Evidence map›Paper›PMID 30771032›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2019

Robotic retromuscular ventral hernia repair and transversus abdominis release: short-term outcomes and risk factors associated with perioperative complications.

F Gokcal, S Morrison, O Y Kudsi

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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 25 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 4 pooled it
7.7field-weighted citation impact, top 2% 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

25 citing papers in PubMed, 4 syntheses or guidelines pooled it, 50 citations in OpenAlex.

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  17. Outcomes of redo-transversus abdominis release for abdominal wall reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2021
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  18. Review
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  20. Lateral approach totally extraperitoneal (TEP) robotic retromuscular ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2021
    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

3 authors at 1 institution in 1 country.

F GokcalGood Samaritan Medical Center, Tufts University School of Medicine, One Pear Street, Brockton, MA, 02301, USA.
S MorrisonGood Samaritan Medical Center, Tufts University School of Medicine, One Pear Street, Brockton, MA, 02301, USA.
O Y KudsiGood Samaritan Medical Center, Tufts University School of Medicine, One Pear Street, Brockton, MA, 02301, USA. omar.kudsi@tufts.edu.ORCID http://orcid.org/0000-0001-6723-0909
Tufts University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRetromuscular ventral hernia repairs have become increasingly popular, both with and without transversus abdominis release. We aim to describe our 90-day outcomes in patients who underwent robotic retromuscular ventral hernia repair (RRVHR).

methodsAll patients were subcategorized into those who underwent a TAR (TAR+) as part of their repair, and those who did not (TAR-). Patient demographics, comorbidities, hernia characteristics, and LOS were studied. Perioperative complications were reviewed in four different time frames up to 90 days. All hernias and complications were classified using the recommended classification systems. Appropriate univariate analyses and multivariate regression analyses were performed to determine the hernia characteristics which required a TAR technique, and risk factors which associated with the development of complications.

resultsOf 454 robotic ventral hernia repairs, 101 patients who underwent RRVHR were included into the study. Of these, 54 patients underwent RRVHR with TAR while the remaining 47 patients underwent repair without TAR. Incisional hernias, off-midline locations, and larger size defects were factors that required the addition of a TAR. In 9.9% patients, an unplanned TAR was performed. Postoperative pain assessment was similar in both groups. LOS was significantly longer for TAR + group (p < 0.001). The median Comprehension Complication Index

conclusionRRVHR is safe and feasible. 9.9% of our cohort required a TAR that was unplanned, particularly incisional hernias. TAR patients may be more prone to complications in the immediate post-operative period, however, the difference between patients with and without TAR adjuncts resolved at 90 days.

Indexed as

Abdominal MusclesAdultCohort StudiesFemaleHernia, VentralHerniorrhaphyHumansIncisional HerniaMaleMiddle AgedPostoperative PainRisk FactorsRobotic Surgical ProceduresSurgical MeshIncisional herniaRetromuscularRetrorectusRives–StoppaRobot-assisted laparoscopySublayTransversus abdominis releaseVentral hernia repair

Identifiers

PMID30771032
OpenAlexW2914425826

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.