Evidence map›Paper›PMID 31148913›Full record

ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons

Laparoscopic Surgeons' Perspectives on Risk Factors for and Prophylaxis of Trocar Site Hernias: A Multispecialty National Survey.

Ali Wells, George J Germanos, Jason L Salemi, Emad Mikhail

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Evaluation of a Novel Trocar-Site Closure Device in Laparoscopic Surgery.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Trial
  3. Article
  4. Article
  5. Review
  6. Thoughts on Trocar Site Hernia Prevention. A Narrative Review.Journal of abdominal wall surgery : JAWS · 2022
    Review
  7. Article
  8. Complications in laparoscopic and robotic-assisted surgery: definitions, classifications, incidence and risk factors - an up-to-date review.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021
    Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Senhance Robotic Platform System for Gynecological Surgery.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

4 authors at 2 institutions in 1 country.

Ali WellsDepartment of Obstetrics and Gynecology, Morsani College of Medicine, University of South Florida, Tampa, FL.
George J GermanosDepartment of Family and Community Medicine, Baylor College of Medicine, Houston, TX.
Jason L SalemiDepartment of Family and Community Medicine, Baylor College of Medicine, Houston, TX.
Emad MikhailDepartment of Obstetrics and Gynecology, Morsani College of Medicine, University of South Florida, Tampa, FL.
Baylor College of Medicine · USUniversity of South Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesAlthough trocar site hernias (TSHs) occur in only 1.5% to 1.8% of all laparoscopic procedures, TSHs can present serious postoperative complications. The purpose of this study was to survey surgeons who are active members of the Society of Laparoendoscopic Surgeons (SLS) to elicit their experiences with TSHs, including fascial closure preferences.

methodsAfter reviewing the clinical and epidemiological literature to compile relevant questions, an anonymous survey was designed using Qualtrics web-based software. The survey link was emailed to all SLS members. Descriptive analyses included frequencies, percentages, and χ

resultsThere were 659 SLS members who completed the survey: 323 general surgeons, 242 gynecologists, 45 colorectal surgeons, 25 bariatric surgeons, and 24 urologists. Nearly 7 in 10 respondents (68.4%) reported at least 1 patient developing a TSH within the previous decade. Compared with other specialties, bariatric surgeons had the smallest proportion of respondents reporting fascial closure for 10- to 12-mm trocars (68%) and the largest proportion indicating no fascial closure for trocars of any size (28%) (

conclusionPort size remains one of the main risk factors for TSH development, with most respondents closing only 10- to 12-mm ports regardless of surgical volume or practice setting. The general trend for port closure for bariatric surgeons is significantly different from that of other surgeons.

Indexed as

SurgeonsSurveys and QuestionnairesAdultFemaleHernia, VentralHumansIncidenceLaparoscopyMaleMiddle AgedPostoperative ComplicationsRisk FactorsSurgical InstrumentsUnited StatesLaparoscopyTrocar site hernia

Identifiers

PMID31148913
PMCPMC6532834
OpenAlexW2947470650

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.