Evidence map›Paper›PMID 38958763›Full record

ArticlePediatric surgery international2024

Abdominal wall muscle weakness outcomes after split abdominal flap repair of large congenital diaphragmatic hernias in newborn.

J Andrés Molino, Gabriela Guillen, Haider Ali Khan, Sergio López Fernández, Marta Martos Rodríguez, Oscar Rocha, Manuel López Paredes

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Article in Pediatric surgery international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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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.

J Andrés MolinoNeonatal Surgery Unit, Pediatric Surgery Department, Vall d´Hebron Barcelona Hospital Campus, Barcelona, Spain. joseandres.molino@vallhebron.cat.
Gabriela GuillenNeonatal Surgery Unit, Pediatric Surgery Department, Vall d´Hebron Barcelona Hospital Campus, Barcelona, Spain.
Haider Ali KhanPediatric Surgery Department, Vall d´Hebron Barcelona Hospital Campus, Barcelona, Spain.
Sergio López FernándezNeonatal Surgery Unit, Pediatric Surgery Department, Vall d´Hebron Barcelona Hospital Campus, Barcelona, Spain.
Marta Martos RodríguezNeonatal Surgery Unit, Pediatric Surgery Department, Vall d´Hebron Barcelona Hospital Campus, Barcelona, Spain.
Oscar RochaPediatric Surgery Department, Vall d´Hebron Barcelona Hospital Campus, Barcelona, Spain.
Manuel López ParedesPediatric Surgery Department, Vall d´Hebron Barcelona Hospital Campus, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSplit abdominal wall muscle flap (SAWMF) is a technique to repair large defects in congenital diaphragmatic hernia (CDH). A possible objection to this intervention could be any associated abdominal muscle weakness. Our aim is to analyze the evolution of this abdominal muscle wall weakness.

methodsRetrospective review of CDH repair by SAWMF (internal oblique muscle and transverse) from 2004 to 2023 focusing on the evolution of muscle wall weakness.

resultsEighteen neonates of 148 CDH patients (12,1%) were repaired using SAWMF. Mean gestational age and birth weight were 35.7 ± 3.5 weeks and 2587 ± 816 g. Mean lung-to-head ratio was 1.49 ± 0.28 and 78% liver-up. Seven patients (38%) were prenatally treated by tracheal occlusion. Ninety-four percent of the flaps were used for primary repair and one to repair a recurrence. One patient (5.6%) experienced recurrence. Abdominal muscle wall weakness was present in the form of a bulge. Resolution of weakness at 1, 2 and 3 years was 67%, 89% and 94%, respectively. No patient required treatment for weakness or died.

conclusionsAbdominal muscular weakness after a split abdominal wall muscle flap repair is not a limitation for its realization since it is asymptomatic and presents a prompt spontaneous resolution. LEVEL OF EVIDENCE: IV.

Indexed as

Abdominal MusclesAbdominal WallHernias, Diaphragmatic, CongenitalMuscle WeaknessSurgical FlapsFemaleHerniorrhaphyHumansInfant, NewbornMalePostoperative ComplicationsRetrospective StudiesTreatment OutcomeAbdominal weaknessCongenital diaphragmatic herniaNewbornSplit abdominal wall muscle flap

Identifiers

PMID38958763

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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.