Evidence map›Paper›PMID 38366238›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Delphi consensus statement for understanding and managing the subcostal hernia: subcostal hernias collaborative report (scholar study).

S J Baig, G V Kulkarni, P Priya, M Y Afaque, J Bueno-Lledo, S Chintapatla, A de Beaux, J A Gandhi, M A Garcia Urena, T M Hammond and 16 more

Abstract readConsensus Statement
PubMed 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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  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

26 authors.

S J BaigDepartment of Minimal Access Surgery, Belle Vue Clinic, Digestive Surgery Clinic, Bellevue Hospital Kolkata, Kolkata, 700017, India. docsarfarazbaig@gmail.com.ORCID 0000-0002-5966-1722
G V KulkarniDepartment of Colorectal Surgery, Broomfield Hospital (Mid and South Essex NHS Trust), Essex, UK.
P PriyaDepartment of Minimal Access Surgery, Belle Vue Clinic, Digestive Surgery Clinic, Bellevue Hospital Kolkata, Kolkata, 700017, India.
M Y AfaqueDepartment of Surgery, J N Medical College, AMU, Aligarh, Uttar Pradesh, 202002, India.
J Bueno-LledoHospital Universitari I Politecnic La Fe, Universidad de Valencia, Valencia, Spain.
S ChintapatlaDepartment of General Surgery, York Abdominal Wall Unit (YAWU), York & Scarborough Teaching Hospitals NHS Foundation Trust, Wigginton Road, York, UK.
A de BeauxSpire Murrayfield Hospital, Edinburgh, UK.
J A GandhiDepartment of Surgery, King Edward Memorial Hospital, Parel, Mumbai, 400012, India.
M A Garcia UrenaDepartment of Surgery, Hospital Universitario del Henares, 28822, Madrid, Spain.
T M HammondDepartment of Colorectal Surgery, Broomfield Hospital (Mid and South Essex NHS Trust), Essex, UK.
D LomantoMinimally Invasive Surgical Centre, National University Hospital, Singapore, 119074, Singapore.
R LiuMed Director Robotic Surgery, Alta Bates Summit Medical Center, Oakland, CA, 94609, USA.
A MehtaDepartment of Colorectal Surgery, St. Mark's Hospital, London, UK.
M MiserezDepartment of Abdominal Surgery, University Hospital Gasthuisberg, KU Leuven, Louvain, Belgium.
A MontgomeryDepartment of Surgery, Skåne University Hospital, Malmö, Sweden.
S Morales-CondeUnit of Innovation in Minimally Invasive Surgery, Department of General and Digestive Surgery, University Hospital Virgen del Rocio, University of Sevilla, Seville, Spain.
C PalaniveluGEM Hospital and Research Centre, Coimbatore, India.
E M PauliDivision of Minimally Invasive and Bariatric Surgery, Department of Surgery, Penn State Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA, 17033, USA.
S A RegeDepartment of Surgery, King Edward Memorial Hospital, Parel, Mumbai, 400012, India.
Y RenardReims Champagne-Ardennes, Department of General, Digestive and Endocrine Surgery, Robert Debré University Hospital, Reims, France.
M RosenDepartment of Surgery, Center for Abdominal Core Health, Cleveland Clinic Foundation, Cleveland, OH, USA.
D L SandersDepartment of Abdominal Wall Surgery, Royal Devon University Foundation Trust, North Devon District Hospital, Barnstaple, UK.
V K SinghalDepartment of GI Surgery, Medanta Medicity Hospital, Gurugram, Haryana, India.
D A J SladeDepartment of Colorectal Surgery, Salford Royal NHS Foundation Trust, Salford, UK.
O J WarrenDepartment of Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
S WijerathneDepartment of General Surgery, Alexandra Hospital, National University Health System), Singapore, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSubcostal hernias are categorized as L1 based on the European Hernia Society (EHS) classification and frequently involve M1, M2, and L2 sites. These are common after hepatopancreatic and biliary surgeries. The literature on subcostal hernias mostly comprises of retrospective reviews of small heterogenous cohorts, unsurprisingly leading to no consensus or guidelines. Given the limited literature and lack of consensus or guidelines for dealing with these hernias, we planned for a Delphi consensus to aid in decision making to repair subcostal hernias.

methodsWe adopted a modified Delphi technique to establish consensus regarding the definition, characteristics, and surgical aspects of managing subcostal hernias (SCH). It was a four-phase Delphi study reflecting the widely accepted model, consisting of: 1. Creating a query. 2. Building an expert panel. 3. Executing the Delphi rounds. 4. Analysing, presenting, and reporting the Delphi results. More than 70% of agreement was defined as a consensus statement.

resultsThe 22 experts who agreed to participate in this Delphi process for Subcostal Hernias (SCH) comprised 7 UK surgeons, 6 mainland European surgeons, 4 Indians, 3 from the USA, and 2 from Southeast Asia. This Delphi study on subcostal hernias achieved consensus on the following areas-use of mesh in elective cases; the retromuscular position with strong discouragement for onlay mesh; use of macroporous medium-weight polypropylene mesh; use of the subcostal incision over midline incision if there is no previous midline incision; TAR over ACST; defect closure where MAS is used; transverse suturing over vertical suturing for closure of circular defects; and use of peritoneal flap when necessary.

conclusionThis Delphi consensus defines subcostal hernias and gives insight into the consensus for incision, dissection plane, mesh placement, mesh type, and mesh fixation for these hernias.

Indexed as

Delphi TechniqueHerniorrhaphySurgical MeshHumansComplex herniaDelphi consensusL1 herniaSubcostal herniaVentral hernia

Identifiers

PMID38366238

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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.