Evidence map›Paper›PMID 29349615›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2018

Long-term follow-up (at 5 years) of midline incisional hernia repairs using a primary closure and prosthetic onlay technique: recurrence and quality of life.

M Juvany, C Hoyuela, F Carvajal, M Trias, A Martrat, J Ardid

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Article in Hernia : the journal of hernias and abdominal wall surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
3.8field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Ventral hernia is a chronic disease: a systematic review of long-term outcomes beyond 5 years.Hernia : the journal of hernias and abdominal wall surgery · 2025
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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

6 authors at 1 institution in 1 country.

M JuvanyDepartment of General and Digestive Surgery, Hospital Plató Barcelona, Universitat Autònoma Barcelona, Plató 21, 08006, Barcelona, Spain. mjuvanygomez@gmail.com.
C HoyuelaDepartment of General and Digestive Surgery, Hospital Plató Barcelona, Universitat Autònoma Barcelona, Plató 21, 08006, Barcelona, Spain.
F CarvajalDepartment of General and Digestive Surgery, Hospital Plató Barcelona, Universitat Autònoma Barcelona, Plató 21, 08006, Barcelona, Spain.
M TriasDepartment of General and Digestive Surgery, Hospital Plató Barcelona, Universitat Autònoma Barcelona, Plató 21, 08006, Barcelona, Spain.
A MartratDepartment of General and Digestive Surgery, Hospital Plató Barcelona, Universitat Autònoma Barcelona, Plató 21, 08006, Barcelona, Spain.
J ArdidDepartment of General and Digestive Surgery, Hospital Plató Barcelona, Universitat Autònoma Barcelona, Plató 21, 08006, Barcelona, Spain.
Hospital Plató · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

INTRODUCTION AND

objectivesThe recurrence rate of incisional hernia (IH) repair is usually underestimated due to a lack of long-term follow-up. The objective of this study was to evaluate recurrence rate for patients operated on midline IH surgery, using a primary closure and prosthetic onlay technique, 5 years after the procedure. MATERIALS AND

methodsFrom January 2009 to January 2011, all 92 patients operated on elective midline IH repair by primary closure and prosthetic onlay technique in a General Surgery Department were retrospectively included in the study. Exclusion criteria were absence of follow-up or death. Recurrence rate and quality of life were assessed. Demographic, surgical data and quality of life in patients with and without 5-year recurrence were compared.

resultsMean follow-up was 64 months. Ultimately, 76 patients were included in the study, representing 82% of the selected patients during the study period (76/92), of whom 24 presented a recurrence (32%). Half (12) were diagnosed for recurrence more than 3 years after the surgery. Patients who developed a recurrence had more percentage of obesity (64 vs. 29%, p = 0.016), which denoted an odds ratio (OR) for recurrence of 4.4 (1.2-15.7; p = 0.01) and they punctuated lower in quality of life (6.0 ± 2.9 vs. 7.6 ± 2.6, p = 0.006).

conclusionsRecurrence rate on midline IH repair is still a concern (32% at 5 years). It is advisable to look for other strategies and more efficient surgical techniques for IH surgery, especially in obese patients.

Indexed as

HerniorrhaphyLong Term Adverse EffectsPostoperative ComplicationsQuality of LifeWound Closure TechniquesAdultAgedElective Surgical ProceduresFemaleFollow-Up StudiesHumansIncisional HerniaMaleMiddle AgedOutcome Assessment, Health CarePatient Outcome AssessmentIncisional herniaObesityQuality of lifeRecurrent hernia

Identifiers

PMID29349615
OpenAlexW2787559907

What OpenQuestion holds

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Read underepoch 390

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.