Evidence map›Paper›PMID 29882170›Full record

Trial reportHernia : the journal of hernias and abdominal wall surgery2018

Laparoscopic versus hybrid approach for treatment of incisional ventral hernia: a prospective randomized multicenter study of 1-month follow-up results.

M Ahonen-Siirtola, T Nevala, J Vironen, J Kössi, T Pinta, S Niemeläinen, U Keränen, J Ward, P Vento, J Karvonen and 3 more

Registry-linked trialOpen access · greenAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report 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. It is linked to trial NCT02542085 (Comparison of Hybrid and Laparoscopic Incisional Hernia Repair), which is not on this map. Cited by 23 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 6 pooled it
4.5field-weighted citation impact, top 5% 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.

NCT02542085 naunknown statusnot on this map

Comparison of Hybrid and Laparoscopic Incisional Hernia Repair: A Prospective Randomized Multicentre Study

TypeinterventionalSponsorOulu University HospitalRan2012 to 2016Enrolled160ConditionsIncisional HerniaArmsLaparoscopic repair, Hybrid repair
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 6 syntheses or guidelines pooled it, 35 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

13 authors at 6 institutions in 1 country.

M Ahonen-SiirtolaDivision of Gastroenterology, Department of Surgery, Oulu University Hospital, PL 21, 90029, Oulu, Finland. mirella.ahonen@oulu.fi.
T NevalaDepartment of Radiology, Oulu University Hospital, Oulu, Finland.
J VironenDepartment of Surgery, Helsinki University Hospital, Helsinki, Finland.
J KössiDepartment of Surgery, Päijät-Häme Central Hospital, Lahti, Finland.
T PintaDepartment of Surgery, Seinäjoki Central Hospital, Seinäjoki, Finland.
S NiemeläinenDepartment of Surgery, Valkeakoski Regional Hospital, Valkeakoski, Finland.
U KeränenDepartment of Surgery, Helsinki University Hospital, Helsinki, Finland.
J WardDepartment of Surgery, Päijät-Häme Central Hospital, Lahti, Finland.
P VentoDepartment of Surgery, Kymenlaakso Central Hospital, Kotka, Finland.
J KarvonenDepartment of Surgery, Turku University Hospital, Turku, Finland.
P OhtonenDivision of Gastroenterology, Department of Surgery, Oulu University Hospital, PL 21, 90029, Oulu, Finland.
J MäkeläDivision of Gastroenterology, Department of Surgery, Oulu University Hospital, PL 21, 90029, Oulu, Finland.
T RautioDivision of Gastroenterology, Department of Surgery, Oulu University Hospital, PL 21, 90029, Oulu, Finland.
Oulu University Hospital · FIHelsinki University Hospital · FIPäijät-Hämeen Keskussairaala · FIKymenlaakson keskussairaala · FISeinäjoki University of Applied Sciences · FITurku University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe seroma rate following laparoscopic incisional ventral hernia repair (LIVHR) is up to 78%. LIVHR is connected to a relatively rare but dangerous complication, enterotomy, especially in cases with complex adhesiolysis. Closure of the fascial defect and extirpation of the hernia sack may reduce the risk of seromas and other hernia-site events. Our aim was to evaluate whether hybrid operation has a lower rate of the early complications compared to the standard LIVHR.

methodsThis is a multicenter randomized-controlled clinical trial. From November 2012 to May 2015, 193 patients undergoing LIVHR for primary incisional hernia with fascial defect size from 2 to 7 cm were recruited in 11 Finnish hospitals. Patients were randomized to either a laparoscopic (LG) or to a hybrid (HG) repair group. The outcome measures were the incidence of clinically and radiologically detected seromas and their extent 1 month after surgery, peri/postoperative complications, and pain.

resultsBulging was observed by clinical evaluation in 46 (49%) LG patients and in 27 (31%) HG patients (p = 0.022). Ultrasound examination detected more seromas (67 vs. 45%, p = 0.004) and larger seromas (471 vs. 112 cm

conclusionClosure of the fascial defect and extirpation of the hernia sack reduce seroma formation. In hybrid operations, the risk of enterotomy seems to be lower than in laparoscopic repair, which should be considered in cases with complex adhesions. CLINICAL TRIAL NUMBER: NCT02542085.

Indexed as

AgedFemaleFollow-Up StudiesHand-Assisted LaparoscopyHernia, VentralHerniorrhaphyHumansIncisional HerniaIntraoperative ComplicationsLaparoscopyMaleMiddle AgedProspective StudiesSeromaSurgical MeshEnterotomyHybridIncisional ventral herniaSeroma formation

Identifiers

PMID29882170
OpenAlexW2806068626

What OpenQuestion holds

Textmetadata
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.