Evidence map›Paper›PMID 32959176›Full record

ReviewHernia : the journal of hernias and abdominal wall surgery2021

Evolving concepts in ventral hernia repair and physical therapy: prehabilitation, rehabilitation, and analogies to tendon reconstruction.

J E Perez, M A Schmidt, A Narvaez, L K Welsh, R Diaz, M Castro, K Ansari, R W Cason, J A Bilezikian, W Hope and 3 more

Registry-linked trialAbstract readReview
PubMed Publisher
In one paragraph

Review 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 NCT07680777 (Perioperative Rehabilitation for Individuals Undergoing Inguinal Hernia Repair), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.9field-weighted citation impact, top 29% 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.

NCT07680777 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Perioperative Rehabilitation for Individuals Undergoing Inguinal Hernia Repair: A Randomized Controlled Trial

TypeinterventionalSponsorUniversity of AlbertaRan2026 to 2027Enrolled98ConditionsInguinal HerniaArmsRehabilitation
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 11 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Hemipelvectomy hernia: case series and literature review-letter to the editor.Hernia : the journal of hernias and abdominal wall surgery · 2022
    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

13 authors at 3 institutions in 1 country.

J E PerezDivision of Metabolic and Weight Loss Surgery, Department of Surgery, Duke University, Durham, NC, 27704, US.
M A Schmidt *Department of Physical Therapy and Occupational Therapy, Duke University, Durham, NC, 27710, US.
A NarvaezDivision of Metabolic and Weight Loss Surgery, Department of Surgery, Duke University, Durham, NC, 27704, US.
L K WelshDivision of Metabolic and Weight Loss Surgery, Department of Surgery, Duke University, Durham, NC, 27704, US.
R DiazDivision of Metabolic and Weight Loss Surgery, Department of Surgery, Duke University, Durham, NC, 27704, US.
M CastroDivision of Metabolic and Weight Loss Surgery, Department of Surgery, Duke University, Durham, NC, 27704, US.
K AnsariDivision of Plastic, Maxillofacial, and Oral Surgery, Duke University, Durham, NC, 27710, US.
R W CasonDivision of Plastic, Maxillofacial, and Oral Surgery, Duke University, Durham, NC, 27710, US.
J A BilezikianDepartment of General Surgery, New Hanover Regional Medical Center, Wilmington, NC, 28403, US.
W HopeGeneral Surgery Specialists, New Hanover Regional Medical Center, Wilmington, NC, 28403, US.
A D GuerronDivision of Metabolic and Weight Loss Surgery, Department of Surgery, Duke University, Durham, NC, 27704, US.
J YooDivision of Metabolic and Weight Loss Surgery, Department of Surgery, Duke University, Durham, NC, 27704, US.
H LevinsonDivision of Plastic, Maxillofacial, and Oral Surgery, Duke University, Durham, NC, 27710, US. howard.levinson@duke.edu.
Duke University · USNew Hanover Regional Medical Center · USDuke Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe abdominal wall and musculoskeletal tendons share many anatomic, physiologic, and functional characteristics. This review aims to highlight these similar characteristics and to present a rationale why the treatment principles of successful musculoskeletal tendon reconstruction, including principles of surgical technique and physical therapy, can be used in the treatment of complex abdominal wall reconstruction or ventral hernia repair.

methodsThe MEDLINE/PubMed database was used to identify published literature relevant to the purpose of this review.

conclusionsThere are several anatomical and functional similarities between the linea alba and musculoskeletal tendons. Because of this reason, many of the surgical principles for musculoskeletal tendon repair and ventral hernia repair overlap. Distribution of tension is the main driving principle for both procedures. Suture material and configuration are chosen to maximize tension distribution among the tissue edges, as seen in the standard of care multistrand repairs for musculoskeletal tendons, as well as in the small bites for laparotomy technique described in the STITCH trial. Physical therapy is also one of the mainstays of tendon repair, but surprisingly, is not routine in ventral hernia repair. The evidence surrounding physical therapy prehabilitation and rehabilitation protocols in other disciplines is significant. This review challenges the fact that these protocols are not routinely implemented for ventral hernia repair, and presents the rationale and feasibility for the routine practice of physical therapy in ventral hernia repair.

Indexed as

Abdominal WallHernia, VentralHerniorrhaphyHumansPhysical Therapy ModalitiesPreoperative ExerciseSurgical MeshTendonsAbdominal wall reconstructionAnatomyPatient-reported outcomesPhysical therapyPrehabilitationVentral hernia

Identifiers

PMID32959176
OpenAlexW3087409021

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.