Evidence map›Paper›PMID 39704858›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Management strategy of giant inguinoscrotal hernia-a case series of 24 consecutive patients surgically treated over 17 years period.

Milan Zuvela, Danijel Galun, Aleksandar Bogdanovic, Ivan Palibrk, Marija Djukanovic, Rade Miletic, Marko Zivanovic, Milos Zuvela, Marinko Zuvela

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Article in Hernia : the journal of hernias and abdominal wall surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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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

2 citing papers in PubMed.

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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

9 authors.

Milan ZuvelaClinic for Digestive Surgery, First Surgical Clinic, University Clinical Center of Serbia, Koste Todorovica 6, 11000, Belgrade, Serbia.
Danijel GalunClinic for Digestive Surgery, First Surgical Clinic, University Clinical Center of Serbia, Koste Todorovica 6, 11000, Belgrade, Serbia.
Aleksandar BogdanovicClinic for Digestive Surgery, First Surgical Clinic, University Clinical Center of Serbia, Koste Todorovica 6, 11000, Belgrade, Serbia. aleksandarbogdanovic81@yahoo.com.ORCID 0000-0002-6790-7892
Ivan PalibrkClinic for Digestive Surgery, First Surgical Clinic, University Clinical Center of Serbia, Koste Todorovica 6, 11000, Belgrade, Serbia.
Marija DjukanovicClinic for Digestive Surgery, First Surgical Clinic, University Clinical Center of Serbia, Koste Todorovica 6, 11000, Belgrade, Serbia.
Rade MileticFaculty of Medicine Foca, University of East Sarajevo, 71123, East Sarajevo, Bosnia and Herzegovina.
Marko ZivanovicClinic for Digestive Surgery, First Surgical Clinic, University Clinical Center of Serbia, Koste Todorovica 6, 11000, Belgrade, Serbia.
Milos ZuvelaClinic for Emergency Surgery, University Clinical Center of Serbia, 11000, Belgrade, Serbia.
Marinko ZuvelaSchool of Medicine, University of Belgrade, 11000, Belgrade, Serbia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeManagement of giant inguinoscrotal hernia (GIH) is still a challenging procedure associated with a higher risk of intraabdominal hypertension and abdominal compartment syndrome as a life-threatening condition. The aim of the study was to present our management strategy for GIH.

methodsThis is a retrospective review of a case series including 24 consecutive patients with 25 GIH who underwent reconstructive surgery from January 2006 to June 2023, at the University Clinic for Digestive Surgery and Hernia Center Zuvela. A combined surgical strategy was applied: the modified Rives repair for groin hernias alone, Rives combined with organ resection to reduce hernia contents, and Rives combined with procedures for abdominal cavity enlargement. A surgical approach was defined based on the patient's general health, the volume of the hernia sac, and perioperative parameters.

resultsAll patients were male aged between 43 and 82 years. Rives was the only procedure in 12 patients. In addition to Rives, omentectomy was performed in four patients and intestinal resection in one. Abdominal cavity enlargement was performed following Rives hernioplasty in 9 patients. The median operative time was 215 min (range, 70-720). Surgical complications occurred in seven patients. In-hospital mortality was 12.5%. There was no groin hernia recurrence.

conclusionOur strategy is a single-stage treatment including modified Rives repair with or without additional procedures for abdominal cavity enlargement or hernia volume reduction, tailored to the individual patient characteristics. The procedure is associated with a higher risk of major morbidity requiring a well-trained intensive care unit team.

Indexed as

Hernia, InguinalHerniorrhaphyAdultAgedAged, 80 and overHumansMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesScrotumSurgical MeshCompartment syndromeComponent separation techniqueGiant groin herniaInguinoscrotal herniaIntraabdominal hypertension

Identifiers

PMID39704858

What Socratic holds

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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 Socratic graph.