creighton University School of Medicine, 601 North 30th Street, Omaha, NE, 68131, USA. cfilipi@cox.net.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHumanitarianism is by definition a moral of kindness, benevolence and sympathy extended to all human beings. In our view as surgeons working in underserved countries, humanitarianism means performing the best operation in the best possible circumstances with high income country (HIC) results and training in-country surgeons to do the same. Hernia Repair for the Underserved (HRFU), a not for profit organization, is developing a long term public health initiative for hernia surgery in Western Hemisphere countries. We report the progress of HRFUs methods to render humanitarian care.

methodsIn a collaborative effort, Creighton University and the Institute for Latin American Concern developed an outpatient surgery site for hernia surgery in Santiago, Dominican Republic. Based on this experience, we developed a sustainable care model by recruiting American and European Hernia Society expert surgeons, staff members they recommended, building relationships with local and industry partners, and selecting local surgeons to be trained in mesh hernioplasty. HRFU then extended the care model to other Western Hemisphere countries.

resultsBetween 2004 and 2015, the HRFU elective hernia morbidity and mortality rates for 2052 hernia operations were 0.7 and 0%, respectively. This is consistent with outcomes from HICs and confirms the feasibility of a public health initiative based on the principles of the Preferential Option for the Poor.

conclusionsHRFU has recorded HIC morbidity and mortality rates for hernia surgery in low and middle income countries and has initiated a new surgical training model for sustainability of effect.

Indexed as

AltruismAmbulatory Surgical ProceduresHerniorrhaphyDominican RepublicElective Surgical ProceduresHumansDeveloping countriesGlobal surgeryHerniaHumanitarianism

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.