Evidence map›Paper›PMID 30968285›Full record

Observational studyHernia : the journal of hernias and abdominal wall surgery2020

Novel method for delayed primary closure and incisional hernia prevention in open abdomen: COmbined and MOdified Definitive Abdominal wall closure (COMODA).

R Villalobos Mori, Y Maestre González, Mª Mias Carballal, C Gas Ruiz, G Protti Ruiz, A Escartin Arias, J J Olsina Kissler

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study 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 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
0.7field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Dynamic closure techniques for treatment of an open abdomen: an update.Hernia : the journal of hernias and abdominal wall surgery · 2020
    Pooled it
  3. Article
  4. Intra-abdominal hypertension and compartment syndrome after complex hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2024
    Review
  5. 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 at 1 institution in 1 country.

R Villalobos MoriAbdominal Wall Surgery Unit, General Surgery Department, Arnau de Vilanova University Hospital, Lleida University, 80 Rovira Roure Avenue, 25198, Lleida, Catalonia, Spain. rafovilla26@gmail.com.ORCID http://orcid.org/0000-0003-0226-2445
Y Maestre GonzálezAbdominal Wall Surgery Unit, General Surgery Department, Arnau de Vilanova University Hospital, Lleida University, 80 Rovira Roure Avenue, 25198, Lleida, Catalonia, Spain.
Mª Mias CarballalAbdominal Wall Surgery Unit, General Surgery Department, Arnau de Vilanova University Hospital, Lleida University, 80 Rovira Roure Avenue, 25198, Lleida, Catalonia, Spain.
C Gas RuizAbdominal Wall Surgery Unit, General Surgery Department, Arnau de Vilanova University Hospital, Lleida University, 80 Rovira Roure Avenue, 25198, Lleida, Catalonia, Spain.
G Protti RuizAbdominal Wall Surgery Unit, General Surgery Department, Arnau de Vilanova University Hospital, Lleida University, 80 Rovira Roure Avenue, 25198, Lleida, Catalonia, Spain.
A Escartin AriasAbdominal Wall Surgery Unit, General Surgery Department, Arnau de Vilanova University Hospital, Lleida University, 80 Rovira Roure Avenue, 25198, Lleida, Catalonia, Spain.
J J Olsina KisslerAbdominal Wall Surgery Unit, General Surgery Department, Arnau de Vilanova University Hospital, Lleida University, 80 Rovira Roure Avenue, 25198, Lleida, Catalonia, Spain.
Hospital Universitari Arnau de Vilanova · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntended open abdomen is an option in cases of trauma and non-trauma patients. Nevertheless, after primary closure, incisional hernia rate is high. We describe a novel method, called COmbined and MOdified Definitive Abdominal closure (COMODA), a delayed primary closure which prevents incisional hernia.

methodsA negative pressure wound therapy system is combined with a condensed polytetrafluoroethylene (cPTFE) mesh.

trial registrationISRCTN72678033.

resultsTen male patients with a median age of 68.8 (43-87) years were included. Primary closure rate was 100% per protocol. The median number of procedures per patient was 5.7 (5-9). Primary closure was obtained in 20.8 (10-32) days and median hospital stay was 36.3 (18-52) days. Only one patient developed incisional hernia during a median follow-up of 27 (8-60) months.

conclusionCOMODA method allows for a high rate of delayed primary closure. It is safe and decreases the risk for developing an incisional hernia. However, a large number of patients are needed to support this conclusion.

Indexed as

Negative-Pressure Wound TherapySurgical MeshAbdominal WallAdultAgedAged, 80 and overHernia, VentralHumansIncisional HerniaMaleMethylmethacrylatesMiddle AgedOpen Abdomen TechniquesPolytetrafluoroethylenePovidoneMethylmethacrylatespoly(methylmethacrylate-N-vinylpyrrolidone)PolytetrafluoroethylenePovidoneIncisional herniaIntra-abdominal pressureOpen abdomenPrimary closure

Identifiers

PMID30968285
OpenAlexW2938737468

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.