Evidence map›Paper›PMID 38568350›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Two-meshes approach in posterior component separation with transversus abdominis release: the IMPACT study (Italian Multicentric Posterior-separation Abdominal Complex hernia Transversus-release).

F Pizza, P Maida, C Bertoglio, A Antinori, F M Mongardini, L Cerbara, I Sordelli, B D Alampi, G Marte, L Morini and 4 more

Abstract readMulticenter 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  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

14 authors.

F PizzaAsl Napoli2 Nord Department of Surgery, Hospital 'Rizzoli', Naples, Italy. francesco_pizza@libero.it.ORCID 0000-0001-9785-4405
P MaidaCasa Di Cura Privata Malzoni, Surgery Avellino, Campania, Italy.
C BertoglioDivision of General Surgery, ASST Ovest Milanese, Hospital of Magenta, 20013, Magenta, Italy.
A AntinoriU.O.C. Di Chirurgia Generale 1 Fondazione Policlinico Universitario Agostino Gemelli IRCCS Università Cattolica del Sacro Cuore, Rome, Italy.
F M MongardiniDivision of General, Mininvasive and Bariatric Surgery, Campania 'Luigi Vanvitelli', Naples, Italy.
L CerbaraInstitute for Research On Population and Social Policies, National Research Council of Italy, Rome, Italy.
I SordelliCasa Di Cura Privata Malzoni, Surgery Avellino, Campania, Italy.
B D AlampiASST GOM NIGUARDA, Chirurgia Generale Oncologica e Mininvasiva, Milan, Italy.
G MarteOspedale del Mare Aslnapoli1, Naples, Italy.
L MoriniASST GOM NIGUARDA, Chirurgia Generale Oncologica e Mininvasiva, Milan, Italy.
S GrimaldiASST GOM NIGUARDA, Chirurgia Generale Oncologica e Mininvasiva, Milan, Italy.
S GiliAsl Napoli3 Sud Department of Surgery, Hospital 'San Leonardo', Castellammare, Italy.
L DocimoDivision of General, Mininvasive and Bariatric Surgery, Campania 'Luigi Vanvitelli', Naples, Italy.
C GambardellaDivision of General, Mininvasive and Bariatric Surgery, Campania 'Luigi Vanvitelli', Naples, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical management of large ventral hernias (VH) has remained a challenge. Various techniques like anterior component separation and posterior component separation (PCS) with transversus abdominis release (TAR) have been employed. Despite the initial success, the long-term efficacy of TAR is not yet comprehensively studied. Authors aimed to investigate the early-, medium-, and long-term outcomes and health-related quality of life (QoL) in patients treated with PCS and TAR.

methodsThis multicenter retrospective study analyzed data of 308 patients who underwent open PCS with TAR for primary or recurrent complex abdominal hernias between 2015 and 2020. The primary endpoint was the rate of hernia recurrence (HR) and mesh bulging (MB) at 3, 6, 12, 24, and 36 months. Secondary outcomes included surgical site events and QoL, assessed using EuraHS-QoL score.

resultsThe average follow-up was 38.3 ± 12.7 months. The overall HR rate was 3.5% and the MB rate was 4.7%. Most of the recurrences were detected by clinical and ultrasound examination. QoL metrics showed improvement post-surgery.

conclusionsThis study supports the long-term efficacy of PCS with TAR in the treatment of large and complex VH, with a low recurrence rate and an improvement in QoL. Further research is needed for a more in-depth understanding of these outcomes and the factors affecting them.

Indexed as

Abdominal MusclesHernia, VentralHerniorrhaphyQuality of LifeSurgical MeshAgedFemaleHumansItalyMaleMiddle AgedRecurrenceRetrospective StudiesAbdominal wall reconstructionComplex ventral herniaIncisional herniaTransversus abdominis release (TAR)

Identifiers

PMID38568350

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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.