Evidence map›Paper›PMID 38129081›Full record

ReviewBMJ case reports2023

Pregnancy complicated by massive incisional hernia: challenges in management and review of literature.

Kiran Suleman, Uloma Wokoh, Priyanka Iyer, Wai Yoong

Open access · greenAbstract readCase ReportsReview
PubMed Publisher
In one paragraph

Review in BMJ case reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 62% 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

1 citing paper in PubMed, 0 citations in OpenAlex.

  1. 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

4 authors at 1 institution in 1 country.

Kiran SulemanDepartment of Obstetrics and Gynaecology, North Middlesex University Hospital NHS Trust, London, London, UK.
Uloma WokohDepartment of Obstetrics and Gynaecology, North Middlesex University Hospital NHS Trust, London, London, UK.
Priyanka IyerDepartment of Obstetrics and Gynaecology, North Middlesex University Hospital NHS Trust, London, London, UK.
Wai YoongDepartment of Obstetrics and Gynaecology, North Middlesex University Hospital NHS Trust, London, London, UK waiyoong@nhs.net.ORCID http://orcid.org/0000-0001-7286-5968
North Middlesex University Hospital NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pregnancy complicated by incisional hernia is rare but can become an obstetric challenge if the gravid uterus becomes displaced or incarcerated into the hernial sac or if there is ulceration of the overlying dermis as a result of increased intra-abdominal pressure being transmitted to the skin. We report a case of a pregnant woman presenting with a large incisional hernia at 19 weeks of gestation and discuss how problems encountered with progressing pregnancy were managed conservatively by adopting a multidisciplinary team approach (which included surgeons and radiologists). She underwent a caesarean section at 35 weeks of gestation due to active bleeding from the ulcerated skin and foetal growth restriction with subsequent staged secondary hernia repair at a tertiary centre. Close surveillance is mandatory, and a decision on the mode and timing of delivery as well as when to perform the surgical repair of the fascial defect should be team based.

Indexed as

Abdominal CavityIncisional HerniaPregnancy ComplicationsCesarean SectionFemaleHumansPregnancyUterusGeneral surgeryObstetrics, gynaecology and fertilityPregnancy

Identifiers

PMID38129081
OpenAlexW4390064270

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.