Evidence map›Paper›PMID 40216651›Full record

SynthesisHernia : the journal of hernias and abdominal wall surgery2025

Comparison of different mesh placement techniques for parastomal hernia repair: an updated systematic review and network meta-analysis.

Oguz Kagan Sahin, Ayse Gulsah Kaya, Paweł Łajczak, Luana Miyahira Makita, Hande Deger Usta, Iago Nathan Simon Petry, Yasmin Picanco Silva, Eduardo Nogueira Freitas Ximenes

Abstract readSystematic ReviewComparative StudyNetwork Meta-Analysis
PubMed Publisher
In one paragraph

Synthesis 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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Outcomes of surgical techniques for parastomal hernia repair: a bayesian network meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Pooled it
  2. Article
  3. Measuring symptoms in parastomal hernia: a prospective evaluation using MYMOP2.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
  4. Article
  5. Parastomal hernia repair using retromuscular 3D funnel mesh: the "Sugar Funnel" technique.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
  6. Review
  7. 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

8 authors.

Oguz Kagan Sahin *Edremit State Hospital, Balikesir, Turkey. oguzkagansahin26@gmail.com.ORCID 0009-0006-0001-0390
Ayse Gulsah Kaya *University of South Florida, Tampa, FL, USA.ORCID 0009-0001-6504-646X
Paweł ŁajczakMedical University of Silesia, Katowice, Poland.ORCID 0000-0003-0281-5417
Luana Miyahira MakitaComplex of the Clinical Hospital of the Federal University of Parana, Curitiba, Brazil.ORCID 0009-0004-8728-1411
Hande Deger UstaUmraniye Training and Research Hospital, Istanbul, Turkey.ORCID 0009-0000-2526-3171
Iago Nathan Simon PetryUniversity of Southern Santa Catarina (UNISUL), Tubarão, Brazil.ORCID 0009-0008-9169-2992
Yasmin Picanco SilvaHealthcare Institution of South Iceland, Selfoss, Iceland.ORCID 0009-0003-5728-4964
Eduardo Nogueira Freitas XimenesHospital Santa Lúcia (HSLS), Brasília, Brazil.ORCID 0009-0009-4221-5310

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe performed a network meta-analysis to evaluate the comparative effectiveness of different mesh placement techniques in parastomal hernia repair on clinical and patient-reported outcomes.

methodsA comprehensive search was conducted in PubMed, Scopus, Cochrane, and Web of Science for articles published until January 2025, focusing on recurrence rates, cumulative complication rates, operative time, length of hospital stay, surgical site infection rate, and Postoperative bowel obstruction rate. The risk of bias was assessed with ROBINS-I and RoB 2. GRADE assessment was performed to evaluate the body of evidence.

resultsTwenty studies were included in the meta-analysis. Hybrid 3D had lower rates of hernia recurrence than Keyhole (OR 0.20, 95% CI: 0.07-0.59) and had lower rates of surgical site infections than Sugarbaker (OR 0.25, 95% CI: 0.07-0.90). Sandwich had the highest ranking with the lowest recurrence rate (P-score: 0.8188), followed by Hybrid 3D. Hybrid 3D was associated with lower rates of cumulative complications than the keyhole technique (OR 0.33, 95% CI 0.15-0.74) and compared with the Sugarbaker technique (OR 0.35, 95% CI:0.17-0.75). No statistically significant differences were observed between techniques for postoperative bowel obstruction, operative time, or length of hospital stay. However, Hybrid 3D and Sandwich consistently ranked higher for favorable outcomes across these metrics.

conclusionsThese findings suggest that Hybrid 3D and Sandwich techniques offer superior outcomes regarding hernia recurrence and cumulative complications. Further high-quality randomized trials are required to confirm these results.

Indexed as

Hernia, VentralHerniorrhaphyIncisional HerniaSurgical MeshSurgical StomasHumansLength of StayOperative TimePostoperative ComplicationsRecurrenceHerniaKeyholeMeshParastomal herniaSandwichSugarbaker

Identifiers

PMID40216651

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.