Evidence map›Paper›PMID 34976385›Full record

ArticleAnnals of medicine and surgery (2012)2022

A prospective, multicenter trial of a long-term bioabsorbable mesh with Sepra technology in cohort of challenging laparoscopic ventral or incisional hernia repairs (ATLAS trial).

William W Hope, Adel G El-Ghazzawy, Brad A Winterstein, Jeffrey A Blatnik, S Scott Davis, Jacob A Greenberg, Noel C Sanchez, Eric M Pauli, Daniel M Tseng, Karl A LeBlanc and 6 more

Open access · diamondAbstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 20% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
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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

16 authors at 16 institutions in 1 country.

William W HopeNew Hanover Regional Medical Center, Department of Surgery, Wilmington, NC, United States.
Adel G El-GhazzawyOverlake Medical Center, Department of Surgery, Bellevue, WA, United States.
Brad A WintersteinMethodist Hospital, Department of Surgery, Omaha, NE, United States.
Jeffrey A BlatnikWashington University, Department of Surgery, St. Louis, MO, United States.
S Scott DavisEmory University, Department of Surgery, Atlanta, GA, United States.
Jacob A GreenbergUniversity of Wisconsin, Department of Surgery, Madison, WI, United States.
Noel C SanchezVia-Christi Hospital, Department of Surgery, Wichita, KS, United States.
Eric M PauliPenn State Hershey Medical Center, Department of Surgery, Hershey, PA, United States.
Daniel M TsengLegacy Health, Department of Surgery, Portland, OR, United States.
Karl A LeBlancOur Lady of the Lake Regional Medical Center, Department of Surgery, Baton Rouge, LA, United States.
Kurt E RobertsSt. Francis Hospital, Department of Surgery, Hartford, CT, United States.
Curtis E BowerCarilion Clinic, Department of Surgery, Roanoke, VA, United States.
Eduardo Parra-DavilaCelebration Health, Department of Surgery, Celebration, FL, United States.
J Scott RothUniversity of Kentucky, Department of Surgery, Lexington, KY, United States.
Corey R DeekenCovalent Bio, LLC, St. Louis, MO, United States.
Eric F SmithGeorgetown Community Hospital, Department of Surgery, Georgetown, KY, United States.
AdventHealth Celebration · USCarilion Clinic · USCommunity Hospital · USCovalent Associates (United States) · USEmory University · USLegacy Health · USMethodist Hospital · USNew Hanover Regional Medical Center · USOur Lady of the Lake Regional Medical Center · USOverlake Hospital Medical Center · USPenn State Milton S. Hershey Medical Center · USSt. Francis Hospital · USUniversity of Kentucky · USUniversity of Wisconsin–Madison · USVia Christi Hospital · USWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis prospective, multicenter, single-arm, open-label study evaluated P4HB-ST mesh in laparoscopic ventral or incisional hernia repair (LVIHR) in patients with Class I (clean) wounds at high risk for Surgical Site Occurrence (SSO).

methodsPrimary endpoint was SSO requiring intervention <45 days. Secondary endpoints included: surgical procedure time, length of stay, SSO >45 days, hernia recurrence, device-related adverse events, reoperation, and Quality of Life at 1, 3, 6, 12, 18, and 24-months.

results120 patients (52.5% male), mean age of 55.0 ± 14.9 years, and BMI of 33.2 ± 4.5 kg/m

conclusionP4HB-ST mesh demonstrated low rates of SSO and device-related complications, with improved quality of life scores, and reoperation rate comparable to other published studies. Recurrence rate was higher than expected at 31.7%. However, when analyzed by hernia defect size, recurrence was disproportionately high in defects ≥7.1 cm

Indexed as

Laparoscopic incisional hernia repairLaparoscopic ventral hernia repairPoly-4-hydroxybutyrateRecurrenceSurgical site infectionSurgical site occurrence

Identifiers

PMID34976385
PMCPMC8689054
OpenAlexW4200076164

What OpenQuestion holds

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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.