Evidence map›Paper›PMID 36967415›Full record

Trial reportHernia : the journal of hernias and abdominal wall surgery2023

Does onlay mesh placement in emergency laparotomy prevent incisional hernia? A prospective randomized double-blind study.

M E Ulutas, A Sahin, G Simsek, N Sekmenli, A Kilinc, K Arslan, M A Eryilmaz, A Kartal

Erratum issuedAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report 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. An erratum has been issued. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
1.6field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Observational
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

M E UlutasDepartment of Surgery, University of Health Science, Konya City Hospital, Akabe Mah. Adana Çevre Yolu Cad. No:135 Karatay, 42020, Konya, Turkey. esref_ulutas@hotmail.com.ORCID http://orcid.org/0000-0002-9206-4348
A SahinDepartment of Surgery, University of Health Science, Konya City Hospital, Akabe Mah. Adana Çevre Yolu Cad. No:135 Karatay, 42020, Konya, Turkey.ORCID http://orcid.org/0000-0001-5707-1203
G SimsekDepartment of Surgery, University of Health Science, Konya City Hospital, Akabe Mah. Adana Çevre Yolu Cad. No:135 Karatay, 42020, Konya, Turkey.ORCID http://orcid.org/0000-0003-4087-9331
N SekmenliDepartment of Radiology, University of Health Science Konya City Hospital, Konya, Turkey.ORCID http://orcid.org/0000-0003-2707-3499
A KilincDepartment of Surgery, University of Health Science, Konya City Hospital, Akabe Mah. Adana Çevre Yolu Cad. No:135 Karatay, 42020, Konya, Turkey.ORCID http://orcid.org/0000-0003-2523-1203
K ArslanDepartment of Surgery, University of Health Science, Konya City Hospital, Akabe Mah. Adana Çevre Yolu Cad. No:135 Karatay, 42020, Konya, Turkey.ORCID http://orcid.org/0000-0002-3880-8318
M A EryilmazDepartment of Surgery, University of Health Science, Konya City Hospital, Akabe Mah. Adana Çevre Yolu Cad. No:135 Karatay, 42020, Konya, Turkey.ORCID http://orcid.org/0000-0002-5280-3943
A KartalDepartment of Surgery, University of Health Science, Konya City Hospital, Akabe Mah. Adana Çevre Yolu Cad. No:135 Karatay, 42020, Konya, Turkey.ORCID http://orcid.org/0000-0002-5045-3273
Sağlık Bilimleri Üniversitesi · TRKonya Food and Agriculture University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objective of this study is to assess the effectiveness and safety of onlay mesh closure of emergency midline laparotomy to prevent incisional hernia.

methodsThis is a prospective randomized double-blind study and was carried out in the General Surgery Clinic, Konya City Hospital, from August 1, 2020 to August, 1, 2021. The study included 108 patients who were randomly grouped in 2 groups: patients with conventional abdominal closure and closure using additional onlay mesh (1:1). The follow-up period was for a year. The primary outcome was the incidence of incisional hernia and secondary outcomes were clinical data like complications, hospital length of stay, re-operations.

resultsIt was observed that incisional hernia was present in 14 patients (27.4%) in conventional abdominal closure group and was in 2 patients using mesh (4%), (p = 0.001). Clavien-Dindo 3B complications were in rise in conventional closure group (p = 0.02). Of all complications, burst abdomen was significantly more common in conventional closure group (p = 0.04). The rate of surgically treated complications were higher in conventional closure group (p = 0.02). Clavien-Dindo 3A complications were more common in patients with contaminated wound in mesh group (p = 0.02).

conclusionThe use of mesh while closing the abdomen in emergency midline laparotomy reduces the risk of incisional hernia. Thus, to lower the risks of incisional hernia and its complications, prophylactic mesh can be used in high-risk patients.

Indexed as

Abdominal Wound Closure TechniquesIncisional HerniaDouble-Blind MethodHerniorrhaphyHumansLaparotomyProspective StudiesSurgical MeshAbdominal herniaAbdominal wound closure techniquesEmergencyİncisional herniaLaparotomy

Identifiers

PMID36967415
OpenAlexW4360976719

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.