Evidence map›Paper›PMID 39920374›Full record

ArticleSurgical endoscopy2025

Risk factors of symptomatic internal hernias after left hemicolectomy: a multicenter retrospective study.

Siyuan Yin, Haibo Li, Jun Xu, Aijun Chen, Maojun Di, Xiaoli Hu, Donghua Wang, Xiangbo Wu, Xu Ai, Wenming Liu and 5 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2025. 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. 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

15 authors.

Siyuan Yin *Department of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Haibo Li *Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou, 350001, China.
Jun Xu *Department of Gastrointestinal Surgery, Yichang Central People's Hospital, The First College of Clinical Medical Science, China Three Gorges University, Yichang, 443000, China.
Aijun ChenDepartment of Colorectal Surgery, Yichang Central People's Hospital, The First College of Clinical Medical Science, China Three Gorges University, Yichang, 443000, China.
Maojun DiDepartment of Gastrointestinal Surgery, Taihe Hospital, Hubei University of Medicine, Shiyan, 442000, China.
Xiaoli HuDepartment of Gastrointestinal Surgery, Qianjiang Central Hospital, Qianjiang, 433100, China.
Donghua WangDepartment of Colorectal Surgery, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, 441021, China.
Xiangbo WuDepartment of Colorectal Surgery, The Second People's Hospital of Yichang, Yichang, 443000, China.
Xu AiDepartment of Colorectal Surgery, Jingmen No. 1 People's Hospital, Jinmen, 448000, China.
Wenming LiuDepartment of Gastrointestinal Surgery, The First People's Hospital of Tianmen, Tianmen, 431700, China.
Junping LeiDepartment of Colorectal Surgery, Xiangyang No. 1 People's Hospital, Affiliated Hospital of Hubei University of Arts and Science, Xiangyang, 441021, China.
Qun QianDepartment of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Jianhua DingDepartment of Colorectal Surgery, The Characteristic Medical Center of PLA Rocket Force, Beijing, 100088, China. jianhuading75@163.com.
Xianghai RenDepartment of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China. xhren@whu.edu.cn.ORCID 0000-0001-8092-6687
Congqing JiangDepartment of Colorectal and Anal Surgery, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China. wb002554@whu.edu.cn.ORCID 0000-0001-6324-5740

Funding

Center for Depression Research and Clinical Care, University of Texas Southwestern Medical Center Grant No. PTPP2024006Enginerring Construction Project of Improving Diagnosis and Treatment Ability of Difficult Diseases(Oncology) No. ZLYNXM202012Zhongnan Hospital of Wuhan University Medical Science and Technology Innovation Platform Construction Support Project Grant No. PTXM2023028
6 · The paper itself

Abstract

backgroundMesenteric-related internal hernia after left hemicolectomy is rare. However, it can cause serious consequences, including upper gastrointestinal obstruction and acute intestinal necrosis. This study aimed to explore the potential risk factors of symptomatic internal hernia (SIH) after a left hemicolectomy. MATERIALS AND

methodsWe retrospectively reviewed the data of patients who underwent a left hemicolectomy at 10 tertiary hospitals between January 2018 and June 2024. Their baseline information, surgical procedures, and early postoperative complications (within 3 months after surgery) were recorded and analyzed.

resultsOverall, 468 patients were included in this study, the majority of patients underwent laparoscopic surgery (76.9%). SIH was detected using postoperative imaging (computed tomography/upper gastrointestinal contrast). Six patients (1.28%) developed SIH (SIH group) and underwent re-operation. Compared with the 462 patients who did not develop SIH (non-SIH group) (with comparable baseline data between groups), the SIH group did not undergo surgery to close the mesenteric defect (0 vs. 56.1%; p = 0.008) and had longer durations of postoperative hospital stay (50.5 ± 37.1 days vs. 14.6 ± 6.4 days; p < 0.001). Relative to the patients without mesenteric defect closure, those who had closure of the mesenteric defects did not have significantly increased duration of surgery (β = - 0.40, 95% CI = - 12.60 to 11.81, p = 0.949) or incidence of postoperative complications other than SIH (β = 0.79, 95% CI = 0.43 to 1.45, p = 0.443).

conclusionThe risk of SIH after left hemicolectomy may increase if closure of the mesenteric defect is not performed. We recommend appropriate management of the mesenteric defect after left hemicolectomy to prevent SIH.

Indexed as

ColectomyInternal HerniaLaparoscopyPostoperative ComplicationsAgedFemaleHumansLength of StayMaleMesenteryMiddle AgedReoperationRetrospective StudiesRisk FactorsInternal herniaLaparoscopyLeft hemicolectomyMesenteric defectUnclosed mesenteric defectUpper gastrointestinal obstruction

Identifiers

PMID39920374

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.