Evidence map›Paper›PMID 30737622›Full record

Trial reportHernia : the journal of hernias and abdominal wall surgery2019

One-year outcome after repair of giant incisional hernia using synthetic mesh or full-thickness skin graft: a randomised controlled trial.

V Holmdahl, B Stark, L Clay, U Gunnarsson, K Strigård

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report 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 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

12 citing papers in PubMed.

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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

5 authors.

V HolmdahlDepartment of Surgery and Perioperative Sciences, Umeå University, Daniel Naezéns väg, 90185, Umeå, Sweden. viktor.holmdahl@umu.se.ORCID http://orcid.org/0000-0002-8424-4883
B StarkDepartment of Molecular Medicine and Surgery, Karolinska Institute, Solna, Sweden.
L ClayDepartment of Clinical Science and Education, Karolinska Institute, Solna, Sweden.
U GunnarssonDepartment of Surgery and Perioperative Sciences, Umeå University, Daniel Naezéns väg, 90185, Umeå, Sweden.
K StrigårdDepartment of Surgery and Perioperative Sciences, Umeå University, Daniel Naezéns väg, 90185, Umeå, Sweden.

Funding

Vetenskapsrådet 2014-7196
6 · The paper itself

Abstract

purposeRepair of giant incisional hernia often requires complex surgery and the results of conventional methods using synthetic mesh as reinforcement are unsatisfactory, with high recurrence and complication rates. Our hypothesis was that full-thickness skin graft (FTSG) provides an alternative reinforcement material for giant incisional hernia repair and that outcome is improved. The aim of this study was to compare FTSG with conventional materials currently used as reinforcement in the repair of giant incisional hernia.

methodsA prospective randomised controlled trial was conducted, comparing FTSG with synthetic mesh as reinforcement in the repair of giant (> 10 cm minimum width) incisional hernia. One-year follow-up included a blinded clinical examination by a surgeon and objective measurements of abdominal muscle strength using the Biodex-4 system.

results52 patients were enrolled in the study: 24 received FTSG and 28 synthetic mesh. Four recurrences (7.7%) were found at 1-year follow-up, two in each group. There were no significant differences regarding pain, patient satisfaction or aesthetic outcome between the groups. Strength in the abdominal wall was not generally improved in the study population and there was no significant difference between the groups.

conclusionThe outcome of repair of giant incisional hernia using FTSG as reinforcement is comparable with repair using synthetic mesh. This suggests that FTSG may have a future place in giant incisional hernia repair.

Indexed as

Skin TransplantationAbdominal WallAgedEstheticsFemaleFollow-Up StudiesHernia, VentralHumansIncisional HerniaMaleMiddle AgedPatient SatisfactionProspective StudiesRecurrenceSurgical MeshAbdominal muscle strengthFull-thickness skinIncisional herniaRecurrence rateVentral hernia

Identifiers

PMID30737622
PMCPMC6456465

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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.