ArticleHernia : the journal of hernias and abdominal wall surgery2026
Evaluation of usefulness of manual reduction in the management of adult acute irreducible abdominal wall hernia: a study from a community-based teaching hospital.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
14 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis retrospective study was conducted to clarify the usefulness of manual reduction (MR) in the management of acute irreducible abdominal wall hernia (AIAWH) in a community-based teaching hospital.
methodsThe study involved 98 patients who underwent MR for computed tomography-proven AIAWH in our hospital between April 2014 and May 2022. The primary endpoint was the success rate of MR, and secondary endpoints included determining the risk factors for failure of MR in inguinal and femoral hernia, number of MR attempts, staff position of the final MR attempter, and rates of perforation and necrosis in the MR success and failure groups.
resultsOverall, MR was successful in 45 patients (46%), and the success rate varied among hernia types with significant difference: inguinal 75.0% (30/40), femoral 16.7% (5/30), incisional 36.4% (4/11), obturator 0.0% (0/9), umbilical 75.0% (6/8). For inguinal hernia, hernia sac size and the ratio of hernia sac diameter to hernia orifice diameter (sac-to-orifice ratio; SOR) were significantly associated with MR success rate (both, p < 0.001), whereas for femoral hernia, only SOR was associated with MR success rate (p = 0.026). One patient in the MR success group had perforation and necrosis (2.2%).
conclusionMR appeared to be useful and reasonably safe for the management of AIAWH. The success rate was associated with hernia sac size and SOR in inguinal hernia and with SOR in femoral hernia.
Indexed as
Identifiers
42118441What OpenQuestion holds
Registered trials
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.