Evidence map›Paper›PMID 35441284›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2022

Clinical outcomes of open abdominal wall reconstruction with the use of a polypropylene reinforced tissue matrix: a multicenter retrospective study.

Allard S Timmer, Jeroen J M Claessen, Irene M Brouwer de Koning, Suzanne M Haenen, Eric J T Belt, Antonius J N M Bastiaansen, Emiel G G Verdaasdonk, Carole P Wolffenbuttel, Wilhelmina H Schreurs, Werner A Draaisma and 1 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article 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. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

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  11. Intestinal erosion caused by meshoma displacement: A case report.World journal of gastrointestinal surgery · 2023
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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

11 authors at 5 institutions in 2 countries.

Allard S TimmerDepartment of Surgery, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam Infection and Immunity, Amsterdam UMC, Location AMC, University of Amsterdam, Meibergdreef 9, 1100 DD, Amsterdam, The Netherlands.ORCID 0000-0002-9990-7192
Jeroen J M ClaessenDepartment of Surgery, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam Infection and Immunity, Amsterdam UMC, Location AMC, University of Amsterdam, Meibergdreef 9, 1100 DD, Amsterdam, The Netherlands.
Irene M Brouwer de KoningDepartment of Surgery, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands.
Suzanne M HaenenDepartment of Surgery, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam Infection and Immunity, Amsterdam UMC, Location AMC, University of Amsterdam, Meibergdreef 9, 1100 DD, Amsterdam, The Netherlands.
Eric J T BeltDepartment of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
Antonius J N M BastiaansenDepartment of Surgery, Northwest Clinics, Alkmaar, The Netherlands.
Emiel G G VerdaasdonkDepartment of Surgery, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands.
Carole P WolffenbuttelDepartment of Surgery, Albert Schweitzer Hospital, Dordrecht, The Netherlands.
Wilhelmina H SchreursDepartment of Surgery, Northwest Clinics, Alkmaar, The Netherlands.
Werner A DraaismaDepartment of Surgery, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands.
Marja A BoermeesterDepartment of Surgery, Amsterdam Gastroenterology Endocrinology Metabolism, Amsterdam Infection and Immunity, Amsterdam UMC, Location AMC, University of Amsterdam, Meibergdreef 9, 1100 DD, Amsterdam, The Netherlands. m.a.boermeester@amsterdamumc.nl.
Amsterdam University Medical Centers · NLJeroen Bosch Ziekenhuis · NLAlbert Schweitzer Ziekenhuis · NLNorthwest Hospital · USAmsterdam Neuroscience · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess mesh behaviour and clinical outcomes of open complex abdominal wall reconstruction (CAWR) with the use of a polypropylene reinforced tissue matrix.

methodsA multicenter retrospective study of adult patients who underwent open CAWR with the use of a permanent polypropylene reinforced tissue matrix (OviTex

resultsFifty-five consecutive patients from four hospitals in the Netherlands were analysed; 46 patients with a ventral hernia and 9 patients with an open abdomen. Most patients with a ventral hernia had one or more complicating comorbidities (91.3%) and one or more complicating hernia characteristics (95.7%). Most procedures were performed in a (clean) contaminated surgical field (69.6% CDC 2-4; 41.3% CDC 3-4). All nine patients with an open abdomen underwent semi-emergent surgery. Twelve out of 46 patients with a ventral hernia (26.1%) and 4 of 9 patients with an open abdomen (44.4%) developed a postoperative surgical site infection that made direct contact with the mesh as confirmed on computed tomography (CT), suspicious of mesh infection. No patient needed mesh explantation for persistent infection of the mesh. During a median follow-up of 13 months, 4 of 46 ventral hernia patients (8.7%) developed a CT confirmed hernia recurrence.

conclusionPolypropylene reinforced tissue matrix can withstand infectious complications and provides acceptable mid-term recurrence rates in this retrospective study on open complex abdominal wall reconstructions. Longer follow-up data from prospective studies are required to determine further risk of hernia recurrence.

Indexed as

Abdominal WallHernia, VentralAdultHerniorrhaphyHumansPolypropylenesRecurrenceRetrospective StudiesSurgical MeshTreatment OutcomePolypropylenesAbdominal wall reconstructionReinforced tissue matrixVentral hernia

Identifiers

PMID35441284
PMCPMC9525385
OpenAlexW4224278570

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.