Evidence map›Paper›PMID 38990230›Full record

SynthesisHernia : the journal of hernias and abdominal wall surgery2024

Hybrid intraperitoneal onlay mesh repair for incisional hernias: a systematic review and meta-analysis.

Patrícia Marcolin, Sarah Bueno Motter, Gabriela R Brandão, Diego L Lima, Bruna Oliveira Trindade, Sérgio Mazzola Poli de Figueiredo

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis 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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Review
  3. 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

6 authors.

Patrícia MarcolinDivision of Surgery, Federal University of the Southern Border (Universidade Federal da Fronteira Sul), 20 Capitão Araujo St., Passo, Fundo, 99010-121, Brazil. Patricia.marcolin@estudante.uffs.edu.br.ORCID 0000-0003-3241-5545
Sarah Bueno MotterDivision of Surgery, Federal University of Health Sciences of Porto Alegre (Universidade Federal de Ciências da Saúde de), 245 Sarmento Leite St., Porto Alegre, 90050-170, Brazil. sarahm@ufcspa.edu.br.ORCID 0000-0001-8041-4630
Gabriela R BrandãoDivision of Surgery, Federal University of Health Sciences of Porto Alegre (Universidade Federal de Ciências da Saúde de), 245 Sarmento Leite St., Porto Alegre, 90050-170, Brazil. gr.brandao@outlook.com.ORCID 0000-0002-7224-0383
Diego L LimaDivision of Surgery, Montefiore Medical Center, 111 E 210th St., Bronx, NY, 10467, USA. dlima@montefiore.com.ORCID 0000-0001-7383-1284
Bruna Oliveira TrindadeDivision of Surgery, Federal University of Health Sciences of Porto Alegre (Universidade Federal de Ciências da Saúde de), 245 Sarmento Leite St., Porto Alegre, 90050-170, Brazil. bruna_trin@hotmail.com.ORCID 0000-0002-5157-1108
Sérgio Mazzola Poli de FigueiredoDivision of Surgery, Center for Abdominal Core Health, Cleveland Clinic Foundation, Cleveland, Ohio, 9500 Euclid Ave., 44195, USA. mazzols2@ccf.org.ORCID 0000-0003-2986-8164

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionLaparoscopic IPOM is technically challenging, especially regarding fascial closure. Hybrid repair has been proposed as a simpler approach. We aimed to compare hybrid and laparoscopic intraperitoneal onlay mesh repair (IPOM) in patients undergoing ventral hernia repair (VHR).

methodsWe performed a systematic review of Cochrane, Scopus, and MEDLINE databases to identify studies comparing hybrid versus laparoscopic IPOM VHR reporting the outcomes of recurrence, mortality, seroma, postoperative complications, reoperation, surgical site infection, and operative time. Statistical analysis was performed using RStudio 4.1.2 using a random-effects model.

resultsWe screened 2,896 articles and fully reviewed 22 of them. A total of five studies, encompassing 664 patients were included. Among them, 337 (50.8%) underwent laparoscopic IPOM. All patients had incisional hernias, with a mean diameter varying from 3 to 12.7 cm, 60% were women, with a mean BMI varying from 29.5 to 38. The hybrid approach had a lower rate of seroma when compared to the laparoscopic (OR 0.22; 95% CI 0.05 to 0.92; p = 0.038; I²=78%). We found no difference in recurrence, mortality, postoperative complications, reoperation, surgical site infection, and operative time between groups.

conclusionHybrid IPOM is a safe and effective method for incisional hernia repair. Moreover, it facilitates fascial defect closure and decreases postoperative seromas.

Indexed as

Hernia, VentralHerniorrhaphyIncisional HerniaLaparoscopySurgical MeshHumansOperative TimePostoperative ComplicationsRecurrenceReoperationSeromaSurgical Wound InfectionHybrid repairIncisional herniaIPOMSeromaVentral hernia

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.