Evidence map›Paper›PMID 41384981›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2025

Factors associated with venous thromboembolism in retromuscular ventral hernia repair - an abdominal core health quality collaborative analysis.

Sofia Piperno, Vincent Yang, Jaclyn Dempsey, Rui-Min Mao, Richard Lu

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In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2025. 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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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

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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

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

5 authors.

Sofia PipernoJohn Sealy School of Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA. Sopipern@utmb.edu.ORCID 0000-0001-7454-3620
Vincent YangJohn Sealy School of Medicine, University of Texas Medical Branch, 301 University Blvd, Galveston, TX, 77555, USA.
Jaclyn DempseyDivision of General Surgery, Department of Surgery, Medical Branch, University of Texas, 301 University Blvd, Galveston, TX, 77555, USA.
Rui-Min MaoDivision of General Surgery, Department of Surgery, Medical Branch, University of Texas, 301 University Blvd, Galveston, TX, 77555, USA.
Richard LuDivision of General Surgery, Department of Surgery, Medical Branch, University of Texas, 301 University Blvd, Galveston, TX, 77555, USA.

Funding

National Institute of Health 5T32GM008256
6 · The paper itself

Abstract

purposeThe purpose of this study was to identify patient and operative factors that increase the likelihood of VTE after RVHR.

methodsPatients aged 18 and older who underwent RVHR for a midline ventral hernia with 30-day follow-up in the Abdominal Core Health Quality Collaborative (ACHQC) database were included. Those who were under 18 years of age, had incomplete 30-day follow-up, lacked operative details, and or had inguinal or lateral abdominal wall hernia repair were excluded. A variety of patient demographic and operative factors were collected. Chi-squared tests were used to evaluate significance. A p-value of 0.05 was used as the level of statistical significance.

results7422 patients were included in the final study. BMI > 30 (p = 0.0061), age > 60 (p < 0.0001), ASA class (p = 0.0002), median hernia size (p < 0.0001), prior mesh placement (p = 0.0003), and hernia recurrence (p = 0.0043) were significantly associated with VTE. Operative approach (p = 0.562), OR time > 2 h (p = 0.0708), males (p = 0.9924), diabetes (p = 0.4256), history of abdominal wall SSI (p = 0.3793), and any intraoperative complication (p = 0.3277) were not significantly associated with VTE.

conclusionBeyond established patient factors, larger defect width was independently associated with 30-day VTE after RVHR. Complexity markers-including recurrent hernia, prior mesh, and larger mesh dimensions-also tracked with VTE, and pre-operative anticoagulant therapy was more frequent among VTE cases, informing RVHR specific risk stratification and prophylaxis.

Indexed as

Hernia, VentralHerniorrhaphyPostoperative ComplicationsVenous ThromboembolismAdultAgedFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesRisk FactorsSurgical MeshDeep vein thrombosisPulmonary embolismRetromuscular ventral herniaVenous thromboembolism

Identifiers

PMID41384981

What Socratic holds

Textmetadata
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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 Socratic graph.