Evidence map›Paper›PMID 29071498›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2017

Trocar site hernia following laparoscopic cholecystectomy: a 10-year single center experience.

G Chatzimavroudis, B Papaziogas, I Galanis, I Koutelidakis, S Atmatzidis, P Evangelatos, N Voloudakis, A Ananiadis, A Doundis, E Christoforidis

Registry-linked trialAbstract read
PubMed Publisher
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. It is linked to trial NCT04279223 (Does Using a 5 mm Telescope in Laparoscopic Cholecystectomy Reduce the Incidence of Trocar Site Hernia? Multicentric Prospective Randomized Study), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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.

NCT04279223 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Does Using a 5 mm Telescope in Laparoscopic Cholecystectomy Reduce the Incidence of Trocar Site Hernia? Multicentric Prospective Randomized Study

TypeinterventionalSponsorKonya Meram State HospitalRan2020 to 2023Enrolled214ConditionsCholelithiasisArmsLaparoscopic cholecystectomy
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  5. Review
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  10. Single-Incision Hysterectomy Outcomes With and Without Robotic Assistance.JSLS : Journal of the Society of Laparoendoscopic Surgeons
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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

10 authors at 1 institution in 1 country.

G Chatzimavroudis2nd Surgical Department, School of Medicine, G.Gennimatas General Hospital, Aristotle University of Thessaloniki, Ethnikis Aminis 41, 54635, Thessaloniki, Greece. gchatzim@auth.gr.ORCID http://orcid.org/0000-0002-3991-9335
B Papaziogas2nd Surgical Department, School of Medicine, G.Gennimatas General Hospital, Aristotle University of Thessaloniki, Ethnikis Aminis 41, 54635, Thessaloniki, Greece.
I Galanis2nd Surgical Department, School of Medicine, G.Gennimatas General Hospital, Aristotle University of Thessaloniki, Ethnikis Aminis 41, 54635, Thessaloniki, Greece.
I Koutelidakis2nd Surgical Department, School of Medicine, G.Gennimatas General Hospital, Aristotle University of Thessaloniki, Ethnikis Aminis 41, 54635, Thessaloniki, Greece.
S Atmatzidis2nd Surgical Department, School of Medicine, G.Gennimatas General Hospital, Aristotle University of Thessaloniki, Ethnikis Aminis 41, 54635, Thessaloniki, Greece.
P Evangelatos2nd Surgical Department, School of Medicine, G.Gennimatas General Hospital, Aristotle University of Thessaloniki, Ethnikis Aminis 41, 54635, Thessaloniki, Greece.
N Voloudakis2nd Surgical Department, School of Medicine, G.Gennimatas General Hospital, Aristotle University of Thessaloniki, Ethnikis Aminis 41, 54635, Thessaloniki, Greece.
A Ananiadis2nd Surgical Department, School of Medicine, G.Gennimatas General Hospital, Aristotle University of Thessaloniki, Ethnikis Aminis 41, 54635, Thessaloniki, Greece.
A Doundis2nd Surgical Department, School of Medicine, G.Gennimatas General Hospital, Aristotle University of Thessaloniki, Ethnikis Aminis 41, 54635, Thessaloniki, Greece.
E Christoforidis2nd Surgical Department, School of Medicine, G.Gennimatas General Hospital, Aristotle University of Thessaloniki, Ethnikis Aminis 41, 54635, Thessaloniki, Greece.
Aristotle University of Thessaloniki · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLaparoscopic cholecystectomy (LC) is the gold standard of treatment for patients with symptomatic cholelithiasis. Compared to open cholecystectomy, LC is associated with significantly lower postoperative complications. Trocar site hernia (TSH) is an uncommon, but potentially dangerous, complication of LC. The aim of this study was to evaluate the incidence of TSH following LC.

methodsThe records of all patients who underwent elective LC between January 2004 and December 2013 were retrospectively reviewed. The open technique with a vertical incision infraumbilically was used to establish pneumoperitoneum. Two or three other skin incisions were made and trocars were inserted. In all cases, only the fascia at the site of infra-umbilical incision was closed. Following hospital discharge, all patients were regularly re-examined 1, 4 and 52 weeks postoperatively and were contacted by phone during November-December 2015. Based on the findings from clinical and telephone follow-ups, the incidence of TSH was recorded. Using univariate/multivariate analysis, we investigated several variables to identify risk factors for TSH development.

resultsDuring the study period, 1172 patients were eligible and included in the final analysis. Seven patients (0.6%) presented TSH at 1-year follow-up. At the end of the study and with a mean follow-up of 65.86 ± 25.19 months, 11 patients (0.94%) presented TSH. Interestingly, all TSHs were developed at the infra-umbilical site. Multivariate analysis identified obesity as an independent risk factor for TSH.

conclusionThe incidence of TSH following LC is considerably low. Obesity is an independent risk factor for TSH development, while closure of fascial incision of 10 mm below the xiphoid is not justified.

Indexed as

AdultAgedCholecystectomy, LaparoscopicFasciaFemaleHernia, VentralHumansIncidenceMaleMiddle AgedObesityPostoperative ComplicationsRetrospective StudiesRisk FactorsSurgical InstrumentsLaparoscopic cholecystectomyObesityRisk factorTrocar site hernia

Identifiers

PMID29071498
OpenAlexW2766115985

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.