Evidence map›Paper›PMID 37373561›Full record

ArticleJournal of clinical medicine2023

Tentacle Mesh for Fixation-Free Spigelian Hernia Repair: Mini-Invasive Approach Granting Broad Defect Overlap.

Giuseppe Amato, Antonino Agrusa, Salvatore Buscemi, Giuseppe Di Buono, Pietro Giorgio Calò, Roberta Vella, Giorgio Romano, Gabriele Barletta, Giovanni Cassata, Luca Cicero and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. 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
1.0field-weighted citation impact, top 25% 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, 3 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

11 authors at 2 institutions in 1 country.

Giuseppe AmatoDepartment of Surgical, Oncological and Oral Sciences, University of Palermo, 90127 Palermo, Italy.ORCID 0000-0002-1352-9291
Antonino AgrusaDepartment of Surgical, Oncological and Oral Sciences, University of Palermo, 90127 Palermo, Italy.
Salvatore BuscemiDepartment of Surgical, Oncological and Oral Sciences, University of Palermo, 90127 Palermo, Italy.
Giuseppe Di BuonoDepartment of Surgical, Oncological and Oral Sciences, University of Palermo, 90127 Palermo, Italy.
Pietro Giorgio CalòDepartment of Surgical Sciences, University of Cagliari, 09124 Cagliari, Italy.ORCID 0000-0001-9637-1145
Roberta VellaPostgraduate School of General Surgery, University of Palermo, 90127 Palermo, Italy.
Giorgio RomanoPostgraduate School of General Surgery, University of Palermo, 90127 Palermo, Italy.
Gabriele BarlettaPostgraduate School of General Surgery, University of Palermo, 90127 Palermo, Italy.ORCID 0000-0002-5554-684X
Giovanni CassataCEMERIT (Centro Meridionale Ricerca e Training), IZSS, 90129 Palermo, Italy.
Luca CiceroCEMERIT (Centro Meridionale Ricerca e Training), IZSS, 90129 Palermo, Italy.
Giorgio RomanoDepartment of Surgical, Oncological and Oral Sciences, University of Palermo, 90127 Palermo, Italy.
University of Palermo · ITUniversity of Cagliari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCompared to other types of abdominal protrusions, Spigelian hernias are not very common. In prosthetic repair of abdominal protrusions, mesh fixation and defect overlap are an open issue, as they are a source of complications. A newly developed tentacle-shaped mesh has been used to ensure a fixation-free repair with a broader defect overlap in the repair of abdominal hernias. This study describes the long-term results of a fixation-free repair of Spigelian hernias carried out with a tentacle mesh.

methodsA proprietary mesh composed of a central body with integrated radiating arms was used for repairing Spigelian hernias in 54 patients. The implant was positioned in preperitoneal sublay, and the straps were delivered across the abdominal musculature with a needle passer, and then, after fascia closure, cut short in the subcutaneous layer.

resultsThe friction of the straps passing through the abdominal wall served to hold the mesh in place, guaranteeing a wide overlap over the defect without fixation. In a long-term follow-up of 6 to 84 months (mean 64 months), a very low rate of complications occurred, but no recurrence was reported.

conclusionsThe tentacle strap system of the prosthesis allowed for an easy, fast and safe fixation-free placement granting a wide overlap, avoiding intraoperative complications. Greatly reduced pain and a negligible amount of postoperative complications characterized the postoperative outcome.

Indexed as

advanced surgical techniquesfixation-freemesh overlapMISpreperitoneal sublayspigelian herniasurgical fixation devicestentacle meshventral hernia

Identifiers

PMID37373561
PMCPMC10299048
OpenAlexW4379518887

What OpenQuestion holds

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LicenceCC BY
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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.