Evidence map›Paper›PMID 34537886›Full record

SynthesisHernia : the journal of hernias and abdominal wall surgery2021

Hybrid operation technique for incisional hernia repair: a systematic review and meta-analysis of intra- and postoperative complications.

L Matthijs Van den Dop, Gijs H J De Smet, Gert-Jan Kleinrensink, Willem E Hueting, Johan F Lange

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 9 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 9% 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

9 citing papers in PubMed, 3 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  4. Variable use of modern abdominal wall closure techniques at emergency laparotomy - an international, cross-sectional survey of surgical practice.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
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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 at 2 institutions in 1 country.

L Matthijs Van den DopDepartment of Surgery, Erasmus University Medical Center, Room Ee-173, Post box 2040, 3000, Rotterdam, CA, The Netherlands. l.vandendop@erasmusmc.nl.ORCID http://orcid.org/0000-0001-6957-3614
Gijs H J De Smet *Department of Surgery, Erasmus University Medical Center, Room Ee-173, Post box 2040, 3000, Rotterdam, CA, The Netherlands.
Gert-Jan KleinrensinkDepartment of Neuroscience, Erasmus University Medical Center, Rotterdam, The Netherlands.
Willem E HuetingDepartment of Surgery, Alrijne Ziekenhuis, Leiderdorp, Leiden, The Netherlands.
Johan F LangeDepartment of Surgery, Erasmus University Medical Center, Room Ee-173, Post box 2040, 3000, Rotterdam, CA, The Netherlands.
Erasmus MC · NLAlrijne Ziekenhuis · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncisional hernia (IH) occurs approximately in 15% of patients after midline surgery. Surgical treatment for IHs include a solely open or solely laparoscopic approach with mesh placement. Recently, hybrid (combined laparoscopic and open) approaches have been introduced. This systematic review evaluates perioperative complications of hybrid incisional hernia repair (HIHR).

methodsEMBASE, Medline via OvidSP, Web of Science, Cochrane and Google Scholar databases were searched. Studies providing data on intra- and postoperative complications in patients who underwent HIHR were included. Data on intra- and postoperative complications were extracted and meta-analyses were performed. Study quality was assessed with the Newcastle Ottowa Scale, ROBINS-I tool, and Cochrane risk of bias. PROSPERO registration: CRD42020175053.

resultsEleven studies (n = 1681 patients) were included. Five studies compared intra-operative complications between HIHR and laparoscopic incisional hernia repair (LIHR) with a pooled incidence of 1.8% in HIHR group and 2.8% in LIHR group (p = 0.13). Comparison of postoperative prevalence of surgical site occurrences (SSOs) (23% versus 26%, p = 0.02) and surgical site occurrences requiring interventions (SSOPIs) (1.5% versus 4.1%, p < 0.01) were in favour of the HIHR group. Overall postoperative complications seemed to occur less frequent in the HIHR group, though no hard statements could be made due to the vast heterogeneity in reporting between studies.

conclusionAlthough the majority of studies were retrospective and included a small number of patients, HIHR seemingly led to less SSOs and SSOPIs. This systematic review forms a strong invitation for more randomized controlled trials to confirm the benefits of this approach.

Indexed as

Hernia, VentralIncisional HerniaLaparoscopyHerniorrhaphyHumansPostoperative ComplicationsRetrospective StudiesSurgical MeshHybridIncisional herniaLaparoendoscopicPostoperative complicationsSurgical technique

Identifiers

PMID34537886
PMCPMC8613158
OpenAlexW3201077697

What OpenQuestion holds

Textmetadata
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.