Evidence map›Paper›PMID 34606046›Full record

ArticleObesity surgery2021

Ventral Hernia Repair and Obesity: Results from a Nationwide Register Study in France According to the Timeframes of Hernia Repair and Bariatric Surgery.

David Moszkowicz, Madalina Jacota, Lionelle Nkam, Davide Giovinazzo, Lamiae Grimaldi, Andrea Lazzati

Abstract read
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In one paragraph

Article in Obesity surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Observational
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  5. Article
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  10. Review
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.

David MoszkowiczUniversité de Paris, Gastrointestinal and Metabolic Dysfunctions in Nutritional Pathologies Centre de Recherche Sur L'Inflammation Paris Montmartre INSERM UMRS 1149, 75890, Paris, France. david.moszkowicz@aphp.fr.ORCID http://orcid.org/0000-0002-6735-9769
Madalina JacotaClinical Research Unit, AP-HP Paris Saclay Ouest, 92100, Boulogne-Billancourt, France.
Lionelle NkamClinical Research Unit, AP-HP Paris Saclay Ouest, 92100, Boulogne-Billancourt, France.
Davide GiovinazzoService de Chirurgie Générale et Digestive, AP-HP, Hôpital Louis Mourier, DMU ESPRIT-GHU AP-HP, Nord-Université de Paris, 178 Rue des Renouillers, 92700, Colombes, France.
Lamiae GrimaldiClinical Research Unit, AP-HP Paris Saclay Ouest, 92100, Boulogne-Billancourt, France.
Andrea LazzatiDepartment of General Surgery, Centre Hospitalier Intercommunal de Créteil, 94000 Créteil; INSERM UMRS 1138, Centre de Recherche Des Cordeliers, Université Paris Descartes, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSeveral strategies are suggested for ventral hernia repair (VHR) in bariatric candidates, in terms of timing and technique. The aim was to describe practices in VHR in bariatric patients on a nationwide scale in France. MATERIALS AND

methodsWe used the prospective national hospital discharge summaries database system to conduct a retrospective cohort study. We included patients operated once for sleeve or bypass, between 2007 and 2018, and who had VHR concomitant with bariatric surgery (BS) or within 2 years before or after.

resultsAmong 11,680 eligible patients, 2039 underwent VHR in the 2 years before BS, 3388 had concomitant BS and VHR, and 6260 patients had VHR within 2 years after BS. Patients who underwent a concomitant surgery presented a higher suture repair rate (86.1% versus 37.1% and 44.0%, P < 0.001). Overall recurrence of VH at 10 years was 23.3% and was higher for patients who underwent VHR first (36.2%) than patients who underwent BS first (24.5%) and the concomitant group (18.6%), P < 0.001. Major complication rate was 11.1%, 7.8%, and 16.9% (P < 0.001) for VHR-first, concomitant, and BS-first groups, respectively. Mesh infection was found in 0.6% (13/2039) of patients in the VHR-first group, in 0.6% (20/3388) in the concomitant group, and in 1.1% (68/6260) in the BS-first group (P < 0.001).

conclusionAbout one-quarter of bariatric patients undergoing VHR will be reoperated for an anterior hernia. VHR before BS entailed a higher risk of reoperation for recurrence and should be avoided. A concomitant repair entailed the lowest rate of recurrence.

Indexed as

Bariatric SurgeryHernia, VentralLaparoscopyObesity, MorbidHerniorrhaphyHumansObesityProspective StudiesRetrospective StudiesSurgical MeshBariatric surgeryIncisional herniaObesityVentral hernia

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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.