Evidence map›Paper›PMID 33860351›Full record

ArticleSurgical endoscopy2022

Validation of a simple technique of volumetric analysis of complex incisional hernias without 3D CT scan reconstruction.

Mazen R Al-Mansour, Jacqueline Wu, Greg Gagnon, Alexander Knee, John Romanelli, Neal E Seymour

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. A simplified method to evaluate the loss of domain.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

6 authors.

Mazen R Al-MansourDepartment of Surgery, University of Massachusetts Medical School-Baystate, Springfield, MA, USA. mazen.al-mansour@surgery.ufl.edu.ORCID http://orcid.org/0000-0003-3485-2263
Jacqueline WuDepartment of Surgery, University of Massachusetts Medical School-Baystate, Springfield, MA, USA.
Greg GagnonDepartment of Clinical Engineering, Baystate Medical Center, Springfield, MA, USA.
Alexander KneeDepartment of Medicine, University of Massachusetts Medical School-Baystate, Springfield, MA, USA.
John RomanelliDepartment of Surgery, University of Massachusetts Medical School-Baystate, Springfield, MA, USA.
Neal E SeymourDepartment of Surgery, University of Massachusetts Medical School-Baystate, Springfield, MA, USA.

Funding

Tufts Clinical and Translational Research InstituteUL1TR001064 · NCATS · TUFTS UNIVERSITY BOSTON · PI SELKER, HARRY P. · 2013 to 2017
$26.4M
NCATS NIH HHS UL1 TR01064
6 · The paper itself

Abstract

purposeVolumetric analysis is being increasingly utilized in the preoperative evaluation of complex incisional hernias. Three-dimensional (3D) reconstruction of abdominal computed tomography (CT) scan has been used to obtain surface area (SA) and volume (Vol.) measurements, while others have used simple mathematical formulas to obtain SA and Vol. estimates without 3D reconstruction. Our objective was to assess the correlation of SA and Vol. measurements and estimates of complex incisional hernias.

methodsWe conducted a retrospective agreement study of adults who underwent abdominal wall reconstruction from 2007 to 2018. Demographics, hernia characteristics, and operative data were collected from the medical record. SA and Vol. measurements were obtained after 3D CT reconstruction. Linear CT variables were obtained independently by two surgeons and SA and Vol. estimates were calculated. Because both surgeons reported similar results, only lead author values are reported in the abstract. We used Pearson's correlation coefficient (r) to assess inter-rater agreement and the agreement between SA and Vol. measurements and estimates.

resultsA total of 108 patients were eligible for analysis. The mean age was 57 ± 11 years and 53 (49%) were female. 42 (39%) hernias were recurrent, 10 (9%) patients had a stoma, and 9 (8%) had a history of open abdomen. The mean defect width was 11 ± 4 cm and mean defect surface area (DSA) was 150 ± 95 cm

conclusionSA and Vol. estimates demonstrated high level of agreement with SA and Vol. measurements using 3D reconstruction. SA and Vol. estimates can be obtained using simple mathematical formulas using easily obtained linear variables negating the need for the time and effort consuming 3D reconstruction.

Indexed as

Abdominal CavityHernia, VentralIncisional HerniaAbdomenAdultAgedFemaleHerniorrhaphyHumansMiddle AgedRetrospective StudiesSurgical MeshTomography, X-Ray ComputedAbdominal wall reconstructionComponent separationCT scanHerniaLoss of domainVolumetry

Identifiers

PMID33860351

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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.