Hernia最新文献

{"title":"Laparoscopic versus open repair for umbilical hernia: outcomes and complications.","authors":"Xin Zheng, Ming Song, Jun Liu, Bin Jiang, Wei Hu, Ziwei Li","doi":"10.1007/s10029-026-03792-7","DOIUrl":"10.1007/s10029-026-03792-7","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate which surgical approach is more beneficial for patients with umbilical hernia, and compare the clinical outcomes between the laparoscopic group and the open group.</p><p><strong>Materials and methods: </strong>The databases of PubMed, EMBASE, and the Cochrane Library were used to search for eligible studies from their inception to December 31, 2025. Mean difference (MD), Odds ratios (OR), and 95% confidence intervals (CI) were pooled to analyze. The Newcastle-Ottawa Scale (NOS) scores were used to evaluate the quality of the included studies. This study was performed with Stata (V.18.0) software.</p><p><strong>Results: </strong>A total of thirteen studies involving 62,588 patients were included in this study. By comparing the postoperative outcomes, we found that the laparoscopic group had longer operative time (MD = 1.50, I²=97.28%, 95%CI = 0.54 to 2.47, P < 0.1), shorter postoperative hospital stay (MD=-0.57, I²=96.14%, 95%CI=-1.1 to -0.01, P < 0.1), fewer overall complications (OR = 0.65, I²=0.00%, 95%CI = 0.49 to 0.85, P < 0.1), fewer wound infection (OR = 0.55, I²=13.20%, 95%CI = 0.40 to 0.76, P < 0.1), fewer wound healing disorder (OR = 0.54, I²=0.00%, 95%CI = 0.30 to 1.00, P < 0.1), more respiratory complications (OR = 3.16, I²=0.00%, 95%CI = 1.88 to 5.32, P < 0.1), more heart related complications (OR = 3.75, I²=0.00%, 95%CI = 1.84 to 7.66, P < 0.1), more ileus (OR = 8.43, I²=0.00%, 95%CI = 2.98 to 23.84, P < 0.1), less bleeding (OR = 0.36, I²=0.00%, 95%CI = 0.14 to 0.91, P < 0.1) and shorter follow-up time (MD=-0.24, I²=0.00%, 95%CI=-0.41 to -0.08 P < 0.1).</p><p><strong>Conclusion: </strong>Compared with open umbilical hernia surgery, laparoscopic surgery has more advantages in reducing postoperative hospital stay, wound infection, and overall complications.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"30 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148548705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: Clinical examination of musculoskeletal groin pain: a simple protocol for hernia surgeons (Groin-MAP).","authors":"Daniel O'Connor, Nazim Bhimani, Amanda Turner, Thomas J Hugh","doi":"10.1007/s10029-026-03800-w","DOIUrl":"https://doi.org/10.1007/s10029-026-03800-w","url":null,"abstract":"","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"30 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148535800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative quality of life after minimally invasive repair of giant hiatal hernias.","authors":"Flavio Tirelli, Laura Lorenzon, Cristina Galati, Francesca Chicchi, Gloria Santoro, Annamaria Agnes, Lorenzo Ferri, Roberto Persiani, Alberto Biondi, Domenico D'Ugo","doi":"10.1007/s10029-026-03804-6","DOIUrl":"10.1007/s10029-026-03804-6","url":null,"abstract":"<p><strong>Background: </strong>Type III and IV hiatal hernias require surgical repair to improve symptoms and prevent complications. Long-term patient-reported outcomes following minimally invasive repair, particularly with robotic-assisted techniques, remain incompletely described.</p><p><strong>Methods: </strong>This single-center retrospective cohort study evaluated consecutive patients who underwent elective hiatoplasty for type III or IV hiatal hernia between 2014 and 2024. Quality of life (QoL) was assessed using validated scores (GERD-HRQL, DeMeester symptom score) and a 5-point Likert satisfaction scale. The primary outcome of interest was postoperative QoL. Secondary outcomes included complications, recurrence, and associations with surgical technique (robotic vs. laparoscopic), mesh use, and fundoplication.</p><p><strong>Results: </strong>Eighty patients were selected from 152 treated during the study period. The cohort comprised 71.3% robotic-assisted and 22.5% laparoscopic procedures (6.2% converted). QoL was assessed at a median of 30 months' follow-up. Postoperative median DeMeester symptom score was 1.0 (IQR 0.0-2.0), while median GERD-HRQL was 4.0 (IQR 0.0-8.0). The median satisfaction using the Likert scale was 5.0 (IQR 4.0-5.0). Major complications (Clavien-Dindo ≥ III) occurred in 5.0% of patients, with a 30-day readmission rate of 1.3%. Recurrence was documented in 21.2% (7 out of 33 patients with complete radiological follow-up data), with symptomatic recurrence in 6.1%. Higher BMI and symptomatic recurrence were significantly associated with lower quality-of-life scores (p < 0.05). No significant differences in postoperative QoL, complications, or recurrence were observed between robotic and laparoscopic approaches, with or without mesh reinforcement or fundoplication (p > 0.05).</p><p><strong>Conclusion: </strong>Minimally invasive hiatoplasty for type III and IV hiatal hernias achieves excellent long-term quality of life and high patient satisfaction independent of surgical approach, mesh use, or fundoplication. Preoperative BMI optimization, may enhance postoperative outcomes.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"30 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13379444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Urinary implications of retropubic dissection during abdominal wall reconstruction: Early results from a clinical quality assurance initiative.","authors":"William C Bennett, Emerson Lora, Mahamed O Mohamed, Alvaro C Carvalho, Noah X Tocci, Erika M Schmidt, Joseph Edwards, Ashley M Mila-Hoff, Kimberly S Miles, Sandip Vasavada, Clayton C Petro, Ajita S Prabhu","doi":"10.1007/s10029-026-03771-y","DOIUrl":"10.1007/s10029-026-03771-y","url":null,"abstract":"<p><strong>Purpose: </strong>Abdominal wall reconstruction with transversus abdominus release (TAR) requires space of Retzius dissection for retropubic mesh placement. Retzius space dissection has been associated with postoperative urinary incontinence (UI) in urologic literature, but implications of retropubic dissection are unreported for patients undergoing retromuscular ventral hernia repair. This quality assurance (QA) initiative sought to characterize pre- and postoperative UI prevalence at a high-volume hernia practice to inform risk-benefit discussions and surgical decision-making.</p><p><strong>Methods: </strong>Patients offered TAR, or who had previously undergone TAR, were given a Urinary Distress Inventory Short-Form (UDI-6) survey as a part of clinical workflow. UI was defined by UDI-6 score  ≥33.33, consistent with prior literature. A deidentified QA database captured responses and respondents' age and gender. UI prevalence, UDI-6 total score, and patient characteristics were compared across preoperative, early postoperative, 1-year, and ≥ 2-year cohorts. A matched analysis was conducted for preoperative surveys that could be paired with a postoperative survey from the same patient. The study is reported according to the SQUIRE 2.0 guidelines.</p><p><strong>Results: </strong>Of 304 UDI-6 surveys, 82 (26.9%) met criteria for UI. Respondents were predominantly female (61.5%, n = 187) and median age was 62 years (IQR 53-69); 137 responses were collected preoperatively and 136 were collected in the early postoperative window. UI prevalence was higher at 37% (n = 49) within the preoperative cohort vs 18% with 6 months postoperatively (P = .0007). Thirty-three preoperative surveys were patient-matched to early postoperative surveys; among these, UI prevalence was again higher preoperatively at 30.3% (n = 10) vs 18.2% (n = 6, P = .003).</p><p><strong>Conclusion: </strong>Early results from this QA initiative provide reassurance against adverse urinary outcomes following retropubic dissection during TAR. Further prospective clinical trials may help to elucidate if there is a potential benefit to UI from TAR.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"30 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13379416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Study on the application of modified intraoperative gas evacuation combined with perioperative pressure and cold compress in TAPP repair of inguinal hernias.","authors":"Yafei Yan, Yuan Bao, Yunyun Sun, Xuesheng Fan","doi":"10.1007/s10029-026-03799-0","DOIUrl":"10.1007/s10029-026-03799-0","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to investigate the clinical efficacy of modified intraoperative gas evacuation combined with immediate postoperative pressure and local cold compress in reducing postoperative seroma formation following laparoscopic TAPP repair of larger inguinal hernias.</p><p><strong>Methods: </strong>This single-center, prospective, observational real-world study analyzed clinical data from 196 patients with larger inguinal hernias admitted to our hospital between January 2025 and August 2025. Based on perioperative management differences, patients were divided into two groups: the control group (n = 98) underwent TAPP repair with routine postoperative care, including inguinal compression bandaging applied upon ward transfer. The experimental group (n = 98) received standard care plus strict intraoperative preperitoneal and scrotal gas evacuation, followed by immediate postoperative inguinal compression bandaging and intermittent cold compress application. The operative time, postoperative pain VAS scores, postoperative scrotal distension VAS scores, and incidence of postoperative seroma were compared between the two groups of patients.</p><p><strong>Results: </strong>A total of 196 patients were included. Early postoperative distension and acute pain in the Experimental group were significantly lower than in the Control group (p < 0.05), while no significant difference was observed long-term (p > 0.05); Only 2 cases (2.0%) in the Experimental group developed postoperative seroma, significantly lower than the 9 cases (9.2%) in the Control group (p < 0.05). Postoperative comfort in the Experimental group was superior to that in the Control group.</p><p><strong>Conclusion: </strong>For patients with larger inguinal hernias, meticulous management involving thorough intraoperative gas evacuation to eliminate dead space, combined with early postoperative pressure and cold compress, can significantly reduce the risk of postoperative seroma, alleviate postoperative pain, and is worthy of clinical promotion.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"30 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148470406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Rectus diastasis is not a single entity: phenotype-specific controversies in surgical management.","authors":"Kiran Joshi, Gowri Madhusudanan Pillai, Wasugi Coomaraswamy","doi":"10.1007/s10029-026-03797-2","DOIUrl":"10.1007/s10029-026-03797-2","url":null,"abstract":"<p><strong>Purpose: </strong>Rectus diastasis (RD) is increasingly treated by general, abdominal wall and plastic surgeons, but controversies persist because clinically distinct phenotypes are often analysed together. This critical narrative review re-examines surgical management of RD through a phenotype-specific framework.</p><p><strong>Methods: </strong>PubMed, MEDLINE, Embase and Cochrane Library were searched for English-language studies, systematic reviews, meta-analyses, consensus statements and guidelines addressing adult RD management. Evidence was interpreted by phenotype, anatomical severity, associated hernia status, operative goal and outcome domain rather than pooled quantitatively.</p><p><strong>Results: </strong>RD should not be considered a single operative problem. Postpartum women commonly present with core instability, back pain, pelvic floor symptoms, skin redundancy and aesthetic concerns, whereas male or obesity-associated patients more often present with concomitant midline hernia and potentially different abdominal wall mechanics. This distinction alters the relevance of conservative treatment, suture plication, mesh-suture or planar mesh reinforcement, abdominoplasty-based repair and minimally invasive surgery. Available comparative data support the feasibility of both suture and mesh-supported repair in selected patients, but evidence remains limited by short follow-up, heterogeneous recurrence definitions and inadequate aesthetic outcome reporting.</p><p><strong>Conclusion: </strong>The central unresolved controversy is not which technique is best for RD in general, but which technique is best for which phenotype and treatment goal. Future studies should stratify patients by sex, parity, tissue compliance, diastasis width, hernia status, skin-adipose excess, body mass index or weight-loss history, and functional versus aesthetic indication.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"30 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148436414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of internal ring defect closure on postoperative seroma formation after laparoscopic transabdominal preperitoneal repair for large indirect inguinal hernia: A randomized controlled study.","authors":"Mao Xiong, Wei-Hang Liu, Qi-Di Zhu, Bin Zhao, Li Zhu, Zhui Long","doi":"10.1007/s10029-026-03785-6","DOIUrl":"10.1007/s10029-026-03785-6","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the effect of internal ring defect closure on seroma prevention after laparoscopic transabdominal preperitoneal inguinal hernia repair (TAPP).</p><p><strong>Methods: </strong>We conducted a randomized controlled trial including male patients aged 18-75 years with indirect inguinal hernia classified as L3 (defect ≥ 3 cm). Participants were randomly assigned to undergo TAPP with internal ring closure (DC group) or none closure (NC group). Primary outcomes were operative time and postoperative seroma incidence, assessed by clinical examination and ultrasonography at 7 days, 1 month, and 3 months. Secondary outcomes included postoperative pain, recurrence, hospital stay, and complications.</p><p><strong>Results: </strong>A total of 76 patients were randomized (DC, n = 38; NC, n = 38). Baseline characteristics were comparable between groups. During the 90-day follow-up period, postoperative seroma occurred in 3 patients in the DC group and 10 patients in the NC group. Kaplan-Meier analysis demonstrated a significantly higher seroma-free survival rate in the DC group than in the NC group (log-rank P = 0.0335). No significant differences were observed in operative time, postoperative pain, length of hospital stay, recurrence, or other postoperative complications.</p><p><strong>Conclusions: </strong>Internal ring defect closure during TAPP repair significantly improves seroma-free survival and reduces the incidence of early postoperative seroma without increasing operative risk, postoperative pain, or morbidity.Although recurrence was not observed, the relatively small sample size and limited follow-up warrant cautious interpretation. Larger multicenter studies with extended surveillance are needed to validate these findings and define the role of internal ring closure in optimizing outcomes after laparoscopic inguinal hernia repair.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"30 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148436455","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of prophylactic Sugarbaker mesh during laparoscopic abdominoperineal resection: a cohort study with 4-year follow-up.","authors":"Vinh Ngoc Truong Pham, Triet Minh Le, Huy Duc Tran, Viet Van Ung, Thinh Huu Nguyen","doi":"10.1007/s10029-026-03786-5","DOIUrl":"10.1007/s10029-026-03786-5","url":null,"abstract":"<p><strong>Background: </strong>Parastomal hernia is a common and time-dependent complication after permanent colostomy following laparoscopic abdominoperineal resection (APR) for rectal cancer. Although prophylactic mesh placement using the Sugarbaker technique has shown favorable short-term results, long-term real-world evidence remains limited.</p><p><strong>Methods: </strong>This was an ambispective observational cohort study consisting of a retrospective historical cohort (2018-2021) and a prospectively followed cohort (2021-2025) after the introduction of prophylactic mesh. This study included patients undergoing elective laparoscopic APR with permanent end colostomy between 2018 and 2025. Laparoscopic APR was performed according to a standardized institutional step-by-step protocol that remained unchanged throughout the study period. Patients were categorized into a prophylactic mesh group using the Sugarbaker technique and a non-mesh group, based on study period and patient preference. The primary outcome was the cumulative incidence of parastomal hernia assessed radiologically during follow-up. Time-to-event data were analyzed using the Kaplan-Meier method and compared using the log-rank test.</p><p><strong>Results: </strong>A total of 84 patients were included, comprising 40 patients in the mesh group and 44 in the non-mesh group. Baseline demographic and clinical characteristics were comparable between groups. During a follow-up period of up to 4 years, the cumulative incidence of parastomal hernia was consistently lower in the mesh group at all time points. Kaplan-Meier analysis demonstrated a significantly lower incidence of parastomal hernia in the Sugarbaker group compared with the non-mesh group (log-rank p = 0.00018). The absolute risk reduction at 4 years was 47.0%, corresponding to a number needed to treat (NNT) of approximately 2.1. No mesh-related complications were observed during follow-up.</p><p><strong>Conclusion: </strong>Prophylactic mesh placement using the Sugarbaker technique during laparoscopic APR was associated with a sustained reduction in PSH risk over 4 years, without evidence of increased perioperative or mesh-related morbidity. These findings suggest that prophylactic mesh may be beneficial in selected patients.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"30 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13368903/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148436626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mesh placement and risk of reoperation for recurrence after incisional hernia repair. Authors reply.","authors":"Camilla Witthøft, Usamah Ahmed, Jacob Rosenberg, Jason Joe Baker","doi":"10.1007/s10029-026-03794-5","DOIUrl":"10.1007/s10029-026-03794-5","url":null,"abstract":"","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"30 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148436475","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fasciotens^® for abdominal wall closure: current evidence and clinical perspectives.","authors":"Melania Rivano, Noemi Tatti, Francesco Filidoro, Arianna Cadeddu, Adolfo Pisanu, Mauro Podda","doi":"10.1007/s10029-026-03793-6","DOIUrl":"10.1007/s10029-026-03793-6","url":null,"abstract":"<p><strong>Purpose: </strong>Management of open abdomen (OA) and complex ventral hernias remains associated with high morbidity, prolonged hospitalization, and substantial healthcare costs. Vertical fascial traction has emerged as a novel approach aimed at facilitating early primary fascial closure. This study provides a narrative review and multidimensional overview of the available evidence regarding the Fasciotens^® device, focusing on clinical outcomes, safety, economic considerations, and organizational aspects.</p><p><strong>Methods: </strong>A narrative systematic literature review was performed to identify studies evaluating the use of Fasciotens^® in adult patients with open abdomen or complex ventral hernias. Clinical, economic, organizational, and ethical domains were assessed.</p><p><strong>Results: </strong>Available evidence, primarily derived from observational studies and case series, suggests that the use of Fasciotens^® is associated with high rates of primary fascial closure, shorter time to closure, and reductions in intra‑abdominal pressure. Device‑related adverse events appear to be infrequent and mainly limited to minor skin‑related complications. Preliminary economic considerations indicate that earlier closure and avoidance of complex reconstructive procedures may reduce operative time, intensive care unit stay, and overall hospital resource utilization.</p><p><strong>Conclusion: </strong>Current evidence supports the clinical feasibility and potential value of Fasciotens^® as an adjunctive technology for the management of open abdomen and complex ventral hernias. However, the available data are limited by small sample sizes and non‑comparative study designs. Further prospective and comparative studies are needed to better define its role within standardized treatment pathways.</p>","PeriodicalId":13168,"journal":{"name":"Hernia","volume":"30 1","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148436644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}