Evidence map›Paper›PMID 33046007›Full record

ArticleBMC surgery2020

A preliminary multicenter evaluation of endoscopic sublay repair for ventral hernia from China.

Rui Tang, Huiyong Jiang, Weidong Wu, Tao Wang, Xiangzhen Meng, Guozhong Liu, Xiaoyan Cai, Jianwen Liu, Xijun Cui, Xianke Si and 2 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

12 authors.

Rui TangDepartment of Hernia and Abdominal Wall Surgery, East hospital affiliated to Tongji University, 150 Jimo Rd, Shanghai, 200120, China.
Huiyong JiangDepartment Two of General Surgery, Northeast International Hospital, Shenyang, Liaoning Province, China.
Weidong WuDepartment of Gastrointestinal Surgery, Shanghai General Hospital, 86 Wujin Rd, Shanghai, China. wwd.1202@163.com.ORCID http://orcid.org/0000-0001-9903-7185
Tao WangDepartment of Gastrointestinal Surgery, Linzi District Central Hospital, Zibo, Shandong Province, China.
Xiangzhen MengDepartment of General Surgery, Shengjing Hospital affiliated China Medical University, Shenyang, Liaoning Province, China.
Guozhong LiuDepartment of Hepatopancreatobiliary and hernia Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian Province, China.
Xiaoyan CaiDepartment of General Surgery, Sir Run Shaw Hospital, School of Medicine, Zhejiang University, Institute of Micro-invasive Surgery of Zhejiang University, Hangzhou, Zhejiang Province, China.
Jianwen LiuDepartment of surgery, The University of Hong Kong-Shenzhen Hospital, Shenzhen, Guangdong Province, China.
Xijun CuiDepartment of Hepatobiliary Surgery, Weihai Central Hospital, Weihai, Shandong Province, China.
Xianke SiDepartment of Minimally Invasive Surgery, Putuo Hospital Affiliated to Shanghai University of TCM, Shanghai, China.
Nan LiuDepartment of Hernia and Abdominal Wall Surgery, East hospital affiliated to Tongji University, 150 Jimo Rd, Shanghai, 200120, China.
Nina WeiDepartment of Hernia and Abdominal Wall Surgery, East hospital affiliated to Tongji University, 150 Jimo Rd, Shanghai, 200120, China.

Funding

Health and Family Planning Committee of Pudong New Area PWZ zb2017-10
6 · The paper itself

Abstract

backgroundFor ventral hernia, endoscopic sublay repair (ESR) may overcome the disadvantages of open sublay and laparoscopic intraperitoneal onlay mesh repair. This retrospective study presents the preliminary multicenter results of ESR from China. The feasibility, safety, and effectiveness of ESR were evaluated; its surgical points and indications were summarized.

methodsThe study reviewed 156 ventral hernia patients planned to perform with ESR in ten hospitals between March 2016 and July 2019. Patient demographics, hernia characteristics, operative variables, and surgical results were recorded and analyzed.

resultsESR was performed successfully in 153 patients, 135 with totally extraperitoneal sublay (TES) and 18 with transabdominal sublay (TAS). In 19 patients, TES was performed with the total visceral sac separation (TVS) technique, in which the space separation is carried out along the peritoneum, avoiding damage to the aponeurotic structure. Endoscopic transversus abdominis release (eTAR) was required in 17.0% of patients, and only 18.3% of patients required permanent mesh fixation. The median operative time was 135 min. Most patients had mild pain and resume eating soon after operation. No severe intraoperative complications occurred. Bleeding in the extraperitoneal space occurred in two patients and was stopped by nonsurgical treatment. Seroma and chronic pain were observed in 5.23 and 3.07% of patients. One recurrence occurred after TAS repair for an umbilical hernia.

conclusionESR is feasible, safe, and effective for treating ventral hernias when surgeons get the relevant surgical skills, such as the technique of "partition breaking," TVS, and eTAR. Small-to-medium ventral hernias are the major indications.

Indexed as

Hernia, VentralHerniorrhaphyLaparoscopyAgedChinaFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesSurgical MeshEndoscopic sublay repair (ESR)Endoscopic transversus abdominis release (eTAR)Totally extraperitoneal sublay (TES)Total visceral sac separation (TVS) techniqueTransabdominal sublay (TAS)Ventral hernia

Identifiers

PMID33046007
PMCPMC7552516

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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.