Evidence map›Paper›PMID 34905143›Full record

Trial reportHernia : the journal of hernias and abdominal wall surgery2022

Long-term follow-up of full-thickness skin grafting in giant incisional hernia repair: a randomised controlled trial.

V Holmdahl, B Stark, L Clay, U Gunnarsson, K Strigård

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Hernia : the journal of hernias and abdominal wall surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01413412 (Full-thickness Skin vs. Synthetic Mesh in the Repair of Large Incisional Hernia - a Prospective Randomized Controlled Study), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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.

NCT01413412 naunknown statusnot on this map

Full-thickness Skin vs. Synthetic Mesh in the Repair of Large Incisional Hernia - a Prospective Randomized Controlled Study

TypeinterventionalSponsorKarolinska InstitutetRan2009 to 2016Enrolled50ConditionsVentral Hernia, Postoperative PainArmsVentral hernia repair using full thickness skin graft, Ventral hernia repair using mesh
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Complex abdomen: a scoping review.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  6. Article
  7. Article
  8. Hernia repair using autografts.Hernia : the journal of hernias and abdominal wall surgery · 2022
    Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

V HolmdahlDepartment of Surgical and Perioperative Sciences, Surgery, Sunderby Research Unit, Umeå University, Sjukhusvägen 10, 95442, Södra Sunderbyn, Sweden. viktor.holmdahl@umu.se.ORCID http://orcid.org/0000-0002-8424-4883
B StarkDepartment of Plastic and Reconstructive Surgery, Karolinska University Hospital, MK1 Karolinska Institute, Stockholm, Sweden.
L ClayDepartment of Clinical Science and Education Södersjukhuset, Karolinska Institute, Stockholm, Sweden.
U GunnarssonDepartment of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden.
K StrigårdDepartment of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeConventional repair of a giant incisional hernia often requires implantation of a synthetic mesh (SM). However, this surgical procedure can lead to discomfort, pain, and potentially serious complications. Full-thickness skin grafting (FTSG) could offer an alternative to SM, less prone to complications related to implantation of a foreign body in the abdominal wall. The aim of this study was to compare the use of FTSG to conventional SM in the repair of giant incisional hernia.

methodsPatients with a giant incisional hernia (> 10 cm width) were randomised to repair with either FTSG or SM. 3-month and 1-year follow-ups have already been reported. A clinical follow-up was performed 3 years after repair, assessing potential complications and recurrence. SF-36, EQ-5D and VHPQ questionnaires were answered at 3 years and an average of 9 years (long-term follow-up) after surgery to assess the impact of the intervention on quality-of-life (QoL).

resultsFifty-two patients were included. Five recurrences in the FTSG group and three in the SM group were noted at the clinical follow-up 3 years after surgery, but the difference was not significant (p = 0.313). No new procedure-related complication had occurred since the one-year follow-up. There were no relevant differences in QoL between the groups. However, there were significant improvemnts in both physical, emotional, and mental domains of the SF-36 questionnaire in both groups.

conclusionThe results of this long-term follow-up together with the results from previous follow-ups indicate that autologous FTSG as reinforcement in giant incisional hernia repair is an alternative to conventional repair with SM.

trial registrationThe study was registered August 10, 2011 at ClinicalTrials.gov (ID NCT01413412), retrospectively registered.

Indexed as

Hernia, VentralIncisional HerniaFollow-Up StudiesHerniorrhaphyHumansPostoperative ComplicationsQuality of LifeRecurrenceSkin TransplantationSurgical MeshFull-thickness skin graftGiant incisional herniaQuality-of-lifeRandomised controlled trial

Identifiers

PMID34905143
PMCPMC9012705

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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.