Evidence map›Paper›PMID 36318389›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2023

Incisional hernia rates following midline laparotomy in the obese patient: a retrospective review.

C J Wehrle, P Shukla, B T Miller, K E Blake, A S Prabhu, C C Petro, D M Krpata, L R Beffa, C Tu, M J Rosen

Abstract read
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In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

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

  1. Pooled it
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  6. Outcomes Following Implantation With Mesh Suture: A Registry of 1111 Patients.Plastic and reconstructive surgery. Global open · 2025
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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

10 authors at 2 institutions in 1 country.

C J WehrleCleveland Clinic Foundation Center for Abdominal Core Health, Cleveland, OH, 44120, USA. wehrlec@ccf.org.ORCID 0000-0002-9275-4744
P ShuklaCleveland Clinic Lerner College of Medicine, Cleveland, OH, USA.
B T MillerCleveland Clinic Foundation Center for Abdominal Core Health, Cleveland, OH, 44120, USA.
K E BlakeCleveland Clinic Foundation Center for Abdominal Core Health, Cleveland, OH, 44120, USA.
A S PrabhuCleveland Clinic Foundation Center for Abdominal Core Health, Cleveland, OH, 44120, USA.
C C PetroCleveland Clinic Foundation Center for Abdominal Core Health, Cleveland, OH, 44120, USA.
D M KrpataCleveland Clinic Foundation Center for Abdominal Core Health, Cleveland, OH, 44120, USA.
L R BeffaCleveland Clinic Foundation Center for Abdominal Core Health, Cleveland, OH, 44120, USA.
C TuDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA.
M J RosenCleveland Clinic Foundation Center for Abdominal Core Health, Cleveland, OH, 44120, USA.
Cleveland Clinic · USCleveland Clinic Lerner College of Medicine · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIncisional hernia is the most common complication of midline laparotomy. Although obesity is a known risk factor, the incidence of hernia formation in obese patients is not well defined. We sought to define the rate of incisional hernia formation in obese patients undergoing primary midline laparotomy in a large academic medical center.

methodsObese patients (BMI ≥ 30 kg/m

resultsA total of 2241 patients met inclusion criteria. Cross-sectional imaging was available for 914 (41%) of these patients. The median BMI for all patients was 34.3 kg/m

conclusionThere is a high rate of hernia formation and subsequent hernia repair in obese patients undergoing midline laparotomy. Most importantly, these findings demonstrate an immediate and pressing need to identify the patient risk factors and technical issues related to this rate of hernia formation.

Indexed as

Incisional HerniaHerniorrhaphyHumansLaparotomyObesityRetrospective StudiesHernia after midline laparotomyHernia preventionIncisional herniaIncisional hernia in obese patients

Identifiers

PMID36318389
OpenAlexW4307838283

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.