Evidence map›Paper›PMID 38909352›Full record

Observational studyUpdates in surgery2024

Endoscopic enhanced-view totally extraperitoneal prosthetic (eTEP) versus open Rives-Stoppa repair as a treatment of midline abdominal wall hernias with rectus diastasis: comparison of postoperative pain and length of hospital stay in a single-centre surgical cohort.

Sam Kinet, Hendrik Maes, Stijn Van Cleven, Nele Brusselaers, Eddy F P Kuppens

Registry-linked trialAbstract readComparative StudyObservational Study
PubMed Publisher
In one paragraph

Observational study in Updates in surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05446675 (Single-Center Observational Study With Comparison of Endoscopic Extended-View Totally Extraperitoneal Prosthesis), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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.

NCT05446675 completednot on this map

Single-Center Observational Study With Comparison of Endoscopic Extended-View Totally Extraperitoneal Prosthesis (eTEP) Versus Open Rives-Stoppa Repair as a Treatment of Midline Abdominal Wall Hernias With Rectus Diastasis

Typeobservational_patient_registrySponsorAZ AlmaRan2022 to 2022Enrolled60ConditionsHernia, Ventral, Rectus DiastasisArmsEndoscopic eTEP, Open Rives-Stoppa
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

5 authors.

Sam KinetFaculty of Medicine, KU Leuven, Herestraat 49, 3000, Leuven, Belgium. sam.kinet@a-kinetics.be.ORCID http://orcid.org/0000-0001-7220-3489
Hendrik MaesAZ Alma (General Hospital), Ringlaan 15, 9900, Eeklo, Belgium.
Stijn Van ClevenAZ Alma (General Hospital), Ringlaan 15, 9900, Eeklo, Belgium.
Nele BrusselaersDepartment of Family Medicine and Population Health, Global Health Institute, Antwerp University, Antwerp, Belgium.
Eddy F P KuppensAZ Alma (General Hospital), Ringlaan 15, 9900, Eeklo, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The Rives-Stoppa (RS) procedure is a gold standard treatment of midline abdominal wall hernias. Comparability of pain control and outcomes to the enhanced-view totally extraperitoneal prosthetic (eTEP) repair remain unclear. A single-centre retrospective surgical cohort was selected including 30 RS repairs (January 2019-November 2021) and 30 consecutive eTEP procedures (September 2021-August 2022) for midline abdominal wall hernia(s) with rectus abdominis diastasis. Postoperative pain and outcomes were compared up to 1 month. Presence and median duration of patient-controlled analgesia were, respectively, 90% and 3 nights with RS, versus 30% and 0 nights with eTEP. Median switch to only oral analgesics occurred at postoperative day (POD) 3 after RS and at POD 2 after eTEP. Postoperative analgesics and opioid prescription at discharge were comparable. Median length of hospital stay was six nights after RS versus 3 nights after eTEP. Median duration of surgery was 110.5 and 164.5 min for RS and eTEP, respectively. After RS, 30 patients had postoperative drain(s) compared to 3 patients after eTEP. Conversion was needed in 3 eTEP procedures. Postoperative complications were comparable. No early recurrences were observed. Minimal residual diastasis was seen at postoperative consultation in 11 patients after eTEP. Compared to RS, eTEP is a minimally invasive alternative treatment of midline abdominal wall hernias with rectus abdominis diastasis and is associated with a shorter length of hospital stay, less postoperative pain and a comparable risk of short-term complications. At 1 month after eTEP, minimal residual diastasis can be present. ClinicalTrials.gov: NCT05446675. Secondary identifying number: EC/EH/220608-SK. Date of Registration: June 24, 2022.

Indexed as

HerniorrhaphyLength of StayPostoperative PainRectus AbdominisAbdominal WallAdultAgedCohort StudiesDiastasis, MuscleEndoscopyFemaleHumansMaleMiddle AgedRetrospective StudiesSurgical MeshDiastasisEndoscopiceTEPHerniaMinimally invasiveRetromuscular

Identifiers

PMID38909352

What OpenQuestion holds

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Registered trials

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.