Evidence map›Paper›PMID 30560390›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2020

Closed-incision negative-pressure therapy decreases complications in ventral hernia repair with concurrent panniculectomy.

S C Diaconu, C H L McNichols, L M Ngaage, Y Liang, E Ikheloa, J Bai, M P Grant, A J Nam, Y M Rasko

Abstract read
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In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
2.8field-weighted citation impact, top 9% 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

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

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  16. Panniculectomy: Practical Pearls and Pitfalls.Plastic and reconstructive surgery. Global open · 2020
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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

9 authors at 2 institutions in 1 country.

S C DiaconuDivision of Plastic, Reconstructive, and Maxillofacial Surgery, R Adams Cowley Shock Trauma Center, 110 S. Paca St., 21201, Baltimore, MD, USA.
C H L McNicholsDivision of Plastic and Reconstructive Surgery, University of Maryland Medical Center, 22 South Greene St., S8D18, 21201, Baltimore, MD, USA.
L M NgaageDivision of Plastic and Reconstructive Surgery, University of Maryland Medical Center, 22 South Greene St., S8D18, 21201, Baltimore, MD, USA.
Y LiangDivision of Plastic and Reconstructive Surgery, University of Maryland Medical Center, 22 South Greene St., S8D18, 21201, Baltimore, MD, USA.
E IkheloaDivision of Plastic and Reconstructive Surgery, University of Maryland Medical Center, 22 South Greene St., S8D18, 21201, Baltimore, MD, USA.
J BaiDivision of Plastic and Reconstructive Surgery, University of Maryland Medical Center, 22 South Greene St., S8D18, 21201, Baltimore, MD, USA.
M P GrantDivision of Plastic, Reconstructive, and Maxillofacial Surgery, R Adams Cowley Shock Trauma Center, 110 S. Paca St., 21201, Baltimore, MD, USA.
A J NamDivision of Plastic, Reconstructive, and Maxillofacial Surgery, R Adams Cowley Shock Trauma Center, 110 S. Paca St., 21201, Baltimore, MD, USA.
Y M RaskoDivision of Plastic and Reconstructive Surgery, University of Maryland Medical Center, 22 South Greene St., S8D18, 21201, Baltimore, MD, USA. yrasko@som.umaryland.edu.
University of Maryland, Baltimore · USUniversity of Maryland Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeVentral hernia repair with concurrent panniculectomy (VHR-PAN) is associated with high wound complication rates despite reported increased patient satisfaction. Some surgeons believe negative-pressure therapy after primary closure of the surgical incision (ciNPT) may lower wound complications in high-risk abdominal wounds. This study aims to evaluate if ciNPT improves outcomes in patients undergoing VHR-PAN.

methodsAn 8-year retrospective cohort study was performed on patients who underwent VHR-PAN. Patients were divided into two groups: those who received closed-incision negative-pressure therapy ("ciNPT") and those who received standard sterile dressings ("SSD"). The primary outcome of interest was the rate of postoperative complications between these groups. Complications were subdivided into surgical site occurrences (which included surgical site occurrences that required an intervention), return to the operating room, and hernia recurrence.

resultsA total of 104 patients were analyzed: 62 in the ciNPT group and 42 in the SSD group. Median follow-up duration was similar between both groups (182 days vs 195 days, p = 0.624). Patients in the ciNPT group had fewer total complications (57% vs. 83%, p = 0.004) and fewer SSO (47% vs. 69%, p = 0.025). However, no differences were noted when comparing individual complications (SSI, wound dehiscence, skin necrosis, chronic wound, seroma, and hematoma). There was no difference in return to the operating room (27% vs. 26%, p = 0.890) or hernia recurrence (21% vs 19%, p = 0.811). Multivariate analysis showed that ciNPT decreased the risk of SSOPI nearly fourfold (odds ratio 0.28, 95% CI = 0.09-0.87, p = 0.027).

conclusionsThis study showed that closed-incision negative-pressure therapy in ventral hernia repair with concurrent panniculectomy may decrease the rate of wound complications in this high-risk population.

Indexed as

AbdominoplastyHerniorrhaphyNegative-Pressure Wound TherapyAbdominal Wound Closure TechniquesAdultCohort StudiesFemaleHernia, VentralHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesClosed-incision negative-pressure therapyOutcomesPanniculectomyVentral hernia

Identifiers

PMID30560390
OpenAlexW2904754309

What OpenQuestion holds

Textmetadata
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.