Evidence map›Paper›PMID 42189267›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2026

Ventral incisional hernia repair after liver transplant using posterior component separation with transversus abdominis release.

Georgios Voidonikolas, Harriet G Leibowitz, Justin A Steggerda, Jill Frese, Todd Brennan, Steven A Wisel, Tsuyoshi Todo, Nicholas Nissen, Ju Dong Yang, Philip S Brazio and 2 more

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

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.

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

12 authors.

Georgios VoidonikolasDivision of Transplant Surgery, Department of Surgery, Cedars- Sinai Medical Center, Los Angeles, CA, USA.
Harriet G LeibowitzDivision of Transplant Surgery, Department of Surgery, Cedars- Sinai Medical Center, Los Angeles, CA, USA. harrietleibowitz01@gmail.com.ORCID http://orcid.org/0009-0000-4440-7943
Justin A SteggerdaDivision of Transplant Surgery, Department of Surgery, Cedars- Sinai Medical Center, Los Angeles, CA, USA.
Jill FreseDivision of Transplant Surgery, Department of Surgery, Cedars- Sinai Medical Center, Los Angeles, CA, USA.
Todd BrennanDivision of Transplant Surgery, Department of Surgery, Cedars- Sinai Medical Center, Los Angeles, CA, USA.
Steven A WiselDivision of Transplant Surgery, Department of Surgery, Cedars- Sinai Medical Center, Los Angeles, CA, USA.
Tsuyoshi TodoDivision of Transplant Surgery, Department of Surgery, Cedars- Sinai Medical Center, Los Angeles, CA, USA.
Nicholas NissenDivision of Transplant Surgery, Department of Surgery, Cedars- Sinai Medical Center, Los Angeles, CA, USA.
Ju Dong YangDivision of Transplant Surgery, Department of Surgery, Cedars- Sinai Medical Center, Los Angeles, CA, USA.
Philip S BrazioDivision of Transplant Surgery, Department of Surgery, Cedars- Sinai Medical Center, Los Angeles, CA, USA.
Irene KimDivision of Transplant Surgery, Department of Surgery, Cedars- Sinai Medical Center, Los Angeles, CA, USA.
Kambiz KosariDivision of Transplant Surgery, Department of Surgery, Cedars- Sinai Medical Center, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe optimal repair method for ventral incisional hernias (VIH) following orthotopic liver transplantation (OLT) has not been standardized. This study compares outcomes between use of open posterior component separation with transversus abdominis release (PCS-TAR) versus other hernia repair techniques (OHR) in patients with prior OLT from a single center.

methodsPatients with a prior OLT who underwent VIH repair along their trifurcation "Mercedes Benz" incision were identified at a single center between 2007 and 2022. The primary outcome of interest was incidence of hernia recurrence between patients who were treated with PCS-TAR versus OHR. Secondary outcomes included length of hospital stay (LOHS), surgical site complications (SSC), readmissions and reoperations. P values < 0.05 were considered significant.

resultsOf 1,083 OLTs, there were 53 VIHs (4.9%) repaired, of which 23 (43%) underwent PCS-TAR and 30 (56%) underwent OHR. There were no statistical differences in the demographics between the groups including mean age (62.7 vs. 58.6 years, p = 0.08), male sex (69.6% vs. 73.3%, p = 0.52), and BMI > 30 kg/m

conclusionsPCS-TAR repair with mesh is a superior technique for VIH repair following OLT, offering a safe and effective approach with reduced hernia recurrence compared to other repair techniques in post-OLT patients.

Indexed as

Abdominal MusclesHernia, VentralHerniorrhaphyIncisional HerniaLiver TransplantationAgedFemaleHumansLength of StayMaleMiddle AgedPostoperative ComplicationsRecurrenceReoperationRetrospective StudiesMercedes-Benz incisionPosterior component separationTransverse abdominus releaseVentral incisional hernia

Identifiers

PMID42189267
PMCPMC13212624

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.