Evidence map›Paper›PMID 39812906›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2025

Surgery for primary ventral hernias and risk of postoperative pain, nausea: a population-based register study.

Fathalla Ali, Göran Wallin, Rebecka Rubenson Wahlin, Agneta Montgomery, Peder Rogmark, Gabriel Sandblom

Abstract read
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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

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

  1. Pooled it
  2. Pain outcomes in emergent versus elective ventral hernia repair: Propensity score matched analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026
    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.

Fathalla AliFaculty of Medicine and Health, Department of Surgery, Örebro University Hospital, Örebro, Sweden. fathalla_ali@outlook.com.ORCID 0000-0002-2090-4563
Göran WallinFaculty of Medicine and Health, Department of Surgery, Örebro University Hospital, Örebro, Sweden.
Rebecka Rubenson WahlinDivision of Anesthesiology and Intensive Care, Department of Clinical Science, Technology and Intervention, Karolinska Institutet, Huddinge, Sweden.
Agneta MontgomeryDepartment of Surgery, Skane University Hospital, Malmö, Sweden.
Peder RogmarkDepartment of Surgery, Skane University Hospital, Malmö, Sweden.
Gabriel SandblomDepartment of Clinical Science and Education Södersjukhuset, Karolinska Institutet, Stockholm, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to evaluate risk factors for postoperative pain and nausea after open repair for primary ventral hernias.

methodA population-based registry study was conducted based on data assembled from the Swedish national ventral hernia repair register between January 2016 and December 2021and cross-matched with the Swedish perioperative register.

resultsAltogether 2064 open ventral hernia repairs were registered, including 816 (39.5%) performed on women. Of these, 91 (4.4%) were registered to suffer postoperative nausea or vomiting (PONV) and 403 (19.5%) postoperative pain (PP). In both univariable and multivariable logistic regression analyses, significant predictors of postoperative nausea and pain included male gender, which was associated with lower odds of both postoperative nausea (multivariable OR: 0.30, 95% CI: 0.18-0.49, P < 0.001) and postoperative pain (multivariable OR: 0.60, 95% CI: 0.44-0.83, P = 0.002). Additional predictors of postoperative nausea included emergency surgery (multivariable OR: 4.08, 95% CI: 1.10-15.08, P = 0.035), operative time > 40 min (multivariable OR: 4.15, 95% CI: 2.24-7.69, P < 0.001). Conversely total intravenous anesthesia was associated with lower incidence of PONV (multivariable OR: 0.40, 95% CI: 0.22-0.74, P = 0.003). Other factors, such as age, BMI, smoking status, ASA classification, hernia size, surgery type, operative time, and anesthesia type, were not significantly associated with postoperative pain after adjusting for other variables.

conclusionPostoperative nausea and vomiting (PONV) are significantly reduced with total intravenous anesthesia (TIVA) compared to inhalation anesthesia, with no notable difference in postoperative pain between the two methods.

Indexed as

Hernia, VentralHerniorrhaphyPostoperative Nausea and VomitingPostoperative PainAdultAgedFemaleHumansMaleMiddle AgedOperative TimeRegistriesRisk FactorsSex FactorsSwedenGeneral anesthesiaInhalation anesthesiaPostoperative pain and nausea/vomitingPrimary ventral herniaUmbilical hernia

Identifiers

PMID39812906
PMCPMC11735517

What OpenQuestion holds

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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.