Evidence map›Paper›PMID 34282506›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2022

Slowly resorbable biosynthetic mesh: 2-year results in VHWG grade 3 hernia repair.

M M J Van Rooijen, T Tollens, L N Jørgensen, T S de Vries Reilingh, G Piessen, F Köckerling, M Miserez, A C J Windsor, F Berrevoet, R H Fortelny and 8 more

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02720042 (A Post-Market, Prospective, Multi-Center, Single-Arm Clinical Investigation of Phasix™ Mesh for VHWG Grade 3 Midline Hernia Repair), which is not on this map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% 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.

NCT02720042 nacompletednot on this map

A Post-Market, Prospective, Multi-Center, Single-Arm Clinical Investigation of Phasix™ Mesh for VHWG Grade 3 Midline Hernia Repair

TypeinterventionalSponsorC. R. BardRan2016 to 2019Enrolled84ConditionsHernia, Hernia, Abdominal, Hernia, IncisionalArmsPhasix™ Mesh
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 20 citations in OpenAlex.

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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

18 authors at 17 institutions in 8 countries.

M M J Van RooijenDepartment of Surgery, Erasmus University Medical Centre Rotterdam, Room Ee-1453, PO BOX 2040, 3000 CA, Rotterdam, The Netherlands. m.vanrooijen@erasmusmc.nl.ORCID http://orcid.org/0000-0002-1037-6883
T TollensDepartment of General Surgery, Imelda Hospital, Bonheiden, Belgium.
L N JørgensenDepartment of Surgery, Bispebjerg Hospital, University of Copenhagen, Copenhagen, Denmark.
T S de Vries ReilinghDepartment of Surgery, Elkerliek Hospital, Helmond, The Netherlands.
G PiessenDepartment of Surgery, University Hospital Lille, Lille, France.
F KöckerlingDepartment of Surgery, Vivantes Klinikum Spandau, Berlin, Germany.
M MiserezDepartment of Abdominal Surgery, University Hospital Leuven, Leuven, Belgium.
A C J WindsorDepartment of Colorectal Surgery, University College London Hospital, London, UK.
F BerrevoetDepartment of General and Hepatobiliary Surgery, University Hospital Ghent, Ghent, Belgium.
R H FortelnyDepartment of General, Visceral and Oncologic Surgery, Wilhelminen Hospital, Vienna, Austria.
B DoussetDepartment of Digestive, Hepatobiliary and Endocrine Surgery, Hôpital Cochin, Paris, France.
G WoesteKlinikum der Johann Wolfgang Goethe-Universität, Frankfurt am Main, Germany.
H L van WestreenenDepartment of Surgery, Isala Zwolle, Zwolle, The Netherlands.
F GossettiUniversità di Roma Sapienza, Rome, Italy.
J F LangeDepartment of Surgery, Erasmus University Medical Centre Rotterdam, Room Ee-1453, PO BOX 2040, 3000 CA, Rotterdam, The Netherlands.
G W M TetterooDepartment of Surgery, IJsselland Ziekenhuis, Capelle aan den Ijssel, The Netherlands.
A KochChirurgische Praxis Cottbus, Cottbus, Germany.
J JeekelDepartment of Neuroscience, Erasmus University Medical Centre Rotterdam, Rotterdam, The Netherlands.
IJsselland Ziekenhuis · NLCarl-Thiem-Klinikum Cottbus · DEElkerliek Ziekenhuis · NLErasmus MC · NLErasmus University Rotterdam · NLGhent University Hospital · BEGoethe University Frankfurt · DEHôpital Cochin · FRImelda Hospital · BEIsala · NLKU Leuven · BELille’s Cardiology Hospital · FRSapienza University of Rome · ITUniversity College Hospital · GBUniversity of Copenhagen · DKVivantes Klinikum · DEWilhelminen Hospital · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionInformation on the long-term performance of biosynthetic meshes is scarce. This study analyses the performance of biosynthetic mesh (Phasix™) over 24 months.

methodsA prospective, international European multi-center trial is described. Adult patients with a Ventral Hernia Working Group (VHWG) grade 3 incisional hernia larger than 10 cm

resultsEighty-four patients were treated with biosynthetic mesh. Twenty-two patients (26.2%) developed 34 SSOs, of which 32 occurred within 3 months (primary endpoint). Eight patients (11.0%) developed a hernia recurrence. In 13 patients (15.5%), 14 reoperations took place, of which 6 were performed for hernia recurrence (42.9%), 3 for mesh infection (21.4%), and in 7 of which the mesh was explanted (50%). Compared to baseline, quality of life outcomes showed no significant difference after 24 months. Despite theoretical resorption, 10.7% of patients reported presence of mesh sensation in daily life 24 months after surgery.

conclusionAfter 2 years of follow-up, hernia repair with biosynthetic mesh shows manageable SSO rates and favorable recurrence rates in VHWG grade 3 patients. No statistically significant improvement in quality of life or reduction of pain was observed. Few patients report lasting presence of mesh sensation. Results of biosynthetic mesh after longer periods of follow-up on recurrences and remodeling will provide further valuable information to make clear recommendations.

trial registrationRegistered on clinicaltrials.gov (NCT02720042), March 25, 2016.

Indexed as

Hernia, VentralIncisional HerniaAdultHerniorrhaphyHumansProspective StudiesQuality of LifeRecurrenceSurgical MeshTreatment OutcomeBiosynthetic meshHernia recurrenceHernia surgeryIncisional hernia

Identifiers

PMID34282506
PMCPMC8881263
OpenAlexW3183988801

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.