Evidence map›Paper›PMID 37639071›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Laparoscopic transversus abdominis release for complex ventral hernia repair: technique and initial findings.

H Riediger, P Holzner, L Kundel, C Gröger, U Adam, D Adolf, F Köckerling

Abstract readComment
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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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 20% 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, 4 citations in OpenAlex.

  1. Trial
  2. Article
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  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

H RiedigerDepartment of Surgery, Vivantes Humboldt Hospital, Academic teaching Hospital of Charité University Medicine, Am Nordgraben 2, 13509, Berlin, Germany. Hartwig.Riediger@vivantes.de.ORCID 0000-0003-2615-8853
P HolznerDepartment of General and Visceral Surgery, Faculty of Medicine, Medical Center, University of Freiburg, Freiburg, Germany.ORCID 0000-0001-9221-9728
L KundelDepartment of Surgery, Vivantes Humboldt Hospital, Academic teaching Hospital of Charité University Medicine, Am Nordgraben 2, 13509, Berlin, Germany.ORCID 0000-0002-5221-6175
C GrögerDepartment of Surgery, Vivantes Humboldt Hospital, Academic teaching Hospital of Charité University Medicine, Am Nordgraben 2, 13509, Berlin, Germany.
U AdamDepartment of Surgery, Vivantes Humboldt Hospital, Academic teaching Hospital of Charité University Medicine, Am Nordgraben 2, 13509, Berlin, Germany.ORCID 0000-0002-6458-0513
D AdolfStatConsult GmbH, Magdeburg, Germany.
F KöckerlingDepartment of Surgery, Vivantes Humboldt Hospital, Academic teaching Hospital of Charité University Medicine, Am Nordgraben 2, 13509, Berlin, Germany.
Charité - Universitätsmedizin Berlin · DEInfoConsult (Germany) · DEUniversity of Freiburg · DEVivantes Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe open Rives-Stoppa retrorectus and transversus abdominis release (TAR) techniques are well established in open ventral and incisional hernia repair. The principles are currently being translated into minimally invasive surgery with different concepts. In this study, we investigate our initial results of transperitoneal laparoscopic TAR for ventral incisional hernia repair (laparoscopic TAR).

methodsOver a 20-month period, 23 consecutive patients with incisional hernias underwent surgery. Laparoscopic TAR was performed transperitoneally with adhesiolysis from the anterior abdominal wall, development of the retrorectus space and TAR, midline reconstruction and extraperitoneal mesh reinforcement.

resultsThere were 23 incisional hernias, of which 70% were M2-M4 and 60% were W3. Median patient age was 68 years and the median BMI was 31. Median operating time was 313 min, and hospital stay was 4 days. Morbidity was 26% (Clavien-Dindo 1: n = 4 and 2 + 3b: n = 2).

conclusionWith the laparoscopic TAR, it was possible to treat a series of patients with ventral incisional hernias. The operating times were long. However, with a low rate of perioperative complications the hospital stay was short As feasibility is demonstrated, the clinical relevance of the method has to be further evaluated.

Indexed as

Abdominal MusclesHernia, VentralHerniorrhaphyIncisional HerniaLaparoscopyOperative TimeAdultAgedAged, 80 and overFemaleHumansLength of StayMaleMiddle AgedSurgical MeshExtraperitoneal meshIncisional herniaLaparoscopic TARMinimally invasive surgeryRobotic surgery

Identifiers

PMID37639071
OpenAlexW4386208738

What OpenQuestion holds

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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.