Evidence map›Paper›PMID 38367096›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Comparison of open and endoscopic posterior component separation with transversus abdominis release: a propensity score-matched study.

G B Ivakhov, A A Kalinina, A V Andriyashkin, S M Titkova, K M Loban, N S Glagolev, A V Sazhin

Abstract readComparative Study
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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Interparietal hernias after posterior component separation.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  4. 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

7 authors.

G B IvakhovPirogov Russian National Research Medical University, 1, Ostrovityanov Str., Moscow, Russia, 117997. ivakhovsurg@gmail.com.ORCID 0000-0002-9773-4953
A A KalininaPirogov Russian National Research Medical University, 1, Ostrovityanov Str., Moscow, Russia, 117997.
A V AndriyashkinPirogov Russian National Research Medical University, 1, Ostrovityanov Str., Moscow, Russia, 117997.
S M TitkovaPirogov Russian National Research Medical University, 1, Ostrovityanov Str., Moscow, Russia, 117997.
K M LobanPirogov Russian National Research Medical University, 1, Ostrovityanov Str., Moscow, Russia, 117997.
N S GlagolevPirogov Russian National Research Medical University, 1, Ostrovityanov Str., Moscow, Russia, 117997.
A V SazhinPirogov Russian National Research Medical University, 1, Ostrovityanov Str., Moscow, Russia, 117997.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPosterior component separation with transversus abdominis release (TAR) is considered to be the optimal technique for large incisional ventral hernia repair. Endoscopic TAR (eTAR) that gets all the benefits of minimally invasive surgery (MIS) gives a possibility to enhance results of the treatment. The aim of our study was to make the comparison between open and endoscopic TAR procedures with an emphasis on frequency and severity of postoperative complications in comparable groups. MATERIALS AND

methodsAll patients had midline incisional hernia and underwent either open (open TAR group) or endoscopic (eTAR group) Rives-Stoppa repair in combination with bilateral transversus abdominis release in Moscow City Hospital №1 from January 2018 to December 2022. A propensity score matching (PSM) was used to make groups comparable. Postoperative complications were classified according to Clavien-Dindo Classification, and Comprehensive complication index was calculated.

resultsWe performed 133 open and endoscopic TAR separation for midline incisional hernia. After PSM analysis 51 patients were matched to each group. Overall surgical morbidity in the open TAR group (56.9%) was statistically significantly higher than in the eTAR group (29.4%) (p = 0.009). There were more severe complications (Clavien IIIa-V) in the open TAR group (11.8% vs. 0%, p = 0.027). Length of hospital stay after surgery was shorter in eTAR group (p < 0.001). The Comprehensive complication index in the open TAR group was significantly higher than in eTAR group, 8.7 (0-20.9) vs. 0 (0-8.7) (p = 0.011).

conclusionBased on the data from our study, the entire MIS procedure including endoscopic TAR is a safe and optimal technique for surgery of midline incisional ventral hernia, requiring TAR separation in terms of reducing the rate of postoperative complications, their severity and hospital length of stay, compared to open TAR procedure.

Indexed as

Abdominal MusclesHernia, VentralHerniorrhaphyIncisional HerniaPostoperative ComplicationsPropensity ScoreAdultAgedEndoscopyFemaleHumansMaleMiddle AgedRetrospective StudieseTAReTEPIncisional herniaPosterior component separationTransversus abdominis release (TAR)

Identifiers

PMID38367096

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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.