Evidence map›Paper›PMID 30421299›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2019

Risk factors of postoperative complications after emergency repair of incarcerated groin hernia for adult patients: a retrospective cohort study.

W Dai, Z Chen, J Zuo, J Tan, M Tan, Y Yuan

Open access · hybridAbstract read
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% 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

29 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
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  5. Article
  6. Article
  7. Article
  8. Lightweight versus heavyweight synthetic mesh for inguinal hernia repair.The Cochrane database of systematic reviews · 2025
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  12. X-Ray Visible Protein Scaffolds by Bulk Iodination.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2024
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  16. VOLUMETRIC CLASSIFICATION OF INGUINOSCROTAL SWELLINGS.Annals of Ibadan postgraduate medicine · 2022
    Article
  17. Article
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  20. Open Emergent Groin Hernia Repair: Anterior or Posterior Approach?Journal of abdominal wall surgery : JAWS · 2022
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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.

W DaiCenter of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, People's Republic of China.
Z ChenCenter of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, People's Republic of China.
J ZuoCenter of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, People's Republic of China.
J TanCenter of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, People's Republic of China.
M TanCenter of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, People's Republic of China. tantommy@126.com.
Y YuanCenter of Gastrointestinal Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, 510080, Guangdong Province, People's Republic of China. condor.yyj@gmail.com.ORCID 0000-0001-5786-4377
Sun Yat-sen University · CN

Funding

Guangdong Province science and technology planning project 2016A0103038National Natural Science Foundation of China 81401307
6 · The paper itself

Abstract

purposeThis study aimed to explore risk factors of postoperative complications for adult patients with incarcerated groin hernia (IGH).

methodsFrom January 2010 to December 2017, consecutive patients undergoing emergency hernia repair for IGH in our center were retrospectively reviewed. Postoperative complications, such as surgical site infection, seroma, hernia recurrence and mortality, were investigated, with risk factors for such complications analyzed using univariate and multivariate regressions.

resultsSixty-four patients were included, with 51 males and 13 females (mean age 65.1, range 25-98 years). Ten patients (15.6%) underwent resection of necrotic bowel and anastomosis. 43 patients (67.2%) received open tension-free herniorrhaphy with polypropylene mesh, whereas the rest (32.8%) received herniorrhaphy without mesh. The overall postoperative complication rate was 40.6% (26/64), with an incisional complication rate of 31.2% (20/64) and an infection rate of 6.2% (4/64). At a median follow-up of 32 months, hernia recurrence and mortality were recorded in five cases each (7.8%). Mesh repair was associated with decreased recurrence rate compared with non-mesh repair (2.3% vs. 19.0%, p = 0.019). Diabetes mellitus (OR 8.611, 95%CI 1.292-57.405; p = 0.026) was an independent risk factor of postoperative complications, together with chronic obstructive pulmonary disease (COPD; OR 14.365, 95%CI 1.652-127.767, p = 0.016), intestinal necrosis (OR 14.260, 95%CI 1.079-188.460, p = 0.044), and general anesthesia (OR 14.543, 95%CI 1.682-125.711, p = 0.015) as risk for incisional complications after surgery.

conclusionsDiabetes mellitus was an independent risk factor of postoperative complications for IGH, along with COPD, intestinal necrosis and general anesthesia associated with incisional complications. The use of polypropylene mesh did not increase infection or recurrence rate in this cohort.

Indexed as

AdultAgedAged, 80 and overBiocompatible MaterialsComorbidityEmergenciesFemaleGroinHernia, FemoralHernia, InguinalHerniorrhaphyHumansMaleMiddle AgedPolypropylenesRetrospective StudiesBiocompatible MaterialsPolypropylenesComplicationsHerniorrhaphyIncarcerated groin herniaRisk factorsSynthetic mesh

Identifiers

PMID30421299
PMCPMC6456471
OpenAlexW2901812046

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.