Evidence map›Paper›PMID 34876195›Full record

Trial reportTrials2021

Autologous full-thickness skin graft as reinforcement in parastomal hernia repair: a randomised controlled trial.

Viktor Holmdahl, Ulf Gunnarsson, Karin Strigård

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03667287 (Full-thickness Skin vs. Synthetic Mesh in the Repair of Parastomal Hernia), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 42% 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.

NCT03667287 naunknown statusnot on this map

Full-thickness Skin vs. Synthetic Mesh in the Repair of Parastomal Hernia

TypeinterventionalSponsorUmeå UniversityRan2018 to 2025Enrolled90ConditionsParastomal HerniaArmsRepair of parastomal hernia
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

3 authors at 1 institution in 1 country.

Viktor HolmdahlDepartment of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden. viktor.holmdahl@umu.se.ORCID http://orcid.org/0000-0002-8424-4883
Ulf GunnarssonDepartment of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden.
Karin StrigårdDepartment of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden.
Umeå University · SE

Funding

ALF ALF, nr VLL-545001Lion's Cancer Research Foundation, Umeå University LP 16-2142Vetenskapsrådet 921-2014-7196Visare Norr VISARENORR939013
6 · The paper itself

Abstract

backgroundParastomal hernia is a common complication of an enterostomy and can have a significant impact on health-related quality of life. Currently used methods of repair have high recurrence rates and considerable risk for complications. We have developed a new technique for parastomal hernia repair that uses full-thickness skin graft as reinforcement.

methodsThis study protocol describes a multicentre randomised controlled trial on parastomal hernia repair comparing a new full-thickness skin graft technique with conventional synthetic composite mesh as reinforcement of the abdominal wall. Patients with a symptomatic parastomal hernia will be included and followed up at 3, 12 and 36 months, with surgical complication as the primary outcome. Secondary outcomes will be recurrence rate and health-related quality of life assessed with VHPQ, EORTC C30 and CR29. Tissue biology and collagen metabolism will be investigated pre- and postoperatively using biopsies of the abdominal wall fascia and blood samples. DISCUSSION: Parastomal hernia constitutes a major clinical problem where the prospects of a good result after hernia repair are presently poor. This new method of repair with full-thickness skin grafting could be a new alternative in our surgical toolbox, but before then, it must be evaluated properly.

trial registrationClinicalTrials.gov NCT03667287. Registered on September 12, 2018.

Indexed as

Hernia, VentralSurgical StomasHerniorrhaphyHumansNeoplasm Recurrence, LocalQuality of LifeRecurrenceSkin TransplantationSurgical MeshFull-thickness skin graftIPOMMulticentreOpen repairParastomal HerniaRandomised controlled trial

Identifiers

PMID34876195
PMCPMC8650734
OpenAlexW4200337201

What OpenQuestion holds

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Registered trials

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.