Evidence map›Paper›PMID 38722399›Full record

ReviewHernia : the journal of hernias and abdominal wall surgery2024

Ventral hernia repair in India: a Delphi consensus.

P Chowbey, R Wadhawan, D Subramanian, D Bhandarkar, J Gandhi, K L Kumari, M Baijal, M Khetan, M S Kathalagiri, P Khandelwal and 6 more

Abstract readConsensus StatementReview
In one paragraph

Review 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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Subxiphoid hernia, definition and repair: an international delphi consensus.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  4. Article
  5. 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

16 authors.

P ChowbeyMax Institute of Laproscopic, Endoscopic and Bariatric Surgery, Max Hospital, Delhi, India.
R WadhawanMAX Institute of GI, Bariatric, Laparoscopic and Robotic Surgery, MAX Super Speciality Hospital, Dwarka, Delhi, 110075, India. randeepwadhawan@yahoo.com.
D SubramanianDepartment of General Surgery and Bariatric Surgery, MGM Healthcare, Chennai, India.
D BhandarkarDepartment of General Surgery, Hinduja Hospital, Mumbai, India.
J GandhiDepartment of General Surgery, KEM Hospital, Mumbai, India.
K L KumariDepartment of Surgical Gastroenterology and Bariatric Surgery, Yashoda Hospitals, Hyderabad, India.
M BaijalMax Institute of Laproscopic, Endoscopic and Bariatric Surgery, Max Hospital, Delhi, India.
M KhetanInstitute of Minimal Access, Metabolic and Bariatric Surgery Centre, Sir Ganga Ram Hospital, New Delhi, India.
M S KathalagiriDepartment of Laparoscopic Surgery, Bariatric Surgery, General and Gastrointestinal Surgery, Sparsh Hospital, Bangalore, India.
P KhandelwalDepartment of General and Laparoscopic Surgery, Aadicura Hospital, Vadodara, India.
P LalDepartment of Surgery, Maulana Azad Medical College, New Delhi, India.
P DasguptaDepartment of Colorectal Surgery, Hernia and Abdominal Wall Reconstruction, Gem Hospital, Chennai, India.
P BalachandranDepartment of General, Gastrointestinal and Bariatric Surgery, Apollo Hospital, Chennai, India.
S DaveDepartment of Surgical Gastroenterology, Bariatric and Robotic Surgery, Ramkrishna CARE Hospital, Raipur, India.
S J BaigDepartment of GI, Minimal Access and Bariatric Surgery, Bellevue Clinic, Kolkata, India.
V SoniMax Institute of Laproscopic, Endoscopic and Bariatric Surgery, Max Hospital, Delhi, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWhile research on inguinal hernias is well-documented, ventral/incisional hernias still require investigation. In India, opinions on laparoscopic ventral hernia repair (LVHR) techniques are contested. The current consensus aims to standardize LVHR practice and identify gaps and unfulfilled demands that compromise patient safety and therapeutic outcomes.

methodsUsing the modified Delphi technique, panel of 14 experts (general surgeons) came to a consensus. Two rounds of consensus were conducted online. An advisory board meeting was held for the third round, wherein survey results were discussed and the final statements were decided with supporting clinical evidence.

resultsExperts recommended intraperitoneal onlay mesh (IPOM) plus/trans-abdominal retromuscular/extended totally extraperitoneal/mini- or less-open sublay operation/transabdominal preperitoneal/trans-abdominal partial extra-peritoneal/subcutaneous onlay laparoscopic approach/laparoscopic intracorporeal rectus aponeuroplasty as valid minimal access surgery (MAS) options for ventral hernia (VH). Intraperitoneal repair technique is the preferred MAS procedure for primary umbilical hernia < 4 cm without diastasis; incisional hernia in the presence of a vertical single midline incision; symptomatic hernia, BMI > 40 kg/m

conclusionThe consensus statements will help standardize LVHR practices, improve decision-making, and provide guidance on MAS in VHR in the Indian scenario.

Indexed as

ConsensusHernia, VentralHerniorrhaphyLaparoscopySurgical MeshDelphi TechniqueHumansIndiaIntraperitoneal onlay meshLaparoscopicMinimal access surgeryVentral hernia

Identifiers

PMID38722399
PMCPMC11449949

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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.