Evidence map›Paper›PMID 32333211›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2021

Primary thoracoabdominal hernias.

M Alayon-Rosario, K Schlosser, T Griscom, W Bolton, A Hall, V Augenstein, W S Cobb, J A Warren, A M Carbonell

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. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Lateral abdominal wall hernias after coughing: a single center experience.Hernia : the journal of hernias and abdominal wall surgery · 2024
    Article
  5. Robotic thoracoabdominal hernia repair: a novel approach.Hernia : the journal of hernias and abdominal wall surgery · 2024
    Article
  6. Radiographic identification of thoracoabdominal hernias.Hernia : the journal of hernias and abdominal wall surgery · 2022
    Article
  7. Article
  8. 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

9 authors.

M Alayon-RosarioDepartment of Surgery, Division of Minima Access and Bariatric Surgery, Prisma Health Upstate, 701 Grove Rd, ST 3, Greenville, SC, 29605, USA.
K SchlosserCarolinas Medical Center, Gastrointestinal and Minimally Invasive Surgery, Carolinas Laparoscopic and Advanced Surgery Program, 1025 Morehead Medical Drive, Suite 300, Charlotte, NC, 28204, USA.
T GriscomCarolinas Medical Center, Gastrointestinal and Minimally Invasive Surgery, Carolinas Laparoscopic and Advanced Surgery Program, 1025 Morehead Medical Drive, Suite 300, Charlotte, NC, 28204, USA.
W BoltonDepartment of Surgery, Division of Thoracic Oncology, Prisma Health Upstate, 701 Grove Rd, ST 3, Greenville, SC, 29605, USA.
A HallDepartment of Surgery, Division of Minima Access and Bariatric Surgery, Prisma Health Upstate, 701 Grove Rd, ST 3, Greenville, SC, 29605, USA.
V AugensteinCarolinas Medical Center, Gastrointestinal and Minimally Invasive Surgery, Carolinas Laparoscopic and Advanced Surgery Program, 1025 Morehead Medical Drive, Suite 300, Charlotte, NC, 28204, USA.
W S CobbDepartment of Surgery, Division of Minima Access and Bariatric Surgery, Prisma Health Upstate, 701 Grove Rd, ST 3, Greenville, SC, 29605, USA.
J A WarrenDepartment of Surgery, Division of Minima Access and Bariatric Surgery, Prisma Health Upstate, 701 Grove Rd, ST 3, Greenville, SC, 29605, USA. jwarrenghs@gmail.com.
A M CarbonellDepartment of Surgery, Division of Minima Access and Bariatric Surgery, Prisma Health Upstate, 701 Grove Rd, ST 3, Greenville, SC, 29605, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrimary thoracoabdominal hernias involve the triad of an intercostal hernia, abdominal wall hernia, and diaphragmatic hernia. We report a case series of this rare entity and describe the evolution and outcomes.

methodsWe completed a retrospective analysis of thoracoabdominal hernia repairs performed January 2010-April 2019 at Prisma Health-Upstate and Carolinas Medical Center. This includes all patients with spontaneous defects, excluding incisional hernias or those resulting from external trauma.

resultsOf 16 patients with thoracoabdominal hernias, 15 patients developed hernias after forceful coughing and one patient developed a hernia after strenuous physical activity. Seven patients required at least one additional intervention; two for recurrence; two for recurrence of original intercostal repairs done elsewhere; two for wound complications; and one had a missed abdominal wall component.

conclusionsPrimary thoracoabdominal hernias require a high index of suspicion. Durable repair involves complex reconstruction of the thoracoabdominal wall including the diaphragm, intercostal space, rib fracture fixation, and mesh reinforcement of the abdominal wall with permanent fixation constructs.

Indexed as

Hernia, VentralHerniorrhaphyFollow-Up StudiesHumansRecurrenceRetrospective StudiesSurgical MeshRib fracture and herniaSpontaneous diaphragm herniaSpontaneous intercostal herniaSpontaneous thoracoabdominal herniaThoracoabdominal hernia

Identifiers

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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.