ArticleHernia : the journal of hernias and abdominal wall surgery2026
Endoscopic totally extraperitoneal repair for parastomal hernia using the ePauli technique.
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
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to evaluate the feasibility, safety, and short- to medium-term clinical outcomes of a standardized pure laparoscopic totally extraperitoneal (eTEP)-based endoscopic Pauli (ePauli) technique for parastomal hernia (PH) repair.
methodsA prospective analysis was conducted on 13 consecutive patients who underwent standardized eTEP-based ePauli repair for PH at our institution. Baseline clinical characteristics, perioperative parameters, and short- to medium-term postoperative outcomes were collected and analyzed.
resultsThe cohort had a mean age of 72 ± 7.0 years (9 males, 4 females), with 61.5% classified as American Society of Anesthesiologists (ASA) grade 2 and 76.9% presenting with cardiovascular comorbidities. The mean PH defect diameter was 5.7 ± 1.6 cm, mean operative time was 245.9 ± 51.2 min, and median postoperative hospital stay was 7 days (range: 4-65 days). Postoperative complications included cholecystitis, surgical site infection, hematoma, and mesh infection (one case each, 7.7%), as well as intestinal obstruction (three cases, 23.1%). No seromas were observed. Two patients (15.4%) required secondary surgical intervention, and short-term recurrence was observed in one patient (7.7%) following mesh removal. All complications were successfully managed with targeted interventions, and all patients achieved uneventful recovery.
conclusionsThe pure laparoscopic eTEP-based ePauli technique is a feasible and safe minimally invasive option for parastomal hernia repair, offering acceptable short- to medium-term outcomes. Although not universally applicable to all patients or surgeons, it constitutes a valuable and effective addition to the armamentarium for parastomal hernia repair.
Indexed as
Identifiers
42295480What Socratic 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 Socratic graph.