Evidence map›Paper›PMID 34704151›Full record

ArticleSurgical endoscopy2022

Trocar site hernia after gastric sleeve.

Sandra Ahlqvist, Axel Edling, Magnus Alm, Johan Blixt Dackhammar, Pär Nordin, Yücel Cengiz

Open access · hybridAbstract read
In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
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  12. Thoughts on Trocar Site Hernia Prevention. A Narrative Review.Journal of abdominal wall surgery : JAWS · 2022
    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 at 3 institutions in 1 country.

Sandra AhlqvistDepartment of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden. sandra_ahlqvist@yahoo.se.ORCID http://orcid.org/0000-0001-6414-6509
Axel EdlingGranlo Health Center, Sundsvall, Sweden.
Magnus AlmDepartment of Radiology, Sundsvall Hospital, Sundsvall, Sweden.
Johan Blixt DackhammarDepartment of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.
Pär NordinDepartment of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.
Yücel CengizDepartment of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden.
Umeå University · SESundsvall Municipality · SESpecialpedagogiska Skolmyndigheten · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopy is common in abdominal surgery. Trocar site hernia (TSH) is a most likely underestimated complication. Among risk factors, obesity, the use of larger trocars and the umbilical trocar site has been described. In a previous study, CT scan in the prone position was found to be a reliable method for the detection of TSH following gastric bypass (LRYGB). In the present study, our aim was to examine the incidence of TSH after gastric sleeve, and further to investigate the proportion of symptomatic trocar site hernias.

methodsSeventy-nine patients subjected to laparoscopic gastric sleeve in 2011-2016 were examined using CT in the prone position upon a ring. Symptoms of TSH were assessed using a digital survey.

resultsThe incidence of trocar site hernia was 17 out of 79 (21.5%), all at the umbilical trocar site. The mean follow-up time was 37 months. There was no significant correlation between patient symptoms and a TSH.

conclusionsThe incidence of TSH is high after laparoscopic gastric sleeve, a finding in line with several recent studies as well as with our first trial on trocar site hernia after LRYGB. Up to follow-up, none of the patients had been subjected to hernia repair. Although the consequence of a trocar site hernia can be serious, the proportion of symptomatic TSH needs to be more clarified.

Indexed as

HerniaLaparoscopyHumansRetrospective StudiesSurgical InstrumentsThyrotropinThyrotropinBariatric surgeryComplicationsIncisional herniaLaparoscopyPort site herniaTrocar site hernia

Identifiers

PMID34704151
PMCPMC9085684
OpenAlexW3209876282

What OpenQuestion holds

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LicenceCC BY
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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.