Evidence map›Paper›PMID 40314826›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2025

Follow-up of complex hernia repair with intraoperative fascial traction.

Guido Woeste, Sandrina Dascalescu, Felix Wegner, Hansjörg Meier, Nihad Sardoschau, Adrien Kiehle, Halil Dag, Zaid Malaibari, Henning Niebuhr

Abstract readMulticenter Study
PubMed Full text at PMC Publisher
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 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. FasciotensHernia : the journal of hernias and abdominal wall surgery · 2026
    Pooled it
  2. Pooled it
  3. Use of PERitoneal free flap (PERFF) augmentation in complex ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
  4. Article
  5. Article
  6. 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

9 authors.

Guido WoesteGoethe University Frankfurt, Faculty of Medicine, Frankfurt A.M., Germany. guido.woeste@agaplesion.de.ORCID 0000-0002-0331-3278
Sandrina DascalescuSana-Hospital Düsseldorf-Benrath, Düsseldorf, Germany.
Felix WegnerAgaplesion Bethesda Hospital Bergedorf, Bergedorf, Germany.
Hansjörg MeierSana-Hospital Düsseldorf-Benrath, Düsseldorf, Germany.
Nihad SardoschauLaSar Saarbrücken, Saarbrücken, Germany.
Adrien KiehleSt. Elisabeth Hospital Leipzig, Leipzig, Germany.
Halil DagHamburg Hernia Center, Hamburg, Germany.
Zaid MalaibariUniversity of Tabuk, Faculty of Medicine, Department of Surgery, Tabuk, Saudi Arabia.
Henning NiebuhrHamburg Hernia Center, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDifferent techniques for complex abdominal wall repair are utilised including intraoperative fascial traction (IFT) as the latest development. Despite increasing case numbers for IFT across Europe, long-term data especially on recurrence rates are not available yet.

methodsFollow-up data from five different German hernia centers between 12/2019 and 9/2023 were assessed. All patients received Rives-Stoppa repair (RSR) and IFT intraoperatively with an additional transverse abdominis muscle release (TAR) in some cases. 30-day postoperative outcome data were retrospectively collected Standardized follow-up was performed after a minimum of 3 months including clinical examination and standardized ultrasound.

resultsA total of 100 patients were included in the study. The mean age was 60.7 ± 14.3 years; the mean BMI was 31.3 ± 7.3 kg/m² with a mean follow-up of 19.7 ± 10.7 months. The mean defect width was 15.8 ± 5.2 cm. In 94% of the patients complete fascial closure was achieved; in 28% an additional TAR procedure was necessary During follow-up, 2 recurrences were found. The surgical site occurrence (SSO) rate was 33% including mainly seromas (54.5%) and surgical site infections (SSI) of 9% Comparing the groups of IFT + TAR and IFT + RSR a significantly higher incidence of SSO was found in the TAR group (50% vs. 26.4%, p<0.01).

conclusionsThis study, which is the first long-term follow-up, shows very promising results of the innovative IFT technique in terms of closure rate, wound morbidity, and recurrence rate.

Indexed as

FasciotomyHernia, VentralHerniorrhaphyIntraoperative CareTractionAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedRecurrenceRetrospective StudiesSurgical Wound InfectionComplex herniaFascial tractionFasciotensFollow-upIFTVentral hernia repair

Identifiers

PMID40314826
PMCPMC12048416

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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.