Evidence map›Paper›PMID 30980102›Full record

ArticleWorld journal of surgery2019

Risk Factors for Incarceration in Patients with Primary Abdominal Wall and Incisional Hernias: A Prospective Study in 4472 Patients.

Dimitri Sneiders, Yagmur Yurtkap, Leonard F Kroese, Gert-Jan Kleinrensink, Johan F Lange, Jean-François Gillion, Hernia-Club Members

Registry-linked trialOpen access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04785430 (Incarceration Risk Factors in Inguinal Hernia.Prospective Observational Clinical Trial.), which is not on this map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
4.4field-weighted citation impact, top 5% 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.

NCT04785430 unknown statusnot on this mapstarted 2021, after this paper: background citation

Incarceration Risk Factors in Inguinal Hernia.Prospective Observational Clinical Trial.

Typeobservational_patient_registrySponsorBakirkoy Dr. Sadi Konuk Research and Training HospitalRan2021 to 2023Enrolled100ConditionsIncarcerated Inguinal Hernia, Strangulated Inguinal Hernia, Inguinal Hernia
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  6. Article
  7. Article
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  11. Risk factors for incarceration in groin hernia: a prospective observational study.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Observational
  12. Article
  13. Mapping the therapeutic landscape in emergency incisional hernia: a scoping review.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Operative management of non-elective incisional hernia reduces readmission in a national database.Hernia : the journal of hernias and abdominal wall surgery · 2023
    Article
  20. 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 3 institutions in 1 country.

Dimitri Sneiders *Department of Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands. d.sneiders@erasmusmc.nl.
Yagmur Yurtkap *Department of Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.
Leonard F KroeseDepartment of Surgery, Reinier de Graaf Gasthuis, Delft, The Netherlands.
Gert-Jan KleinrensinkDepartment of Neuroscience and Anatomy, Erasmus University Medical Center, Rotterdam, The Netherlands.
Johan F LangeDepartment of Surgery, Erasmus University Medical Center, Rotterdam, The Netherlands.
Jean-François GillionUnité de Chirurgie Viscérale et Digestive, Hôpital Privé d'Antony, Antony, France.
Hernia-Club Members
Erasmus MC · NLIJsselland Ziekenhuis · NLReinier de Graaf Hospital · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncarceration of primary and incisional hernias often results in emergency surgery. The objective of this study was to evaluate the relation of defect size and location with incarceration. Secondary objectives comprised identification of additional patient factors associated with an incarcerated hernia.

methodsA registry-based prospective study was performed of all consecutive patients undergoing hernia surgery between September 2011 and February 2016. Multivariate logistic regression was performed to identify risk factors for incarceration.

resultsIn total, 83 (3.5%) of 2352 primary hernias and 79 (3.7%) of 2120 incisional hernias had a non-reducible incarceration. For primary hernias, a defect width of 3-4 cm compared to defects of 0-1 cm was significantly associated with an incarcerated hernia (OR 2.85, 95% CI 1.57-5.18, p = 0.0006). For incisional hernias, a defect width of 3-4 cm compared to defects of 0-2 cm was significantly associated with an incarceration (OR 2.14, 95% CI 1.07-4.31, p = 0.0324). For primary hernias, defects in the peri- and infra-umbilical region portrayed a significantly increased odds for incarceration as compared to supra-umbilical defects (OR 1.98, 95% CI 1.02-3.85, p = 0.043). Additionally, in primary hernias age, BMI, and constipation were associated with incarceration. In incisional hernias age, BMI, female sex, diabetes mellitus and ASA classification were associated with incarceration.

conclusionFor primary and incisional hernias, mainly defects of 3-4 cm were associated with incarceration. For primary hernias, mainly defects located in the peri- and infra-umbilical region were associated with incarceration. Based on patient and hernia characteristics, patients with increased odds for incarceration may be selected and these patients may benefit from elective surgical treatment.

Indexed as

Abdominal WallAdultAgedElective Surgical ProceduresFemaleHernia, VentralHumansIncisional HerniaMaleMiddle AgedProspective StudiesRegistriesRisk FactorsYoung Adult

Identifiers

PMID30980102
OpenAlexW2938481552

What OpenQuestion holds

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Registered trials

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.