Evidence map›Paper›PMID 40402279›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2025

Feasibility of laparoscopic sleeve gastrectomy in patients with severe obesity and complex abdominal wall hernias with loss of domain.

Anna Carolina Batista Dantas, Denis Pajecki, Abel Hiroshi Fernandes Murakami, Thiago Menezes Baraviera, Flavio Masato Kawamoto, Daniel Riccioppo Cerqueira Ferreira de Oliveira, Claudio Augusto Vianna Birolini, Marco Aurelio Santo

Abstract read
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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.

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

8 authors.

Anna Carolina Batista DantasUnidade de Cirurgia Bariátrica e Metabólica, Disciplina de Cirurgia do Aparelho Digestivo e Coloproctologia, Departamento de Gastroenterologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Av. Dr. Enéas Carvalho de Aguiar, 255. Hospital das Clínicas da FMUSP, Disciplina de Cirurgia do Aparelho Digestivo - 9º andar, São Paulo, 05403-000, Brazil. carolbatista.med@gmail.com.ORCID 0000-0001-9505-6784
Denis PajeckiUnidade de Cirurgia Bariátrica e Metabólica, Disciplina de Cirurgia do Aparelho Digestivo e Coloproctologia, Departamento de Gastroenterologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Av. Dr. Enéas Carvalho de Aguiar, 255. Hospital das Clínicas da FMUSP, Disciplina de Cirurgia do Aparelho Digestivo - 9º andar, São Paulo, 05403-000, Brazil.ORCID 0000-0002-0898-9285
Abel Hiroshi Fernandes MurakamiGrupo de Parede Abdominal, Disciplina de Cirurgia Geral, Departamento de Cirurgia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Sao Paulo, Brazil.ORCID 0000-0001-8522-6225
Thiago Menezes BaravieraGrupo de Radiologia Abdominal, Disciplina de Radiologia, Departamento de Radiologia e Oncologia, Instituto de Radiologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Sao Paulo, Brazil.
Flavio Masato KawamotoUnidade de Cirurgia Bariátrica e Metabólica, Disciplina de Cirurgia do Aparelho Digestivo e Coloproctologia, Departamento de Gastroenterologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Av. Dr. Enéas Carvalho de Aguiar, 255. Hospital das Clínicas da FMUSP, Disciplina de Cirurgia do Aparelho Digestivo - 9º andar, São Paulo, 05403-000, Brazil.ORCID 0000-0002-2391-2796
Daniel Riccioppo Cerqueira Ferreira de OliveiraUnidade de Cirurgia Bariátrica e Metabólica, Disciplina de Cirurgia do Aparelho Digestivo e Coloproctologia, Departamento de Gastroenterologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Av. Dr. Enéas Carvalho de Aguiar, 255. Hospital das Clínicas da FMUSP, Disciplina de Cirurgia do Aparelho Digestivo - 9º andar, São Paulo, 05403-000, Brazil.ORCID 0000-0003-3289-8639
Claudio Augusto Vianna BiroliniGrupo de Parede Abdominal, Disciplina de Cirurgia Geral, Departamento de Cirurgia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, Sao Paulo, Brazil.ORCID 0000-0003-4896-9251
Marco Aurelio SantoUnidade de Cirurgia Bariátrica e Metabólica, Disciplina de Cirurgia do Aparelho Digestivo e Coloproctologia, Departamento de Gastroenterologia, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Av. Dr. Enéas Carvalho de Aguiar, 255. Hospital das Clínicas da FMUSP, Disciplina de Cirurgia do Aparelho Digestivo - 9º andar, São Paulo, 05403-000, Brazil.ORCID 0000-0002-7813-6210

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe literature recommends that patients with complex abdominal wall hernias (CAWH) and severe obesity should be managed with staged treatment, undergoing metabolic and bariatric surgery (MBS) before hernia repair. However, CAWH with loss of domain (LOD) presents a more challenging situation. This study presents the feasibility of Laparoscopic Sleeve Gastrectomy (LSG) in patients with CAWH and LOD.

methodsThis is a retrospective cohort of unselected consecutive patients with CAWH and LOD defined based on Tanaka and Sabbagh's criteria who underwent LSG from 2016 to 2023. We documented a 90-day complication rate according to the Clavien-Dindo classification.

resultsSixteen patients, aged 55 ± 10.6 years with a mean BMI of 41.75 ± 4.75 kg/m

conclusionLSG in patients with severe obesity and CAWH with loss of domain is safe and feasible but has a higher-than-expected rate of serious morbidity due to the complexity of this patient population.

Indexed as

GastrectomyHernia, AbdominalHernia, VentralLaparoscopyObesity, MorbidAdultBariatric SurgeryFeasibility StudiesFemaleHerniorrhaphyHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesAbdominal herniaBariatric SurgeryPostoperative complications

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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.