Evidence map›Paper›PMID 34159404›Full record

SynthesisWorld journal of surgery2021

Management of Morgagni's Hernia in the Adult Population: A Systematic Review of the Literature.

Ioannis Katsaros, Stamatia Katelani, Spyridon Giannopoulos, Nikolaos Machairas, Stylianos Kykalos, Nikolaos Koliakos, Emmanouil I Kapetanakis, Anargyros Bakopoulos, Dimitrios Schizas

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in World journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
6.3field-weighted citation impact, top 3% 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

23 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
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  13. Review
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  15. A rare case of pseudomyxoma peritonei with Morgagni hernia.International cancer conference journal · 2023
    Article
  16. Review
  17. Morgagni Hernia in an Adult: a Forgotten Cause of Epigastric Pain.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2023
    Article
  18. Article
  19. Incarcerated Larrey hernia with small bowel obstruction: A case report.International journal of surgery case reports · 2023
    Article
  20. Incidentally Diagnosed Large Asymptomatic Morgagni Hernia in Adult Male Patient.European journal of case reports in internal medicine · 2023
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Ioannis KatsarosFirst Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, 17 Agiou Thoma Str., ZIP Code 11527, AthensAthens, Greece. ioankats@med.uoa.gr.ORCID http://orcid.org/0000-0002-6743-8942
Stamatia KatelaniFirst Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, 17 Agiou Thoma Str., ZIP Code 11527, AthensAthens, Greece.
Spyridon GiannopoulosFirst Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, 17 Agiou Thoma Str., ZIP Code 11527, AthensAthens, Greece.
Nikolaos MachairasSecond Propaedeutic Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece.
Stylianos KykalosSecond Propaedeutic Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, Athens, Greece.
Nikolaos KoliakosThird Department of Surgery, National and Kapodistrian University of Athens, Attikon University Hospital, Athens, Greece.
Emmanouil I KapetanakisIntensive Care Unit, Tzaneio General Hospital of Piraeus, Piraeus, Greece.
Anargyros BakopoulosThird Department of Surgery, National and Kapodistrian University of Athens, Attikon University Hospital, Athens, Greece.
Dimitrios SchizasFirst Department of Surgery, National and Kapodistrian University of Athens, Laikon General Hospital, 17 Agiou Thoma Str., ZIP Code 11527, AthensAthens, Greece.
National and Kapodistrian University of Athens · GRTzaneion General Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMorgagni's hernia (MH) is defined by the protrusion of abdominal viscera through an anterior retrosternal diaphragmatic defect. The objective of this study was to systematically review current literature on MHs in adult population and assess their clinical characteristics and therapeutic approach.

methodsPubMed and Cochrane bibliographical databases were searched (last search: 15

resultsInclusion criteria were met by 189 studies that included 310 patients (61.0% females) with an age of 57.37 ± 18.41 (mean ± SD) years. Pulmonary symptoms, abdominal pain, and nausea-vomit were among the most frequent symptomatology. MHs were predominantly right-sided (84.0%), with greater omentum (74.5%) and transverse colon (65.1%) being the most commonly herniated viscera. The majority of cases underwent an open procedure, while 42.3% of patients had a minimally invasive procedure. Abdominal approach was mostly preferred, while a thoracic one was chosen at 20.6% of cases and a thoracoabdominal at 3.2%. Thirty-day postoperative complications were recorded at 29 patients and 30-day mortality was 2.3%.

conclusionsMH is a rare type of congenital diaphragmatic hernia which rarely manifests in adult population with atypical pulmonary and gastrointestinal symptoms. Surgery is the gold standard for their management. Open surgical approach is preferable in emergency cases, while laparoscopic surgery is favored in elective setting and is associated with shorter hospitalization. Further studies are crucial in order to elucidate etiology and optimal therapeutic approach.

Indexed as

Colon, TransverseHernias, Diaphragmatic, CongenitalLaparoscopyAdultAgedElective Surgical ProceduresFemaleHumansMaleMiddle AgedPostoperative Complications

Identifiers

PMID34159404
OpenAlexW3177348669

What OpenQuestion holds

Textmetadata
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.