Evidence map›Paper›PMID 36787034›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2023

The influence of a multidisciplinary team meeting and prehabilitation on complex abdominal wall hernia repair outcomes.

D L C de Jong, J A Wegdam, E B M Berkvens, S W Nienhuijs, T S de Vries Reilingh

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 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
–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.

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

20 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
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  4. Article
  5. Review
  6. Review
  7. The prehabilitation paradox in ventral hernia: from universal to personalized care.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Review
  8. Diastasis recti in male patients: a literature review and proposed management.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Review
  9. Article
  10. Obesity-focused prehabilitation strategies in ventral hernia: Cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  11. Article
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  14. Review
  15. Article
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  19. Review
  20. [Loss of domain and reduction in median suture tension].Chirurgie (Heidelberg, Germany) · 2024
    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

5 authors.

D L C de JongElkerliek Ziekenhuis, Helmond, The Netherlands. dlc.dejong@elkerliek.nl.ORCID 0000-0002-1308-7219
J A WegdamElkerliek Ziekenhuis, Helmond, The Netherlands.
E B M BerkvensElkerliek Ziekenhuis, Helmond, The Netherlands.
S W NienhuijsCatharina Ziekenhuis, Eindhoven, The Netherlands.
T S de Vries ReilinghElkerliek Ziekenhuis, Helmond, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSurgical site occurrences after transversus abdominis release in ventral hernia repair are still reported up to 15%. Evidence is rising that preoperative improvement of risk factors might contribute to optimal patient recovery. A reduction of complication rates up to 40% has been reported. The aim of this study was to determine whether prehabilitation has a favorable effect on the risk on wound and medical complications as well as on length of stay.

methodsA retrospective cohort study was performed in a tertiary referral center for abdominal wall surgery. All patients undergoing ventral hernia repair discussed at multidisciplinary team (MDT) meetings between 2015 and 2019 were included. Patients referred for a preconditioning program by the MDT were compared to patients who were deemed fit for operative repair by the MDT, without such a program. Endpoints were patients, hernia, and procedure characteristics as well as length of hospital stay, wound and general complications.

resultsA total of 259 patients were included of which 126 received a preconditioning program. Baseline characteristics between the two groups were statistically significantly different as the prehabilitated group had higher median BMI (28 vs 30, p < 0.001), higher HbA1c (41 vs 48, p = 0.014), more smokers (4% vs 25%, p < 0.001) and higher HPW classes due to more patient factors (14% vs 48%, p < 0.001). There were no significant differences in intra-operative and postoperative outcome measures.

conclusionsThis study showed prehabilitation facilitates patients with relevant comorbidities achieving the same results as patients without those risk factors. The indication of a preconditioning program might be effective at the discretion of an MDT meeting. Further research could focus on the extent of such program to assess its value.

Indexed as

Abdominal WallHernia, VentralAbdominal MusclesHerniorrhaphyHumansPatient Care TeamPostoperative ComplicationsPreoperative ExerciseRetrospective StudiesComplex abdominal wall surgeryHerniaHigh-risk patientsMultidisciplinary team meetingsPostoperative outcomesPrehabilitation

Identifiers

PMID36787034
PMCPMC9926435

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Registered trials

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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.