Evidence map›Paper›PMID 31375948›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2021

Does perfusion matter? Preoperative prediction of incisional hernia development.

B O Aicher, J Woodall, B Tolaymat, C Calvert, T S Monahan, S Toursavadkohi

Abstract read
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In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

6 authors at 1 institution in 1 country.

B O AicherDivision of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, 22 South Greene Street, S8B02, Baltimore, MD, 21201, USA. baicher@som.umaryland.edu.ORCID 0000-0002-3714-2593
J WoodallDivision of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, 22 South Greene Street, S8B02, Baltimore, MD, 21201, USA.
B TolaymatDivision of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, 22 South Greene Street, S8B02, Baltimore, MD, 21201, USA.
C CalvertDivision of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, 22 South Greene Street, S8B02, Baltimore, MD, 21201, USA.
T S MonahanDivision of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, 22 South Greene Street, S8B02, Baltimore, MD, 21201, USA.
S ToursavadkohiDivision of Vascular Surgery, Department of Surgery, University of Maryland School of Medicine, 22 South Greene Street, S8B02, Baltimore, MD, 21201, USA.
University of Maryland, Baltimore · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIncisional hernias complicate 12-15% of general surgery cases with higher rates reported after laparotomy for aortoiliac occlusive disease (10-17%) and aneurysmal disease (17-38%). We hypothesize that inadequate perfusion of the abdominal wall promotes future hernia development.

methodsThirty-eight patients undergoing midline laparotomy or thoracoabdominal approach for aortic disease with at least 2 years of follow-up were included in the study. Preoperative imaging was reviewed to assess vessel patency, contributing to the abdominal wall perfusion. Patency of the superior epigastric artery was determined at the T10 level, the inferior epigastric artery at the L4 level, and the deep circumflex iliac artery at the anterior superior iliac spine. Lumbar arteries were considered patent if they were seen branching from the aorta. Clinic notes and hospital medical records were reviewed to evaluate the hernia development post-procedure.

resultsThirteen patients (34%) developed an incisional hernia. Absent flow from bilateral superior epigastric arteries or absent flow from ipsilateral superior and inferior epigastric arteries was found to be predictive of hernia development (P = 0.013, 0.011, respectively). There was no association identified with perfusion from the lumbar or deep circumflex iliac arteries.

conclusionsAbsent patency of the abdominal wall vasculature is a novel risk factor for incisional hernia development in the setting of aortic disease. Preoperative assessment of perfusion may convey the risk of hernia development and may be a tool to guide measures such as prophylactic mesh placement to reduce the future risk of incisional hernia.

Indexed as

Abdominal WallHernia, VentralIncisional HerniaHerniorrhaphyHumansPerfusionSurgical MeshAbdominal wall perfusionAortic surgeryVentral hernia

Identifiers

PMID31375948
OpenAlexW2966405187

What OpenQuestion holds

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Registered trials

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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.