Evidence map›Paper›PMID 41964852›Full record

SynthesisPediatric surgery international2026

Incarceration of epigastric hernia in children: a systematic review.

Sara Faily, Andrey Nezhentsev, George Bethell, Dina Fouad

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Pediatric surgery international, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Sara FailyLeicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK. sara.faily@doctors.org.uk.
Andrey NezhentsevSouthampton Children's Hospital, Tremona Road, Southampton, Hampshire, SO16 6YD, UK.
George BethellSouthampton Children's Hospital, Tremona Road, Southampton, Hampshire, SO16 6YD, UK.
Dina FouadLeicester Royal Infirmary, Infirmary Square, Leicester, LE1 5WW, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePaediatric epigastric hernias are usually superficial fascial defects in the linea alba containing extra-peritoneal fat only. We aimed to determine the frequency of incarceration of epigastric hernias in children and the incidence of full thickness defects.

methodsA systematic review was performed following PRISMA guidelines (PROSPERO: CRD42024622980). A literature search was undertaken using sources from the Cochrane Central Register of Controlled Trials (CENTRAL), Ovid MEDLINE, Embase, Grey literature sources, references of included studies, all in English language only, using the keywords and variations of, “children”, “epigastric hernia”, “supraumbilical” and “paediatric”. Data extraction for each included study, included bibliographic details (authors, title, publication date), study design, study period, region of origin, number of children with epigastric hernia and incarcerated epigastric hernia and management of incarcerated epigastric hernia.

resultsTwenty-five reports were selected for full text screening and seven studies were included (between the years of 1975 to 2019) in the final systematic review and analysis. A total of 80 cases are described, 33 males and 47 females, with an average age at presentation for each series ranging between 2 and 9 years. Our systematic review found that no previous studies have reported paediatric cases of incarcerated, full thickness epigastric hernias.

conclusionsEpigastric hernias are commonly encountered in general surgery of childhood however studies of this disease are limited. Incarceration of epigastric hernias in children is rare and has only been reported previously to contain extra-peritoneal fat. LEVELS OF EVIDENCE: Level IV.

Indexed as

Hernia, AbdominalChildChild, PreschoolHerniorrhaphyHumansChildrenEpigastric herniaPaediatricSupraumbilical hernia

Identifiers

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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.