Evidence map›Paper›PMID 38915322›Full record

ArticleJournal of abdominal wall surgery : JAWS2024

The Madrid Posterior Component Separation: An Anatomical Approach for Effective Reconstruction of Complex Midline Hernias.

Marcello De Luca, Manuel Medina Pedrique, Sara Morejon Ruiz, Joaquin M Munoz-Rodriguez, Alvaro Robin Valle de Lersundi, Javier Lopez-Monclus, Luis Alberto Blázquez Hernando, Miguel Angel Garcia-Urena

Abstract read
In one paragraph

Article in Journal of abdominal wall surgery : JAWS, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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.

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

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

  1. Pooled it
  2. Basal Tone, Muscle Memory and Denervation: Pathophysiological Foundations of Abdominal Wall Hernia Development and Recovery.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Review
  3. Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Review
  9. Interparietal hernias after posterior component separation.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  10. Article
  11. Subxiphoid hernia, definition and repair: an international delphi consensus.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  12. Complex Abdominal Wall Hernias: Structured Use of Adjuvant Therapies.Journal of abdominal wall surgery : JAWS · 2025
    Article
  13. Article
  14. Article
  15. Review
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

8 authors.

Marcello De LucaUOC Chirurgia Generale Oncologica e Mininvasiva, Azienda Ospedaliera Universitaria, University of Naples Federico II, Naples, Campania, Italy.
Manuel Medina PedriqueServicio de Cirugía General y Aparato Digestivo, Hospital Universitario del Henares, Fundación Investigación e Innovación Biomédica H. Santa Sofía- H del Henares, Madrid, Spain.
Sara Morejon RuizServicio de Cirugía General y Aparato Digestivo, Hospital Universitario del Henares, Fundación Investigación e Innovación Biomédica H. Santa Sofía- H del Henares, Madrid, Spain.
Joaquin M Munoz-RodriguezServicio de Cirugía General y Aparato Digestivo, Hospital Universitario Puerta de HIerro, Madrid, Spain.
Alvaro Robin Valle de LersundiServicio de Cirugía General y Aparato Digestivo, Hospital Universitario del Henares, Fundación Investigación e Innovación Biomédica H. Santa Sofía- H del Henares, Madrid, Spain.
Javier Lopez-MonclusServicio de Cirugía General y Aparato Digestivo, Hospital Universitario Puerta de HIerro, Madrid, Spain.
Luis Alberto Blázquez HernandoServicio de Cirugía General y Aparato Digestivo, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Miguel Angel Garcia-UrenaServicio de Cirugía General y Aparato Digestivo, Hospital Universitario del Henares, Fundación Investigación e Innovación Biomédica H. Santa Sofía- H del Henares, Madrid, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: In recent years, Posterior Component Separation (PCS) with the Madrid modification (Madrid PCS) has emerged as a surgical technique. This modification is believed to enhance the dissection of anatomical structures, offering several advantages. The study aims to present a detailed description of this surgical technique and to analyse the outcomes in a large cohort of patients. Materials and Methods: This study included all patients who underwent the repair of midline incisional hernias, with or without other abdominal wall defects. Data from patients at three different centres specialising in abdominal wall reconstruction was analysed. All patients underwent the Madrid PCS, and several variables, such as demographics, perioperative details, postoperative complications, and recurrences, were assessed. Results: Between January 2015 and June 2023, a total of 223 patients underwent the Madrid PCS. The mean age was 63.4 years, with a mean BMI of 33.3 kg/m Conclusion: The Madrid PCS appears to be safe and effective, yielding excellent long-term results despite the complexity of abdominal wall defects. A profound understanding of the anatomy is crucial for optimal outcomes. The Madrid modification contributes to facilitating a complete retromuscular preperitoneal repair without incision of the transversus abdominis. The extensive abdominal wall retromuscular dissection obtained enables the placement of very large meshes with minimal fixation.

Indexed as

Madrid APPROACHMadrid posterior component separationMadrid TARposterior component separationposterior rectus sheath release

Identifiers

PMID38915322
PMCPMC11194669

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Registered trials

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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.