Trial reportSurgical endoscopy2012
Comparison of long-term outcome and quality of life after laparoscopic repair of incisional and ventral hernias with suture fixation with and without tacks: a prospective, randomized, controlled study.
Trial report in Surgical endoscopy, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 7 of them syntheses that pooled 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.
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.
Who cites it
25 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Laparoscopic treatment of ventral hernias: the Italian national guidelines.Updates in surgery · 2023Guideline
- Robotic versus laparoscopic ventral hernia repair: a systematic review and meta-analysis of randomised controlled trials and propensity score matched studies.Hernia : the journal of hernias and abdominal wall surgery · 2021Pooled it
- Mesh fixation techniques in primary ventral or incisional hernia repair.The Cochrane database of systematic reviews · 2021Pooled it
- Measuring quality of life in patients with abdominal wall hernias: a systematic review of available tools.Hernia : the journal of hernias and abdominal wall surgery · 2021Pooled it
- Seroma prevention strategies in laparoscopic ventral hernia repair: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2020Pooled it
- A systematic methodological review of reported perioperative variables, postoperative outcomes and hernia recurrence from randomised controlled trials of elective ventral hernia repair: clear definitions and standardised datasets are needed.Hernia : the journal of hernias and abdominal wall surgery · 2018Pooled it
- Laparoscopic ventral/incisional hernia repair: updated Consensus Development Conference based guidelines [corrected].Surgical endoscopy · 2015Guideline
- A comparative study between ETEP vs. IPOM repair for ventral hernia.Hernia : the journal of hernias and abdominal wall surgery · 2025Trial
- Trial
- Long-term retromuscular and intraperitoneal mesh size changes within a randomized controlled trial on incisional hernia repair, including a review of the literature.Hernia : the journal of hernias and abdominal wall surgery · 2017Trial
- Beyond acronyms: a domain-based structural analysis of abdominal wall hernia repair techniques in the contemporary literature.Surgical endoscopy · 2026Article
- How Reproducible Are Abdominal Wall Surgical Techniques? A Methodological Assessment of Technical Reporting in the Contemporary Literature.Journal of abdominal wall surgery : JAWS · 2026Article
- A prospective randomized controlled study to compare the efficacy and safety of barbed sutures versus standard fixation techniques using tackers in laparoscopic ventral and incisional hernia repair.Medical journal, Armed Forces India · 2023Article
- Mesh fixation to fascia during incisional hernia repair results in increased prevalence of pain at long-term follow up: a multicenter propensity score matched prospective observational study.Surgical endoscopy · 2022Observational
- Are laparoscopic and open ventral hernia repairs truly comparable?: A propensity-matched study in large ventral hernias.Surgical endoscopy · 2021Article
- Modified laparoscopic Sugarbaker repair of parastomal hernia with a three-point anchoring technique.World journal of clinical cases · 2018Article
- SAGES guidelines for laparoscopic ventral hernia repair.Surgical endoscopy · 2016Article
- Lower recurrence rate with full-thickness mesh fixation in incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2015Article
- Prospective randomized trial of mesh fixation with absorbable versus nonabsorbable tacker in laparoscopic ventral incisional hernia repair.International journal of clinical and experimental medicine · 2015Article
- Gallbladder perforation by absorbable spiral tacker.Annals of the Royal College of Surgeons of England · 2014Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTechnique of mesh fixation in laparoscopic incisional hernia repair is a matter of debate. Literature is lacking in randomized trials comparing various methods of mesh fixation. This study was designed to compare the cost-effectiveness and long-term outcomes following the two methods of mesh fixation.
methodsA total of 110 patients were randomized to tacker mesh fixation or suture mesh fixation. Patients with nonrecurrent hernias with defect size ranging from 2 to 5 cm were included. The cost and incremental cost-effectiveness ratio was calculated. SF-36v2 health survey was used for quality-of-life analysis. Patients were followed up at regular intervals, and return to activity and satisfaction scores were recorded.
resultsDemographic profile and hernia characteristics were comparable between the two groups. Operation time was significantly higher (p < 0) and early postoperative pain at 1 h, 6 h, and 1 month was significantly lower in the suture group. There was no significant difference in the incidence of chronic pain and seroma formation over a mean follow-up of 32.2 months. Cost of procedure was significantly higher in group I (p < 0.001). Suture fixation was found to be more cost-effective than tacker fixation. Postoperative quality of life outcomes were similar in the two groups. Among return to activity parameters, time to resumption of daily activities and starting climbing stairs were significantly shorter in the suture group.
conclusionsThe suture fixation method is a cost-effective alternative to tacker fixation in patients with small- to medium-sized defects in laparoscopic incisional and ventral hernia repair. Suture fixation is better than tacker fixation in terms of early postoperative pain and return to activity. The two procedures are equally effective regarding the recurrence rates, complications, hospital stay, chronic pain, quality of life determinants, and patient satisfaction.
Indexed as
Identifiers
22729705What OpenQuestion holds
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.