Evidence map›Paper›PMID 37594636›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Laparoscopic versus hybrid approach for treatment of incisional ventral hernia: a 5-10-year follow-up of the randomized controlled multicenter study.

J M Hiekkaranta, M Ahonen, E Mäkäräinen, J Saarnio, T Pinta, J Vironen, S Niemeläinen, P Vento, M Nikki, P Ohtonen and 1 more

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 12% 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

7 citing papers in PubMed, 3 syntheses or guidelines pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Article
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 1 country.

J M HiekkarantaDepartment of Surgery, Oulu University Hospital, Oulu, Finland. Juha.Hiekkaranta@Kainuu.fi.ORCID 0009-0009-5559-9464
M AhonenDepartment of Surgery, Oulu University Hospital, Oulu, Finland.
E MäkäräinenDepartment of Surgery, Oulu University Hospital, Oulu, Finland.
J SaarnioDepartment of Surgery, Oulu University Hospital, Oulu, Finland.
T PintaDepartment of Surgery, Seinäjoki Central Hospital, Seinäjoki, Finland.
J VironenDepartment of Surgery, Helsinki University Hospital, Helsinki, Finland.
S NiemeläinenDepartment of Surgery, Tampere University Hospital, Tampere, Finland.
P VentoDepartment of Surgery, Kymenlaakso Central Hospital, Kotka, Finland.
M NikkiDepartment of Radiology, Oulu University Hospital, Oulu, Finland.
P OhtonenResearch Service Unit, The Research Unit of Surgery, Anesthesia and Intensive Care, Oulu University Hospital, University of Oulu, Oulu, Finland.
T RautioDepartment of Surgery, Oulu University Hospital, Oulu, Finland.
Oulu University Hospital · FIHelsinki University Hospital · FIKymenlaakson keskussairaala · FISeinäjoki University of Applied Sciences · FITampere University Hospital · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn this long-term follow-up of a prospective, randomized, and multicenter study, we compare the results of a group receiving laparoscopic incisional ventral hernia repair using intraperitoneal onlay mesh (LG) to a group receiving a hybrid hernia repair where open closure of fascial defect was added to intraperitoneal mesh placement (HG).

methodsOriginally, 193 patients with 2-7 cm incisional hernias were randomly assigned to either the LG or HG during the 30-month recruitment period in 2012 to 2015. Long-term follow-up was conducted 5-10 years after surgery to evaluate hernia recurrence rate and quality of life (QoL).

resultsIn all, 65 patients in the LG and 60 in the HG completed the long-term follow-up with a median follow-up period of 87 months. Recurrent hernia was detected in 11 of 65 patients (16.9%) in the LG and 10 of 60 patients (16.7%) in the HG (p  >  0.9). Kaplan-Meier analysis demonstrated a recurrence rate approaching 20% in both groups, with similar curves. Three patients in the LG (4.6% and five patients in the HG (8.1%) had undergone re-operation due to recurrence (p  = 0.48). There was no difference in patient-reported QoL measured using the SF-36 questionnaire. Mean pain scores were similar between groups, mean numeric rating scale (NRS) 0 to 10 being 1.1 in the LG and 0.7 in the HG (p  = 0.43).

conclusionFascial closure did not reduce hernia recurrence rate in this study population, even though it has been shown to be beneficial and recommended in surgery guidelines. In the long term, recurrence rate for both groups is similar.

Indexed as

Hernia, VentralHerniorrhaphyIncisional HerniaLaparoscopyFollow-Up StudiesHumansMulticenter Studies as TopicProspective StudiesQuality of LifeRandomized Controlled Trials as TopicRecurrenceSurgical MeshChronic painHybridIncisional herniaIncisional ventral herniaLaparoscopyQuality of lifeRecurrence

Identifiers

PMID37594636
PMCPMC10890975
OpenAlexW4385968476

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.