Evidence map›Paper›PMID 33708790›Full record

ArticleFrontiers in surgery2020

Intraoperative Fascia Tension as an Alternative to Component Separation. A Prospective Observational Study.

Henning Niebuhr, Thomas Aufenberg, Halil Dag, Wolfgang Reinpold, Christian Peiper, Hans Martin Schardey, Marc Alexander Renter, Mohamed Aly, Dietmar Eucker, Ferdinand Köckerling and 1 more

Abstract read
In one paragraph

Article in Frontiers in surgery, 2020. 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
–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

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

  1. FasciotensHernia : the journal of hernias and abdominal wall surgery · 2026
    Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. Follow-up of complex hernia repair with intraoperative fascial traction.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  7. Article
  8. Article
  9. Complex Abdominal Wall Hernias: Structured Use of Adjuvant Therapies.Journal of abdominal wall surgery : JAWS · 2025
    Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. [Loss of domain and reduction in median suture tension].Chirurgie (Heidelberg, Germany) · 2024
    Review
  16. Article
  17. Article
  18. [Management of lateral abdominal wall hernias].Der Chirurg; Zeitschrift fur alle Gebiete der operativen Medizen · 2022
    Review
  19. 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

11 authors.

Henning NiebuhrHanse Hernia Centre, Hamburg, Germany.
Thomas AufenbergClinic for Surgery, St. Elisabeth Hospital, Cologne, Germany.
Halil DagHanse Hernia Centre, Hamburg, Germany.
Wolfgang ReinpoldClinic for Surgery, Groß Sand Hospital, Hamburg, Germany.
Christian PeiperClinic for General, Visceral and Thoracic Surgery, Protestant Hospital, Hamm, Germany.
Hans Martin SchardeyClinic for General, Visceral, Vascular and Endocrine Surgery, Agatharied Hospital, Hausham, Germany.
Marc Alexander RenterClinic for General and Visceral Surgery, St. Josef Hospital, Moers, Germany.
Mohamed AlyClinic for General, Visceral and Thoracic Surgery, Landshut-Achdorf Hospital, Landshut, Germany.
Dietmar EuckerClinic for General, Visceral, Thoracic and Vascular Surgery, Canton Hospital Basel-Land, Liestal, Switzerland.
Ferdinand KöckerlingClinic for General, Visceral and Vascular Surgery, Vivantes Klinikum Spandau, Berlin, Germany.
Jakob EichelterDepartment of Surgery, Division of General Surgery, Medical University of Vienna, Vienna, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Incisional hernias are common late complications of abdominal surgery, with a 1-year post-laparotomy incidence of about 20%. A giant hernia is often preceded by severe peritonitis of various causes. The Fasciotens® Abdomen device is used to stretch the fascia in a measurably controlled manner during surgery to achieve primary tension-free abdominal closure. This prospective observational study aims to clarify the extent to which this traction method can function as an alternative to component separation (CS) methods.

Indexed as

abdominal wall herniacomponent separationFasciotensgiant herniaincisional hernialaparostomaloss of domainopen abdomen

Identifiers

PMID33708790
PMCPMC7940755

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.