Evidence map›Paper›PMID 34424440›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2021

Component separation and large incisional hernia: predictive factors of recurrence.

J Bueno-Lledó, S Bonafe-Diana, F Carbonell-Tatay, A Torregrosa-Gallud, S Pous-Serrano

Abstract read
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In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Ventral hernia is a chronic disease: a systematic review of long-term outcomes beyond 5 years.Hernia : the journal of hernias and abdominal wall surgery · 2025
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  8. The effect of clinically significant weight loss prior to open ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2024
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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

5 authors.

J Bueno-LledóUnit of Abdominal Wall Surgery, Department of Digestive Surgery, La Fe" Hospital, University of Valencia, Calle Gabriel Miró 28, puerta 12, 46008, Valencia, Spain. buenolledo@hotmail.com.ORCID http://orcid.org/0000-0002-3116-5022
S Bonafe-DianaUnit of Abdominal Wall Surgery, Department of Digestive Surgery, La Fe" Hospital, University of Valencia, Calle Gabriel Miró 28, puerta 12, 46008, Valencia, Spain.
F Carbonell-TatayUnit of Abdominal Wall Surgery, Department of Digestive Surgery, La Fe" Hospital, University of Valencia, Calle Gabriel Miró 28, puerta 12, 46008, Valencia, Spain.
A Torregrosa-GalludUnit of Abdominal Wall Surgery, Department of Digestive Surgery, La Fe" Hospital, University of Valencia, Calle Gabriel Miró 28, puerta 12, 46008, Valencia, Spain.
S Pous-SerranoUnit of Abdominal Wall Surgery, Department of Digestive Surgery, La Fe" Hospital, University of Valencia, Calle Gabriel Miró 28, puerta 12, 46008, Valencia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo clarify the factors related to recurrence after component separation technique (CST). MATERIALS AND

methodsA retrospective study was conducted of 381 patients who underwent CST between May 2006 and May 2017 at a tertiary center. All patients had a transverse hernia defect grade W3 in EHS classification. Recurrence rate was determined by clinical examination plus confirmation by abdominal CT scan.

resultsAt a median of 61.6 months of postoperative follow-up, we reported 34 cases of hernia recurrence (8.9%). On multivariate analysis, BMI > 30 (OR 2.20; CI 1.10-3.91, p = 0.031), immunosuppressive drug use (OR 1.06 CI 1.48-2.75, p = 0.003) and development of surgical site infection (OR 2.7; CI 1.53-4.01, p = 0.002) were factors of recurrence after CST. There was no difference in recurrence rate among repairs of primary and recurrent hernias, urgent repair, operative time, type of prosthesis, or concomitant procedures, even planned or unplanned enterotomies.

conclusionObesity (BMI > 30), immunosuppressive drug use, and postoperative wound infections were predictors of recurrence after CST.

Indexed as

Abdominal WallHernia, VentralIncisional HerniaHerniorrhaphyHumansRecurrenceRetrospective StudiesSurgical MeshSurgical Wound InfectionAbdominal wall repairComponent separationHerniaRecurrenceRisk factors

Identifiers

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.