Evidence map›Paper›PMID 33609381›Full record

ArticleBJS open2021

Open versus laparoscopic incisional hernia repair: nationwide database study.

N A Henriksen, H Friis-Andersen, L N Jorgensen, F Helgstrand

Open access · goldAbstract readComparative Study
In one paragraph

Article in BJS open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
4.4field-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.

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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  7. Review
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  11. Cost analysis of open versus robot-assisted ventral hernia repair - a retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2024
    Article
  12. Ventral hernia repair in India: a Delphi consensus.Hernia : the journal of hernias and abdominal wall surgery · 2024
    Review
  13. Article
  14. Article
  15. Article
  16. STAPLED FASCIAL CLOSURE VS. CONTINUOUS HAND-SEWN SUTURE: EXPERIMENTAL STUDY OF THE ABDOMINAL WALL ON PORCINE MODEL AND HUMAN CADAVER.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024
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  17. Article
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  19. A modified Delphi process to establish research priorities in hernia surgery.Hernia : the journal of hernias and abdominal wall surgery · 2022
    Article
  20. 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

4 authors at 3 institutions in 1 country.

N A HenriksenDepartment of Surgery, Zealand University Hospital, Koege, Denmark.
H Friis-AndersenDepartment of Surgery, Regional Hospital, Horsens, Denmark.
L N JorgensenDigestive Disease Centre, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.
F HelgstrandDepartment of Surgery, Zealand University Hospital, Koege, Denmark.
Zealand University Hospital · DKRegional Hospital Horsens · DKUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough laparoscopic repair of incisional hernias decreases the incidence of wound complications compared with open repair, there has been rising concern related to intraperitoneal mesh placement. The aim of this study was to examine outcomes after open or laparoscopic elective incisional hernia mesh repair on a nationwide basis.

methodsThis study analysed merged data from the Danish Hernia Database and the National Patient Registry on perioperative information, 90-day readmission, 90-day reoperation for complication, and long-term operation for hernia recurrence among patients who underwent primary repair of an incisional hernia between 2007 and 2018.

resultsA total of 3090 (57.5 per cent) and 2288 (42.5 per cent) patients had surgery by a laparoscopic and open approach respectively. The defect was closed in 865 of 3090 laparoscopic procedures (28.0 per cent). The median follow-up time was 4.0 (i.q.r. 1.8-6.8) years. Rates of readmission (502 of 3090 (16.2 per cent) versus 442 of 2288 (19.3 per cent); P = 0.003) and reoperation for complication (216 of 3090 (7.0 per cent) versus 288 of 2288 (12.5 per cent); P < 0.001) were significantly lower for laparoscopic than open repairs. Reoperation for bowel obstruction or bowel resection was twice as common after laparoscopic repair compared with open repair (20 of 3090 (0.6 per cent) versus 6 of 2288 (0.3 per cent); P = 0.044). Patients were significantly less likely to undergo repair of recurrence following laparoscopic compared with open repair of defect widths 2-6 cm (P = 0.002).

conclusionLaparoscopic intraperitoneal mesh repair for incisional hernia should still be considered for fascial defects between 2 and 6 cm, because of decreased rates of early complications and repair of hernia recurrence compared with open repair.

Indexed as

AgedDatabases, FactualDenmarkElective Surgical ProceduresFemaleHerniorrhaphyHumansIncisional HerniaLaparoscopyMaleMiddle AgedMultivariate AnalysisProportional Hazards ModelsRecurrenceReoperationSurgical Mesh

Identifiers

PMID33609381
PMCPMC7893453
OpenAlexW3125925907

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LicenceCC BY
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Registered trials

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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.