Evidence map›Paper›PMID 23132639›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2013

Comparing laparoscopic and open inguinal hernia repair in octogenarians.

W W Hope, L Bools, A Menon, C M Scott, A Adams, W B Hooks

Abstract readComparative StudyEvaluation Study
PubMed Publisher
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 16% 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.

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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
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  5. Observational
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  7. Outcomes of laparoscopic transabdominal preperitoneal hernia repair in the elderly population: a retrospective cohort study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024
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  14. Should we perform elective inguinal hernia repair in the elderly?Hernia : the journal of hernias and abdominal wall surgery · 2017
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  17. Review
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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

6 authors at 1 institution in 1 country.

W W HopeDepartment of Surgery, South East Area Health Education Center, New Hanover Regional Medical Center, 2131 South 17th Street, PO Box 9025, Wilmington, NC, 28401, USA, william.hope@seahec.net.
L Bools
A Menon
C M Scott
A Adams
W B Hooks
New Hanover Regional Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo compare outcomes of laparoscopic and open inguinal hernia repair in elderly patients.

methodsWe retrospectively reviewed patients ≥80 years old undergoing laparoscopic or open inguinal hernia repair from October 2006 to July 2009 at our medical center. Descriptive statistics were calculated, and outcomes were compared using Fisher's exact test, Wilcoxon rank-sum test, and Student's t test; a p value <0.05 was considered significant.

resultsOpen inguinal hernia repairs were performed in 58 patients, and laparoscopic repairs in 23 patients. There was no significant difference in average age (81 vs. 83 years, p = 0.09) or gender (91 % male vs. 74 % male, p = 0.1) for the laparoscopic versus open groups. Resident involvement (55 vs. 26 %, p = 0.02) was more common in the open group, and there was no difference in number of cases done for incarcerated hernias (17 vs. 13 %, p = 0.8) in the open versus laparoscopic groups. We observed a significant difference in hernia laterality and anesthesia type, with significantly more bilateral hernias (48 vs. 2 %, p ≤ 0.001) and more general anesthesia (100 vs. 31 %, p ≤ 0.001) in the laparoscopic compared with the open group. There were no significant differences in ASA score (p = 0.1), operating-room time (p = 0.6), urine output (p = 0.1), morbidity (p = 1), or mortality unrelated to the hernia surgery (13 vs. 22 %, p = 0.5) between the laparoscopic and open groups. At an average follow-up of 31 months (laparoscopic) and 19 months (open), only one recurrence occurred (open group).

conclusionsDespite subtle differences between the laparoscopic and open approaches to inguinal hernia repairs in octogenarians, both procedures are safe with similar outcomes.

Indexed as

LaparoscopyAged, 80 and overAge FactorsFemaleFollow-Up StudiesHernia, InguinalHerniorrhaphyHumansMaleRetrospective StudiesTreatment Outcome

Identifiers

PMID23132639
OpenAlexW1970041012

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.