Evidence map›Paper›PMID 34634148›Full record

ReviewClinical transplantation2021

Abdominal wall complications after kidney transplantation: A clinical review.

Rossella Gioco, Claudio Sanfilippo, Pierfrancesco Veroux, Daniela Corona, Francesca Privitera, Alberto Brolese, Francesco Ciarleglio, Alessio Volpicelli, Massimiliano Veroux

Open access · greenAbstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Clinical transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
4.0field-weighted citation impact, top 5% 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Incisional hernias post renal transplant: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024
    Pooled it
  3. Article
  4. Article
  5. Observational
  6. Review
  7. Review
  8. Observational
  9. Solid Organ Transplant Litigation at One of Europe's Largest University Hospitals.Transplant international : official journal of the European Society for Organ Transplantation · 2024
    Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Rossella GiocoGeneral Surgery Unit, University Hospital of Catania, Catania, Italy.
Claudio SanfilippoCardiology Unit, University Hospital of Catania, Catania, Italy.
Pierfrancesco VerouxOrgan Transplant Unit, University Hospital of Catania, Catania, Italy.
Daniela CoronaDepartment of Biomedical and Biotechnological Sciences, University of Catania, Catania, Italy.
Francesca PriviteraGeneral Surgery Unit, University Hospital of Catania, Catania, Italy.
Alberto BroleseSurgery Unit, Trento Hospital, Trento, Italy.
Francesco CiarleglioSurgery Unit, Trento Hospital, Trento, Italy.
Alessio VolpicelliGeneral Surgery Unit, University Hospital of Catania, Catania, Italy.
Massimiliano VerouxGeneral Surgery Unit, University Hospital of Catania, Catania, Italy.ORCID 0000-0002-2780-6421
University of Catania · ITUniversity of Trento · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAbdominal wall complications are common after kidney transplantation, and although they have a minor impact on patient and graft survival, they increase the patient's morbidity and may have an impact on quality of life. Abdominal wall complications have an overall incidence of 7.7-21%.

methodsThis review will explore the natural history of abdominal wall complications in the kidney transplant setting, with a special focus on wound dehiscence and incisional herni, with a particular emphasis on risk factors, clinical characteristics, and treatment.

resultsMany patient-related risk factors have been suggested, including older age, obesity, and smoking, but kidney transplant recipients have an additional risk related to the use of immunosuppression. Wound dehiscence usually does not require surgical intervention. However, for deep dehiscence involving the fascial layer with concomitant infection, surgical treatment and/or negative pressure wound therapy may be required.

conclusionsIncisional hernia (IH) may affect 1.1-18% of kidney transplant recipients. Most patients require surgical treatment, either open or laparoscopic. Mesh repair is considered the gold standard for the treatment of IH, since it is associated with a low rate of postoperative complications and an acceptable rate of recurrence. Biologic mesh could be an attractive alternative in patients with graft exposition or infection.

Indexed as

Abdominal WallIncisional HerniaKidney TransplantationAgedHumansPostoperative ComplicationsQuality of LifeRecurrenceRetrospective StudiesSurgical MeshSurgical Wound Infectionbiological meshcomponent separationdehiscenceimmunosuppressionIncisional herniainfectionkidney transplantationlaparoscopicmeshnegative pressure wound therapyopenpancreasparatransplant herniaprimary suturetransplantationwound

Identifiers

PMID34634148
PMCPMC9285099
OpenAlexW3205539187

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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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.