Evidence map›Paper›PMID 20652715›Full record

Trial reportSurgical endoscopy2011

Mesh shrinkage and pain in laparoscopic ventral hernia repair: a randomized clinical trial comparing suture versus tack mesh fixation.

Guido Beldi, Markus Wagner, Lukas E Bruegger, Anita Kurmann, Daniel Candinas

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02233569 (COMPARISON OF TWO DIFFERENT CONCEPTS OF MESH AND FIXATION TECHNIQUE IN THE LAPAROSCOPIC OPERATIONS FOR VENTRAL AND INCISIONAL HERNIA - A RANDOMIZED CONTROLLED MONOCENTER TRIAL.), which is not on this map. Cited by 63 papers, 12 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 12 pooled it
9.8field-weighted citation impact, top 2% of its field
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.

NCT02233569 naterminatednot on this mapstarted 2012, after this paper: background citation

Comparison of two different concepts of mesh and fixation technique in the laparoscopic operations for ventral and incisional hernia - a randomized controlled monocenter trial.

TypeinterventionalSponsorPolish Hernia Study GroupRan2012 to 2014Enrolled50ConditionsHernia, Abdominal, Hernia,VentralArmsIntraperitoneal onlay mesh (IPOM) repair with the use of Phisiomesh implant and Securestrap fixation device., Intraperitoneal onlay mesh (IPOM) repair with the use of Ventralight ST implant with SorbaFix fixation device., Ventralight ST implant, ETHICON PHYSIOMESH®
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 12 syntheses or guidelines pooled it, 122 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Guideline
  4. Mesh fixation techniques in primary ventral or incisional hernia repair.The Cochrane database of systematic reviews · 2021
    Pooled it
  5. Seroma prevention strategies in laparoscopic ventral hernia repair: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2020
    Pooled it
  6. Pooled it
  7. Pooled it
  8. International guidelines for groin hernia management.Hernia : the journal of hernias and abdominal wall surgery · 2018
    Guideline
  9. Pooled it
  10. Guideline
  11. Pooled it
  12. Pooled it
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. DynaMesh® in the repair of laparoscopic ventral hernia: a prospective trial.Hernia : the journal of hernias and abdominal wall surgery · 2013
    Trial
  19. Trial
  20. Article

3 more citing papers are in PubMed but not listed here.

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

5 authors at 2 institutions in 1 country.

Guido BeldiDepartment of Visceral Surgery and Medicine, University of Bern, 3010, Bern, Switzerland. guido.beldi@insel.ch
Markus Wagner
Lukas E Bruegger
Anita Kurmann
Daniel Candinas
University of Bern · CHUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMesh fixation during laparoscopic ventral hernia repair can be performed using transfascial sutures or metal tacks. The aim of the present study is to compare mesh shrinkage and pain between two different techniques of mesh fixation in a prospective randomized trial.

methodsA randomized trial was performed. Patients with ventral hernia of maximal diameter 8 cm were assigned to mesh fixation using either transfascial nonabsorbable sutures or metal tacks for fixation of a parietene composite mesh. The borders of the mesh were marked using clips, and radiological images in prone position were used for assessment of mesh size and location. The primary endpoint was mesh shrinkage; secondary endpoints included postoperative pain, mesh dislocation, and surgical morbidity.

resultsDemographic parameters were similar in both groups. A total of 40 patients were randomized, and 36 patients were available for follow-up. There was one hernia recurrence in each group. Pain was significantly higher following suture fixation after 6 weeks, but no difference was found after 6 months. Mesh shrinkage after 6 months was significantly higher using tacks for mesh fixation.

conclusionsTransfascial sutures are associated with more pain within the first 6 postoperative weeks and less mesh shrinkage after 6 months compared with mesh fixation using metal tacks.

Indexed as

Surgical MeshSuturesAbdominal WallAdultAgedEquipment FailureFasciaFemaleFollow-Up StudiesForeign-Body MigrationHernia, VentralHumansLaparoscopyMaleMaterials TestingMiddle Aged

Identifiers

PMID20652715
OpenAlexW2023725003

What OpenQuestion holds

Textmetadata
Read underepoch 390

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 OpenQuestion graph.