Evidence map›Paper›PMID 32556700›Full record

SynthesisSurgical endoscopy2020

Mesh-related complications in paraoesophageal repair: a systematic review.

Calista Spiro, Natalie Quarmby, Siva Gananadha

Registry-linked trialAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Surgical endoscopy, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06444347 (The Impact of Biosynthetic Mesh on Paraesophageal Hernia Repair in Robotic Anti-Reflux Surgery), which is not on this map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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.

NCT06444347 narecruitingnot on this mapstarted 2024, after this paper: background citation

The Impact of Biosynthetic Mesh on Paraesophageal Hernia Repair in Robotic Anti-Reflux Surgery: A Multi-Institutional Randomized Trial

TypeinterventionalSponsorWeill Medical College of Cornell UniversityRan2024 to 2030Enrolled200ConditionsHiatal HerniaArmsBiosynthetic Mesh, Hiatal Hernia Repair
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. When helpful becomes harmful: a case-based narrative review of esophageal mesh migration after hiatal hernia repair.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2025
    Review
  8. Review
  9. Observational
  10. ENDOSCOPIC MANAGEMENT OF MESH MIGRATION FOLLOWING HIATAL HERNIA REPAIR.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024
    Article
  11. Article
  12. Comment to: Laparoscopic posterior cruroplasty: a patient tailored approach. Authors' reply.Hernia : the journal of hernias and abdominal wall surgery · 2023
    Article
  13. Article
  14. Article
  15. LAPAROSCOPIC ANTIREFLUX SURGERY: ARE OLD QUESTIONS ANSWERED? MESH HERNIOPLASTY.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2023
    Article
  16. Article
  17. Article
  18. Medium-term safety and efficacy profile of paraesophageal hernia repair with Phasix-STHernia : the journal of hernias and abdominal wall surgery · 2022
    Observational
  19. 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

3 authors at 3 institutions in 1 country.

Calista SpiroCalvary Bruce Public Hospital, Bruce, ACT, Australia. calista.spiro@gmail.com.ORCID http://orcid.org/0000-0002-3469-7390
Natalie QuarmbyCalvary Bruce Public Hospital, Bruce, ACT, Australia.
Siva GananadhaCalvary Bruce Public Hospital, Bruce, ACT, Australia.
Austin Hospital · AUCalvary Hospital · AUCanberra Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundParaoesophageal hernias (PEH) have a high recurrence rate, prompting surgeons to consider the use of mesh reinforcement of the hiatus. The risks and benefits of mesh augmentation in PEH repair are debated. Mesh-related complications including migration and erosion are considered in this publication.

designA systematic literature review of articles published between 1970 and 2019 in Medline, OVID, Embase, and Springer database was conducted, identifying case reports, case series and observational studies of PEH repair reporting mesh-related complications.

resultsThirty-five case reports/series of 74 patients and 20 observational studies reporting 75 of 4200 patients with mesh complications have been included. The incidence of mesh-related erosions in this study is 0.035%. PTFE, ePTFE, composite and synthetic meshes were frequently associated with mesh erosion requiring intervention. Complete erosions are often managed endoscopically while partial erosions may require surgery and resection of the oesophagus and/or stomach.

conclusionsMesh-related complication is rare with dysphagia a common presenting feature. Mesh erosion is associated with synthetic mesh more frequently in the reported literature. A mesh registry with long-term longitudinal data would help in understanding the true incidence of mesh-related complications.

Indexed as

Wound HealingHernia, HiatalHumansPostoperative ComplicationsPublicationsRecurrenceSurgical MeshAnti-reflux surgeryBiologic meshHiatal hernia repairLaparoscopic paraoesophageal hernia repairMesh erosionSynthetic mesh

Identifiers

PMID32556700
OpenAlexW3036892159

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.