Evidence map›Paper›PMID 31055707›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2019

Intraoperative hypertonic saline irrigation preventing seroma formation and reducing drain secretion in extended endoscopic hernia and linea alba reconstruction glue.

M Dudai, K Gilboa Ittah

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

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. It is linked to trial NCT07733921 (Effect of Irrigation of Triamcinolone Versus Hypertonic Saline in Decreasing Seroma Post Abdominoplasty), which is not on this map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 12% 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.

NCT07733921 nacompletednot on this mapstarted 2023, after this paper: background citation

Effect of Irrigation of Triamcinolone Versus Hypertonic Saline in Decreasing Seroma Post Abdominoplasty

TypeinterventionalSponsorCairo UniversityRan2023 to 2025Enrolled90ConditionsSeroma FormationArmsIrrigation of Triamcinolone, Hypertonic Saline 10%, Control
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
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  17. Triple-Action Seroma Prevention Protocol in Subcutaneous Onlay Endoscopic Repair.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    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

2 authors at 1 institution in 1 country.

M DudaiDepartment of Surgery, MERAV Medical Center, Bat-Yam, Israel. moshe.dudai@gmail.com.
K Gilboa IttahDepartment of Surgery, MERAV Medical Center, Bat-Yam, Israel.
Yehuda Abarbanel Mental Health Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSubcutaneous Seroma formation (SF) is commonly seen after abdominal wall Hernia surgeries and reconstructive surgeries due to large dissecting dead space and is associated with increased morbidity. SF is common particularly after big abdominal wall hernia repairs and its treatment can be challenging and long. Current prevention methods are not consistent and the treatment includes repeated aspirations and drains, both are associated with higher risk for infections. The purpose of this article is to present a novel and simple technique of Intraoperative Hypertonic Saline Irrigation (IHSI) to abdominal wall subcutaneous large dead space, which prevent postoperative SF and enables early drain removal due to reduced secretions.

methodsEight patients undergone the Extended Endoscopic Hernia & Linea Alba Reconstruction Glue surgery (eEHLARglue), for Ventral Hernias (VH) and Rectus Muscles Separation (RMS). An extensive Endoscopic 450cm

resultsOur early results with all our patients show seroma prevention, lower secretion rate of 20 cc in 10 h and drain removal within 20-24 h.

conclusionsIHSI enhance adhesion formation and reduce secretion rate in wide subcutaneous dissection space like in eEHLARglue, therefore enables early drain removal and prevent SF. As a result, reducing overall morbidity and hospitalization period, decreasing inconveniency and cost saving of multiple outpatient visits or additional surgery. This simple technique could be used in other potential postoperative SF surgeries. Further larger study with a longer follow up is advised.

Indexed as

Abdominal WallAdultDrainageEndoscopyFemaleFibrin Tissue AdhesiveHernia, VentralHerniorrhaphyHumansMaleMiddle AgedPlastic Surgery ProceduresPostoperative ComplicationsSeromaSurgical MeshTherapeutic IrrigationFibrin Tissue AdhesiveAbdominal wallDiastasis rectaiiDrain irrigationExtended endoscopic hernia and linea alba reconstruction glueHypertonic SalineIntraoperativeRectus muscles separationSclerosantSeromaVentral and umbilical hernia

Identifiers

PMID31055707
OpenAlexW2943434817

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.