Evidence map›Paper›PMID 42592624›Full record

ArticleJournal of surgical case reports2026

ICG-guided bowel preservation during emergency TAPP repair for incarcerated Spigelian hernia: a case report.

Hiroto Sakurai, Shingo Tsujinaka, Kenichiro Yambe, Kazuhiro Takami, Noriko Kondo, Kei Nakagawa, Kuniharu Yamamoto, Toru Nakano, Chikashi Shibata, Yu Katayose

Abstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of surgical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

10 authors.

Hiroto SakuraiDivision of Hepato-Biliary and Pancreatic Surgery, Department of Surgery, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.
Shingo TsujinakaDivision of Gastroenterologic Surgery, Department of Surgery, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.ORCID https://orcid.org/0000-0002-8554-3869
Kenichiro YambeDivision of Hepato-Biliary and Pancreatic Surgery, Department of Surgery, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.
Kazuhiro TakamiDivision of Hepato-Biliary and Pancreatic Surgery, Department of Surgery, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.
Noriko KondoDivision of Hepato-Biliary and Pancreatic Surgery, Department of Surgery, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.
Kei NakagawaDivision of Hepato-Biliary and Pancreatic Surgery, Department of Surgery, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.
Kuniharu YamamotoDivision of Hepato-Biliary and Pancreatic Surgery, Department of Surgery, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.
Toru NakanoDivision of Gastroenterologic Surgery, Department of Surgery, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.
Chikashi ShibataDivision of Gastroenterologic Surgery, Department of Surgery, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.
Yu KatayoseDivision of Hepato-Biliary and Pancreatic Surgery, Department of Surgery, Tohoku Medical and Pharmaceutical University, Sendai, Miyagi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Spigelian hernia (SpH) is a rare abdominal wall hernia associated with a significant risk of incarceration. We report the case of an incarcerated SpH that was successfully managed with emergency laparoscopic surgery. An 81-year-old female presented with acute abdominal pain. Contrast-enhanced computed tomography revealed small bowel incarceration through a defect lateral to the left rectus abdominis muscle, with preserved blood flow. After unsuccessful manual reduction, emergency laparoscopic surgery was performed. The incarcerated bowel was reduced using a hydrostatic reduction technique with gentle traction. Serial indocyanine green fluorescence angiography demonstrated improving bowel perfusion, and bowel resection was avoided. The hernia was repaired via the transabdominal preperitoneal (TAPP) approach with defect closure. The postoperative course was uneventful, and no recurrence was observed during 3.5 years of follow-up. Emergency TAPP repair combined with serial indocyanine green-guided perfusion assessment may be a useful option for carefully selected cases of incarcerated SpH.

Indexed as

bowel viabilityincarcerated herniaindocyanine green fluorescenceSpigelian herniatransabdominal preperitoneal approach

Identifiers

PMID42592624
PMCPMC13464707

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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.