Evidence map›Paper›PMID 39729131›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Lateral abdominal wall hernias after coughing: a single center experience.

Ryan C Ellis, Sara M Maskal, Alexander Bertke, Sergio Mazzola Poli de Figueiredo, Kimberly P Woo, Aldo Fafaj, Nir Messer, Daphne Remulla, David M Krpata, Benjamin T Miller and 4 more

Abstract read
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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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

14 authors.

Ryan C EllisDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA. ellisr2@ccf.org.ORCID 0000-0001-7206-3543
Sara M MaskalDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Alexander BertkeDepartment of Surgery, Cleveland Clinic Foundation Akron General Hospital, Akron, OH, USA.
Sergio Mazzola Poli de FigueiredoDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Kimberly P WooDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Aldo FafajDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Nir MesserDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Daphne RemullaDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
David M KrpataDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Benjamin T MillerDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Lucas R A BeffaDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Clayton C PetroDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Ajita S PrabhuDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.
Michael J RosenDepartment of Surgery, Cleveland Clinic Center for Abdominal Core Health Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH, 44195, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeForceful coughing is assumed to be an uncommon etiology for lateral abdominal wall hernias. The literature regarding this topic is very limited and there is a lack of consensus in management, both operative and non-operative. We aim to report our center's experience in repair of lateral abdominal wall hernias secondary to vigorous coughing.

methodsAll patients undergoing lateral abdominal wall hernia repairs secondary to coughing at our institution from August 2014 to December 2023 were identified in the Abdominal Core Health Quality Collaborative (ACHQC). Only patients with lateral abdominal wall hernias without prior lateral incisions, reporting a vigorous coughing event were included in the analysis. Recurrent repairs were also included. Patient and hernia characteristics, operative details, post-operative outcomes, and long-term patient reported outcomes were extracted from the ACHQC database and chart review.

resultsTwelve patients with lateral abdominal wall hernias secondary to coughing underwent repair within the study period. The median hernia width was 18.5 cm. Transversus abdominus release was performed in all patients, 8 had heavyweight polypropylene mesh placed, and 9 received mesh fixation. Wound complications were noted in 2 patients, both resolved with superficial wound opening. At a mean follow up of 4.0 years, one patient reported a bulge, and no clinical or radiographic recurrences were identified.

conclusionLateral abdominal wall hernias after forceful coughing have not been well defined. Here we present our series based on our repairs. Unfortunately, our ability to comment on recurrences is limited by a lack of follow up.

Indexed as

CoughHerniorrhaphySurgical MeshAdultAgedFemaleHernia, VentralHumansMaleMiddle AgedPostoperative ComplicationsRecurrenceRetrospective StudiesAbdominal wall reconstructionCoughing herniaFlankLateral abdominal wall herniaTARTransversus abdominus release

Identifiers

PMID39729131

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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.