ArticleHernia : the journal of hernias and abdominal wall surgery2021
Computed tomography imaging in ventral hernia repair: can we predict the need for myofascial release?
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. Cited by 32 papers, 4 of them syntheses that pooled it.
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Who cites it
32 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- From imaging to outcomes: evaluating the predictive value of preoperative CT for intra and postoperative outcomes in ventral hernia repair - a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2025Pooled it
- Predictive factors for complexity in abdominal wall hernias: a literature scope review.Revista do Colegio Brasileiro de Cirurgioes · 2024Pooled it
- Prediction models in hernia repair: a systematic review.Surgical endoscopy · 2023Pooled it
- Parastomal hernias after cystectomy and ileal conduit urinary diversion: surgical treatment and the use of prophylactic mesh: a systematic review.BMC surgery · 2022Pooled it
- Use of PERitoneal free flap (PERFF) augmentation in complex ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Anthropometric measurements of the abdominal wall: toward standardization and difficulty grading in rTAPP inguinal.Journal of abdominal wall surgery : JAWS · 2026Article
- Abdominal Wall in Cross-Sectional Imaging as an Essential Knowledge for Radiologists: A Pictorial Review.Cureus · 2025Review
- Article
- Robotic Surgical Procedures for Ventral Hernia Repair.Journal of abdominal wall surgery : JAWS · 2025Review
- eTEP Access Evolving Variants.Journal of abdominal wall surgery : JAWS · 2025Article
- Complex Abdominal Wall Hernias: Structured Use of Adjuvant Therapies.Journal of abdominal wall surgery : JAWS · 2025Article
- Review
- Comparison of open and endoscopic posterior component separation with transversus abdominis release: a propensity score-matched study.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Computed tomography measurements to predict need for robotic transversus abdominis release: a single institution analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Deep learning model utilizing clinical data alone outperforms image-based model for hernia recurrence following abdominal wall reconstruction with long-term follow up.Surgical endoscopy · 2024Article
- Robotic transversus abdominis release using HUGO RAS system: our initial experience.Surgical endoscopy · 2024Article
- Article
- Volumetry after botulinum toxin A: the impact on abdominal wall compliance and endotracheal pressure.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- Midline incisional hernia guidelines: the European Hernia Society.The British journal of surgery · 2023Article
- CT-measured hernia parameters can predict component separation: a cross-sectional study from China.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCurrently, the need for additional myofascial release (AMR) in addition to retromuscular dissection during open Rives-Stoppa hernia repair is determined intraoperatively based on the discretion of the surgeon. We developed a novel method to objectively predict the need for AMR preoperatively using computed tomography (CT)-measured rectus width to hernia width ratio (RDR).
methodsA retrospective chart review of all patients who underwent open retro-muscular mesh repair of midline ventral hernia between August 1, 2007 and February 1, 2018, who had a preoperative CT scan within 1 year prior to their operation. The primary endpoint was the ability of the defect ratio to predict the need for AMR in pursuit of fascial closure. The secondary endpoint was the ability of Component Separation Index (CSI) to predict the need for AMR to obtain fascial closure.
resultsOf 342 patients, 208 repaired with rectus abdominis release alone (RM group), while 134 required AMR (RM + group). An RDR of > 1.34 on area under the curve analysis predicted the need for AMR with 77.6% accuracy. There was a linear decrease in the need for AMR with increasing RDR: RDR < 1 required AMR in 78.8% of cases, RDR 1.1-1.49 in 52%, RDR 1.5-1.99 in 32.1%, and RDR > 2 in just 10.8%. Similarly, CSI > 0.146 predicted the need for AMR with 76.3% accuracy on area under the curve analysis.
conclusionThe RDR is a practical and reliable tool to predict the ability to close the defect during open Rives-Stoppa ventral hernia repair without AMR. An RDR of > 2 portends fascial closure with rectus abdominis myofascial release alone in 90% of cases.
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