Trial reportHernia : the journal of hernias and abdominal wall surgery2007
Discomfort five years after laparoscopic and Shouldice inguinal hernia repair: a randomised trial with 867 patients. A report from the SMIL study group.
Trial report in Hernia : the journal of hernias and abdominal wall surgery, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03023462 (Efficacy of the Anterior Quadratus Lumborum Block Versus the Transversus Abdominis Plane Block for Elective Laparoscopic Inguinal Hernia Repair), which is not on this map. Cited by 23 papers, 5 of them syntheses that pooled it.
What it found
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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.
Efficacy of the Anterior Quadratus Lumborum Block Versus the Transversus Abdominis Plane Block for Elective Laparoscopic Inguinal Hernia Repair: A Randomized Controlled Trial
Who cites it
23 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Fragility of randomized clinical trials comparing surgical approaches for inguinal hernia repair: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Primary unilateral not complicated inguinal hernia: our choice of TAPP, why, results and review of literature.Hernia : the journal of hernias and abdominal wall surgery · 2019Pooled it
- Mesh versus non-mesh for inguinal and femoral hernia repair.The Cochrane database of systematic reviews · 2018Pooled it
- European Hernia Society guidelines on the treatment of inguinal hernia in adult patients.Hernia : the journal of hernias and abdominal wall surgery · 2009Guideline
- Inguinal hernia.BMJ clinical evidence · 2008Pooled it
- Occult hernias detected by laparoscopic totally extra-peritoneal inguinal hernia repair: a prospective study.Hernia : the journal of hernias and abdominal wall surgery · 2011Trial
- Correlating the mass and mechanical property changes during the degradation of PEG-based adhesive.Journal of applied polymer science · 2020Article
- Multifunctional Biomedical Adhesives.Advanced healthcare materials · 2019Review
- Comparison of slit mesh versus nonslit mesh in laparoscopic extraperitoneal hernia repair.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2018Article
- Has Shouldice Repair in a Selected Group of Patients with Inguinal Hernia Comparable Results to Lichtenstein, TEP and TAPP Techniques?World journal of surgery · 2018Article
- Recent Developments in Tough Hydrogels for Biomedical Applications.Gels (Basel, Switzerland) · 2018Review
- Quality of life after laparoscopic totally extraperitoneal repair of an asymptomatic inguinal hernia.Surgical endoscopy · 2018Article
- Transabdominal preperitoneal laparoscopic approach for incarcerated inguinal hernia repair: A report of 73 cases.Medicine · 2016Article
- Risk factors for reoperation due to chronic groin postherniorrhaphy pain.Hernia : the journal of hernias and abdominal wall surgery · 2015Article
- A detailed analysis of outcome reporting from randomised controlled trials and meta-analyses of inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2015Review
- Effect of pH on the rate of curing and bioadhesive properties of dopamine functionalized poly(ethylene glycol) hydrogels.Biomacromolecules · 2014Article
- Inguinal hernia repair: current surgical techniques.Langenbeck's archives of surgery · 2012Review
- A tailored approach for the treatment of indirect inguinal hernia in adults--an old problem revisited.Langenbeck's archives of surgery · 2011Article
- Adhesive performance of biomimetic adhesive-coated biologic scaffolds.Biomacromolecules · 2010Article
- Current opinion on laparoscopic repair of inguinal hernia.Surgical endoscopy · 2010Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn recent years long-term discomfort after inguinal hernia surgery has become an issue of great concern to hernia surgeons. Long-term results on discomfort from large randomised studies are sparse.
methodsOne-thousand one-hundred and eighty-three patients were randomised in a multicentre trial with the primary aim of comparing recurrence rates after laparoscopic TAPP and Shouldice repair. Evaluating late discomfort and its possible risk factors were secondary objectives, and are reported here. The patients were clinically examined after 1 and 5 years, and answered questionnaires 2 and 3 years postoperation.
resultsOf 1,068 operated patients, 867 were eligible for analysis after 5 years (81.2%). The percentage of patients experiencing discomfort of any kind were 8.5% in the TAPP group and 11.4% (p = 0.156) in the Shouldice group. Although discomfort was usually mild it was severe for 0.2 and 0.7%, respectively. Severe pain the first postoperative week was a risk factor for late discomfort in the Shouldice group (OR 2.25, P = 0.022) but not in the TAPP group. No other risk factor for late discomfort was found.
conclusionThere was no difference between late discomfort at five-year follow-up after laparoscopic TAPP and Shouldice repair. Discomfort was mostly mild and pain during the first postoperative week was a prognostic variable for late discomfort in Shouldice patients.
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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 OpenQuestion graph.