Evidence map›Paper›PMID 38958771›Full record

ArticleLangenbeck's archives of surgery2024

"What really matters to the patients?": assessing the impact of wound healing on the quality of life in patients undergoing incisional hernia repair.

Eduardo Ferreira Martins, Rodrigo Piltcher -da-Silva, Lara Luz de Miranda Silva, Pedro San Martin Soares, Marcos Dal Vesco Neto, Lucas Dos Santos Difante, Isadora Bosini Remus, Laura Fink Wayerbacher, Victoria de Jorge, Bernardo Silveira Volkweis and 1 more

Abstract read
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In one paragraph

Article in Langenbeck's archives of 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

11 authors.

Eduardo Ferreira MartinsGeneral Surgery Division, Hospital de Clínicas de Porto Alegre (HCPA), Ramiro Barcelos, 2350, Porto Alegre, RS, 90035-903, Brazil. cad.eduardomartins@gmail.com.ORCID http://orcid.org/0000-0003-1944-1343
Rodrigo Piltcher -da-SilvaGeneral Surgery Division, Hospital de Clínicas de Porto Alegre (HCPA), Ramiro Barcelos, 2350, Porto Alegre, RS, 90035-903, Brazil.ORCID http://orcid.org/0000-0002-8726-3158
Lara Luz de Miranda SilvaGeneral Surgery Division, Hospital de Clínicas de Porto Alegre (HCPA), Ramiro Barcelos, 2350, Porto Alegre, RS, 90035-903, Brazil.ORCID http://orcid.org/0000-0002-6175-2877
Pedro San Martin SoaresPublic Health Department, Universidade Federal de Pelotas, Pelotas, RS, Brazil.ORCID http://orcid.org/0000-0001-8974-7503
Marcos Dal Vesco NetoGeneral Surgery Division, Hospital de Clínicas de Porto Alegre (HCPA), Ramiro Barcelos, 2350, Porto Alegre, RS, 90035-903, Brazil.ORCID http://orcid.org/0000-0002-1133-8678
Lucas Dos Santos DifanteGeneral Surgery Division, Hospital de Clínicas de Porto Alegre (HCPA), Ramiro Barcelos, 2350, Porto Alegre, RS, 90035-903, Brazil.ORCID http://orcid.org/0000-0001-5018-0220
Isadora Bosini RemusGeneral Surgery Division, Hospital de Clínicas de Porto Alegre (HCPA), Ramiro Barcelos, 2350, Porto Alegre, RS, 90035-903, Brazil.ORCID http://orcid.org/0000-0003-1541-7039
Laura Fink WayerbacherMedicine Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.ORCID http://orcid.org/0000-0001-9884-0654
Victoria de JorgeMedicine Department, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
Bernardo Silveira VolkweisGeneral Surgery Division, Hospital de Clínicas de Porto Alegre (HCPA), Ramiro Barcelos, 2350, Porto Alegre, RS, 90035-903, Brazil.ORCID http://orcid.org/0000-0002-7130-893X
Leandro Totti CavazzolaGeneral Surgery Division, Hospital de Clínicas de Porto Alegre (HCPA), Ramiro Barcelos, 2350, Porto Alegre, RS, 90035-903, Brazil.ORCID http://orcid.org/0000-0003-2356-2789

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe aim to evaluate the impact of surgical wound complications in the first 30 postoperative days after incisional hernia repair on the long-term quality of life of patients. In addition, the impact of the surgical technique and preoperative comorbidities on the quality of life of patients will also be evaluated.

methodProspective cohort study, which evaluates 115 patients who underwent incisional hernioplasty between 2019 and 2020, using the onlay and retromuscular techniques. These patients were initially assessed with regard to surgical wound outcomes in the first 30 postoperative days (surgical site infection (SSI) or surgical site occurrence (SSO)), and then, assessed after three years, through a specific quality of life questionnaire, the Hernia Related Quality of Life Survey (HerQLes).

resultsAfter some patients were lost to follow-up during the study period, due to death, difficulty in contact, refusal to respond to the questionnaire, eighty patients were evaluated. Of these, 11 patients (13.8%) had SSI in the first 30 postoperative days and 37 (46.3%) had some type of SSO. The impact of both SSI and SSO on quality of life indices was not identified. When analyzing others variables, we observed that the Body Mass Index (BMI) had a significant impact on the patients' quality of life. Likewise, hernia size and mesh size were identified as variables related to a worse quality of life outcome. No difference was observed regarding the surgical techniques used.

conclusionIn the present study, no relationship was identified between surgical wound outcomes (SSO and SSI) and worse quality of life results using the HerQLes score. We observed that both BMI and the size of meshes and hernias showed an inversely proportional relationship with quality of life indices. However, more studies evaluating preoperative quality of life indices and comparing them with postoperative indices should be carried out to evaluate these correlations.

Indexed as

HerniorrhaphyIncisional HerniaQuality of LifeSurgical Wound InfectionWound HealingAdultAgedCohort StudiesFemaleHumansMaleMiddle AgedProspective StudiesSurgical MeshSurveys and QuestionnairesHerQles questionnaireIncisional hernioplastyPostoperative quality of lifePost-surgical complicationsSurgical wound complications

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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.