Evidence map›Paper›PMID 39269518›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Preoperative botolinum toxin A (BTA) and intraoperative fascial traction (IFT) in the management of complex abdominal wall hernias.

Henning Niebuhr, Felix Wegner, Halil Dag, Wolfgang Reinpold, Guido Woeste, Ferdinand Köckerling

Abstract read
In one paragraph

Article 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 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing 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

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

  1. FasciotensHernia : the journal of hernias and abdominal wall surgery · 2026
    Pooled it
  2. Article
  3. Observational
  4. Renal consequences of complex abdominal wall reconstruction.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Follow-up of complex hernia repair with intraoperative fascial traction.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  13. Complex abdomen: a scoping review.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Article
  14. Article
  15. Editorial: Components Separation Techniques in Abdominal Wall Surgery.Journal of abdominal wall surgery : JAWS · 2025
    Article
  16. Article
  17. Review
  18. 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

6 authors.

Henning NiebuhrHamburg Hernia Center, Hamburg, Germany. h.niebuhr@hernie.de.
Felix WegnerAgaplesion Bethesda Hospital Bergedorf, Hamburg, Germany.
Halil DagHamburg Hernia Center, Hamburg, Germany.
Wolfgang ReinpoldHamburg Hernia Center, Hamburg, Germany.
Guido WoesteAgaplesion Elisabethenstift Darmstadt, Darmstadt, Germany.
Ferdinand KöckerlingHernienzentrum Vivantes Humboldt-Klinikum Berlin, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPreoperative botolinum toxin A (BTA) administration to the lateral abdominal wall has been widely used since its introduction for treating complex abdominal wall defects and loss of domain (LOD) hernias. Intraoperative fascial traction (IFT) is an established technique for complex abdominal wall hernias exceeding a width of 10 cm and has also shown auspicious results. We present our single center data including 143 consecutive cases combining both techniques from 2019 to 2023. Aim of the study was to develop an algorithm for a tailored approach for very large and complex ventral abdominal wall hernias.

methodsConsecutive patients treated with preoperative BTA and IFT from August 2019 to December 2023 were identified in our prospectively maintained database and reviewed retrospectively. Metrics included intraoperative findings and short-term (30 days) postoperative outcomes.

results143 patients were included in our retrospective analysis. The mean age was 58.9 years and 99% of all patients had an ASA Score of II or III with a mean body mass index of 32.4 kg/m

conclusionsIFT in combination with BTA is a transformative and clinically proven tool in the surgeons' toolbox. It might be an easier, and less invasive alternative to other available techniques in many cases, but it should not be looked at as an ultimate stand-alone method to treat all complex W3 hernias.

Indexed as

FasciotomyHerniorrhaphyTractionAbdominal WallAgedFasciaFemaleHernia, VentralHumansIntraoperative CareMaleMiddle AgedPreoperative CareRetrospective StudiesAbdominal wall reconstructionBotoxFascial tractionFasciotensIFTIncisional herniaVentral hernia repair

Identifiers

PMID39269518
PMCPMC11530493

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.