Evidence map›Paper›PMID 39725752›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

How I do it: using physics and progressive defect tensioning to close large hernia defects during MIS ventral hernia repair.

Xavier Pereira, Pedro De Oliveira, Daniel Tagerman, Gustavo Romero-Velez, Rockson Liu, Flavio Malcher

Abstract read
PubMed Publisher
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 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. 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.

Xavier PereiraDepartment of Surgery, NYU Langone Medical Center, 550 First Ave, HCC 12th Floor, New York, NY, 10016, USA. pereiraxavier@gmail.com.ORCID 0000-0001-6247-7523
Pedro De OliveiraDepartment of Physics, Harvard University, Boston, MA, USA.
Daniel TagermanSaint Francis Hospital, Hartford, CT, USA.
Gustavo Romero-VelezDepartment of Endocrine Surgery, Cleveland Clinic, Cleveland, OH, USA.ORCID 0000-0002-9762-3698
Rockson LiuFirst Surgical Consultants, Oakland, CA, USA.
Flavio MalcherDepartment of Surgery, NYU Langone Medical Center, 550 First Ave, HCC 12th Floor, New York, NY, 10016, USA.ORCID 0000-0003-1644-9921

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionClosure of large hernia defects with minimally invasive surgery has long-been a challenge. Barbed sutures have helped us bridge this technical gap, but their off-label use is not well studied. MATERIALS AND

methodsWe describe a suturing technique for minimally invasive ventral hernia repair (MIS-VHR) termed "progressive defect tensioning" and explore its theoretical advantages. Progressive defect tensioning utilizes barbed sutures to progressively and evenly re-approximate the fascia along the entire defect length. Tension is then sequentially applied to each throw, distributing the load across multiple anchor points along the closure. This redistribution of tension is explained using a physics model to depict its theoretical benefit. We also explore how biomechanical properties, such as tissue creep and hysteresis, impact closure of complex defects.

resultsOur initial, proof-of-concept cohort of 12 patients with hernias larger than 10 cm undergoing MIS-VHR had acceptable perioperative outcomes compared to the literature.

conclusionsUltimately, progressive defect tensioning leverages the properties of barbed sutures and the biomechanics of fascia to achieve optimal tension distribution during MIS-VHR.

Indexed as

Hernia, VentralHerniorrhaphySuture TechniquesBiomechanical PhenomenaFemaleHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresSurgical MeshSuturesAbdominal wall reconstructionHerniaMinimally invasivePhysicsRobotic surgery

Identifiers

PMID39725752

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.