Evidence map›Paper›PMID 19416585›Full record

ArticleAnnals of the Royal College of Surgeons of England2009

Hunterian Lecture. Hernia surgery: from guidelines to clinical practice.

Andrew N Kingsnorth

Abstract readLecture
In one paragraph

Article in Annals of the Royal College of Surgeons of England, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Patient narratives in an online hernia peer-support community: a qualitative netnographic analysis.Hernia : the journal of hernias and abdominal wall surgery · 2026
    Article
  4. Article
  5. Review
  6. Review
  7. Article
  8. Article
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

1 author.

Andrew N KingsnorthPlymouth Hernia Service, Peninsula Medical School, Derriford Hospital, Plymouth, UK. andrew.kingsnorth@phnt.swest.nhs.uk

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOver the last 30 years, hernia surgery has developed into an evidence-based practice assisted by the development of guidelines. MATERIALS AND

methodsPrior to 1993, best practice in the UK was a nylon darn repair under general anaesthesia as an inpatient with prolonged recovery. The publication of The Royal College of Surgeons of England (RCSE) Guidelines on Groin Hernia Repair stimulated debate and coincided with the introduction of mesh hernioplasty and laparoscopic techniques. Further evolution of hernia management has occurred to enable the production of the European Hernia Society (EHS) guidelines in 2008.

resultsThe EHS guidelines cover all aspects of abdominal wall surgery including: indications for operation; investigations; organising surgical care; techniques; local anaesthesia; after-care, complications and outcome; and information for patients.

conclusionsSurgeons have many choices when selecting an appropriate hernia operation for an individual patient. The EHS guidelines provide a basis for this decision-making.

Indexed as

HerniorrhaphyPractice Guidelines as TopicAnesthesia, LocalEmergency TreatmentHumansPatient Education as TopicPostoperative CareProfessional PracticeSurgical Mesh

Identifiers

PMID19416585
PMCPMC2749387

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.