Evidence map›Paper›PMID 29861621›Full record

ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons

Urinary Bladder Matrix Reinforcement for Laparoscopic Hiatal Hernia Repair.

John Zografakis, Gregory Johnston, Jennifer Haas, Lindsay Berbiglia, Tyler Bedford, Justin Spear, Adrian Dan, Mark Pozsgay

Abstract readEvaluation Study
In one paragraph

Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
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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

8 authors.

John ZografakisDepartment of Surgery.
Gregory JohnstonDepartment of Surgery, Mercy St. Vincent Medical Center, Toledo, Ohio, USA.
Jennifer HaasDepartment of Surgery.
Lindsay BerbigliaDepartment of Surgery, Detroit Medical Center, Detroit, Michigan, USA.
Tyler BedfordAdvanced Laparoscopic and Bariatric Surgery, Summa Health, Akron, Ohio, USA.
Justin SpearUniversity of Toledo, Toledo, Ohio, USA.
Adrian DanDepartment of Surgery.
Mark PozsgayDepartment of Surgery.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesSynthetic mesh reinforcement during laparoscopic hiatal hernia repair (LHHR) reduces recurrence. Biologically derived mesh is also associated with reduced recurrence. Urinary bladder matrix (UBM), a biologically derived extracellular matrix mesh, has shown clinical success. We wanted to determine the safety and efficacy of LHHR with porcine UBM reinforcement.

methodsThis retrospective, single-surgeon study reviewed clinical data on patients who underwent LHHR from August 2009 through May 2014, with diaphragmatic reinforcement with porcine UBM mesh. Primary outcomes were (1) recurrence-a >2-cm defect above the diaphragm at 3 months; (2) intra- and postoperative complications; (3) pre- and postoperative esophageal reflux (GERD) or dysphagia; and (4) cessation of proton pump inhibitor (PPI).

resultsSixty-two patients who had LHHR with UBM mesh were studied (mean age, 62 years, 53 women, mean body mass index 32.7 kg/m

conclusionsUBM mesh was effective and safe for LHHR. In addition to reducing the rate of recurrence compared to unreinforced primary repair, the properties of UBM, including site-specific constructive tissue remodeling, may add benefits over other biologic products. This study represents an evaluation of UBM mesh in a large cohort of patients who underwent LHHR.

Indexed as

Extracellular MatrixSurgical MeshUrinary BladderAdultAgedAged, 80 and overAnimalsFemaleFollow-Up StudiesHernia, HiatalHerniorrhaphyHumansLaparoscopyMaleMiddle AgedPostoperative ComplicationsGastroesophageal reflux disease (GERD)Laparoscopic hiatal hernia repairMeshParaesophageal herniaRecurrence

Identifiers

PMID29861621
PMCPMC5958935

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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.