Evidence map›Paper›PMID 30187090›Full record

SynthesisWorld journal of surgery2019

What Exactly is Meant by "Loss of Domain" for Ventral Hernia? Systematic Review of Definitions.

S G Parker, S Halligan, S Blackburn, A A O Plumb, L Archer, S Mallett, A C J Windsor

Registry-linked trialAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04143776 (Renal- and Pulmonary Function in Relation to Abdominal Hypertension After Abdominal Reconstruction), which is not on this map. Cited by 47 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 3 pooled it
–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.

NCT04143776 withdrawnnot on this mapstarted 2020, after this paper: background citation

Renal- and Pulmonary Function in Relation to Abdominal Hypertension After Abdominal Reconstruction: The REPARE-study

TypeobservationalSponsorBispebjerg HospitalRan2020 to 2020Enrolled0ConditionsHernia, Ventral, Hernia Incisional, Acute Kidney Injury, Restrictive Lung DiseaseArmsAbdominal reconstruction
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. A systematic review of the use of progressive preoperative pneumoperitoneum since its inception.Hernia : the journal of hernias and abdominal wall surgery · 2021
    Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. Article
  7. Renal consequences of complex abdominal wall reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Review
  8. Article
  9. Observational
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Observational
  18. Article
  19. Article
  20. 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

7 authors.

S G ParkerThe Abdominal Wall Unit, University College London Hospital, University College London Hospitals NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK. samgparker@nhs.net.ORCID http://orcid.org/0000-0002-3710-9953
S HalliganUCL Centre for Medical Imaging, Charles Bell House, 43-45 Foley Street, Fitzrovia, London, W1W 7TS, UK.
S BlackburnThe Abdominal Wall Unit, University College London Hospital, University College London Hospitals NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.
A A O PlumbUCL Centre for Medical Imaging, Charles Bell House, 43-45 Foley Street, Fitzrovia, London, W1W 7TS, UK.
L ArcherInstitute of Applied Health Sciences, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
S MallettInstitute of Applied Health Sciences, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
A C J WindsorThe Abdominal Wall Unit, University College London Hospital, University College London Hospitals NHS Foundation Trust, 235 Euston Road, London, NW1 2BU, UK.

Funding

Department of Health PB-PG-0816-20005National Institute of Health Research (NIHR), UK reference: PB-PG-0816-20005National Institute of Health Research (NIHR), UK Research for Patient Benefit programme
6 · The paper itself

Abstract

Large ventral hernias are a significant surgical challenge. "Loss of domain" (LOD) expresses the relationship between hernia and abdominal volume, and is used to predict operative difficulty and success. This systematic review assessed whether different definitions of LOD are used in the literature. The PubMed database was searched for articles reporting large hernia repairs that explicitly described LOD. Two reviewers screened citations and extracted data from selected articles, focusing on the definitions used for LOD, study demographics, study design, and reporting surgical specialty. One hundred and seven articles were identified, 93 full-texts examined, and 77 were included in the systematic review. Sixty-seven articles were from the primary literature, and 10 articles were from the secondary literature. Twenty-eight articles (36%) gave a written definition for loss of domain. These varied and divided into six broad groupings; four described the loss of the right of domain, six described abdominal strap muscle contraction, five described the "second abdomen", five describing large irreducible hernias. Six gave miscellaneous definitions. Two articles gave multiple definitions. Twenty articles (26%) gave volumetric definitions; eight used the Tanaka method [hernia sac volume (HSV)/abdominal cavity volume] and five used the Sabbagh method [(HSV)/total peritoneal volume]. The definitions used for loss of domain were not dependent on the reporting specialty. Our systematic review revealed that multiple definitions of loss of domain are being used. These vary and are not interchangeable. Expert consensus on this matter is necessary to standardise this important concept for hernia surgeons.

Indexed as

Abdominal CavityHernia, VentralHumans

Identifiers

PMID30187090
PMCPMC6329734

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.