Evidence map›Paper›PMID 40608066›Full record

ArticleSurgery today2025

Using computed tomography imaging for the quantitative assessment of bowel viability in incarcerated groin hernia.

Junichi Sakamoto, Nobuhiko Okamoto, Keisuke Manaka, Yusuke Nie, Taiga Wakabayashi, Atsuko Tsutsui, Go Wakabayashi

Abstract read
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Article in Surgery today, 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

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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

7 authors.

Junichi SakamotoDepartment of Surgery, Ageo Central General Hospital, 1-10-10 Kashiwaza, Ageo-City, Saitama, 362-8588, Japan. Btaq1659@gmail.com.ORCID http://orcid.org/0000-0002-4316-0763
Nobuhiko Okamoto *Department of Surgery, Ageo Central General Hospital, 1-10-10 Kashiwaza, Ageo-City, Saitama, 362-8588, Japan.
Keisuke Manaka *Department of Surgery, Ageo Central General Hospital, 1-10-10 Kashiwaza, Ageo-City, Saitama, 362-8588, Japan.
Yusuke Nie *Department of Surgery, Ageo Central General Hospital, 1-10-10 Kashiwaza, Ageo-City, Saitama, 362-8588, Japan.
Taiga Wakabayashi *Department of Surgery, Ageo Central General Hospital, 1-10-10 Kashiwaza, Ageo-City, Saitama, 362-8588, Japan.
Atsuko Tsutsui *Department of Surgery, Ageo Central General Hospital, 1-10-10 Kashiwaza, Ageo-City, Saitama, 362-8588, Japan.
Go Wakabayashi *Department of Surgery, Ageo Central General Hospital, 1-10-10 Kashiwaza, Ageo-City, Saitama, 362-8588, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRapid assessment of bowel viability in patients with incarcerated groin hernia (IGH) is crucial. However, there have been few studies on the quantitative indicators to assess bowel viability objectively. This study investigates the usefulness of the computed tomography (CT) value of the intestinal contents in this context.

methodsThe subjects of this retrospective study were 84 patients with IGH diagnosed at our hospital between April, 2011 and March, 2023. The patients were divided into two groups according to whether they had necrotic (n = 24) or non-necrotic (n = 60) IGH. We reviewed the clinic-radiological factors associated with bowel necrosis.

resultsThe CT value of the incarcerated intestinal contents was significantly higher in the necrotic group than in the non-necrotic group (24.67 vs 9.33 HU, p < 0.001). Furthermore, multivariate logistic regression analysis identified the CT value of the incarcerated intestinal contents as an independent predictor of bowel necrosis (hazard ratio 275; 95% confidence interval 21.9-3450; p < 0.001).

conclusionsThe CT value of the incarcerated intestinal contents in IGH is a reliable and objective indicator for bowel viability preoperatively. This quantitative method of evaluation is effective and independent of clinical experience and can improve decision-making in the management of this condition.

Indexed as

Hernia, InguinalIntestinesTissue SurvivalTomography, X-Ray ComputedAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedNecrosisRetrospective StudiesBowel necrosisCT imagingCT valueIncarcerated groin herniaPreoperative

Identifiers

PMID40608066

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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.