Evidence map›Paper›PMID 31813114›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2021

Peritoneal flap hernioplasty for reconstruction of transverse incisional hernias.

M F Nielsen, A de Beaux, D Damaskos, B Tulloh

Registry-linked trialAbstract read
PubMed Publisher
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. It is linked to trial NCT05734222 (Optimization of Surgical Treatment of Patients With Postoperative Median and Median-lateral Ventral Hernias), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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.

NCT05734222 narecruitingnot on this mapstarted 2022, after this paper: background citation

Optimization of Surgical Treatment of Patients With Postoperative Median and Median-lateral Ventral Hernias

TypeinterventionalSponsorSamara State Medical UniversityRan2022 to 2025Enrolled110ConditionsHernia, Ventral, Hernias Intestinal, Hernia Abdominal WallArmsA new method of repair of the abdominal wall of mid-lateral postoperative ventral hernias
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. [Management of lateral abdominal wall hernias].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2022
    Review
  10. An extraperitoneal approach for complex flank, iliac, and lumbar hernia.Hernia : the journal of hernias and abdominal wall surgery · 2021
    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.

M F NielsenDepartment of Upper GI Surgery, Royal Infirmary of Edinburgh, 51 Little France Cres, Edinburgh, E16 4SA, Scotland, UK. michael.nielsen@nhslothian.scot.nhs.uk.ORCID 0000-0003-0948-1202
A de BeauxDepartment of Upper GI Surgery, Royal Infirmary of Edinburgh, 51 Little France Cres, Edinburgh, E16 4SA, Scotland, UK.
D DamaskosDepartment of Upper GI Surgery, Royal Infirmary of Edinburgh, 51 Little France Cres, Edinburgh, E16 4SA, Scotland, UK.
B TullohDepartment of Upper GI Surgery, Royal Infirmary of Edinburgh, 51 Little France Cres, Edinburgh, E16 4SA, Scotland, UK.
Edinburgh Royal Infirmary · GBNHS Lothian · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRepair of transverse incisional hernias is a surgical challenge with current methods of abdominal wall reconstruction. The peritoneal flap hernioplasty addresses this problem using flaps of hernial sac to bridge the fascial gap and isolate the mesh from both the intraperitoneal contents and the subcutaneous space exploiting the retro-rectus space medially and the avascular plane between the internal and external oblique muscles laterally. The operative technique and long-term results of 80 consecutive cases with transverse incisional hernias undergoing repair with this method are reported.

methodsPatients undergoing elective peritoneal flap hernioplasty repair for transverse incisional hernias from Jan. 1, 2010 to Dec. 31, 2014 were identified from the Lothian Surgical Audit system, a prospectively-maintained computer database of all surgical procedures in the Edinburgh region of south-east Scotland. Patient demographics and clinical data were obtained from the hospital case-notes. Follow-up data were obtained in May 2019 from hospital records and telephone interview.

results80 patients, (n = 53 male, 66%) were identified. Mean follow-up was 83 months (range 55-114 months) and mean postoperative stay was 6.4 days (range 1-23 days). Eleven repairs (14%) were for recurrent hernia. Mean mesh size applied (Optilene Elastic, 48 g/m

conclusionThe peritoneal flap hernioplasty is associated with few complications and a very low recurrence rate. We propose this technique as the method of choice for reconstruction of transverse abdominal incisional hernias when primary fascial apposition is not possible.

Indexed as

Hernia, VentralIncisional HerniaHerniorrhaphyHumansMalePeritoneumPostoperative ComplicationsRecurrenceSurgical MeshOutcomePeritoneal flap hernioplastyPostoperative complicationTransverse abdominal wall defectVentral hernia

Identifiers

PMID31813114
OpenAlexW2994435336

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.