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Giant ventral hernia—relationship between abdominal wall muscle strength and hernia area

Overview of attention for article published in BMC Surgery, August 2016
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Title
Giant ventral hernia—relationship between abdominal wall muscle strength and hernia area
Published in
BMC Surgery, August 2016
DOI 10.1186/s12893-016-0166-x
Pubmed ID
Authors

K. Strigård, L. Clay, B. Stark, U. Gunnarsson, P. Falk

Abstract

Symptoms arising from giant ventral hernia have been considered to be related to weakening of the abdominal muscles. The aim of this study was to investigate the relationship between the area of the abdominal wall defect and abdominal wall muscle strength measured by the validated BioDex system together with a back/abdominal unit. Fifty-two patients with giant ventral hernia (>10 cm wide) underwent CT scan, clinical measurement of hernia size and BioDex measurement of muscle strength prior to surgery. The areas of the hernia derived from CT scan and from clinical measurement were compared with BioDex forces in the modalities extension, flexion and isometric contraction. The Spearman rank test was used to calculate correlations between area, BMI, gender, age, and muscle strength. The hernia area calculated from clinical measurements correlated to abdominal muscle strength measured with the Biodex for all modalities (p-values 0.015-0.036), whereas no correlation was seen with the area calculated by CT scan. No relationship was seen between BMI, gender, age and the area of the hernia. The inverse correlation between BioDex abdominal muscle strength and clinically assessed hernia area, seen in all modalities, was so robust that it seems safe to conclude that the area of the hernia is an important determinant of the degree of loss of abdominal muscle strength. Results using hernia area calculated from the CT scan showed no such correlation and this would seem to concur with the results from a previous study by our group on patients with abdominal rectus diastasis. In that study, defect size assessed clinically, but not that measured by CT scan, was in agreement with the size of the diastasis measured intra-operatively. The point at which the area of a hernia begins to correlate with loss of abdominal wall muscle strength remains unknown since this study only included giant ventral hernias.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 53 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 2%
Unknown 52 98%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 9 17%
Student > Master 8 15%
Other 4 8%
Student > Doctoral Student 4 8%
Researcher 3 6%
Other 8 15%
Unknown 17 32%
Readers by discipline Count As %
Medicine and Dentistry 19 36%
Sports and Recreations 6 11%
Nursing and Health Professions 3 6%
Psychology 1 2%
Arts and Humanities 1 2%
Other 2 4%
Unknown 21 40%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 02 August 2016.
All research outputs
#20,336,685
of 22,881,964 outputs
Outputs from BMC Surgery
#883
of 1,323 outputs
Outputs of similar age
#321,775
of 366,909 outputs
Outputs of similar age from BMC Surgery
#15
of 22 outputs
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So far Altmetric has tracked 1,323 research outputs from this source. They receive a mean Attention Score of 1.8. This one is in the 1st percentile – i.e., 1% of its peers scored the same or lower than it.
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We're also able to compare this research output to 22 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.