Evidence map›Paper›PMID 24002914›Full record

ArticleSurgical endoscopy2014

Comparison of outcomes for single-incision laparoscopic inguinal herniorrhaphy and traditional three-port laparoscopic herniorrhaphy at a single institution.

F Paul Buckley, Hannah Vassaur, Sharon Monsivais, Nicole E Sharp, Daniel Jupiter, Rob Watson, John Eckford

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 5 pooled it
4.1field-weighted citation impact, top 6% 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, 5 syntheses or guidelines pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  4. Guideline
  5. Pooled it
  6. Trial
  7. Trial
  8. Review
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  11. Observational
  12. Gasless single-incision laparoscopic inguinal hernia repair: initial experience.Hernia : the journal of hernias and abdominal wall surgery · 2017
    Article
  13. Influencing factors for port-site hernias after single-incision laparoscopy.Hernia : the journal of hernias and abdominal wall surgery · 2016
    Article
  14. Article
  15. Article
  16. Article
  17. Needlescopic Surgery Versus Single-port Laparoscopy for Inguinal Hernia.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Article
  18. 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

7 authors at 3 institutions in 1 country.

F Paul BuckleyGeneral Surgery, Scott & White Healthcare, MS-MB-3.019, 302 University Boulevard, Round Rock, TX, 78665, USA, pbuckley@sw.org.
Hannah Vassaur
Sharon Monsivais
Nicole E Sharp
Daniel Jupiter
Rob Watson
John Eckford
Baylor Scott & White Health · USBaylor Scott & White Medical Center - Temple · USTexas A&M Health Science Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvidence in the literature regarding the potential of single-incision laparoscopic (SILS) inguinal herniorrhaphy currently is limited. A retrospective comparison of SILS and traditional multiport laparoscopic (MP) inguinal hernia repair was conducted to assess the safety and feasibility of the minimally invasive laparoscopic technique.

methodsAll laparoscopic inguinal hernia repairs performed by three surgeons at a single institution during 4 years were reviewed. Statistical evaluation included descriptive analysis of demographics including age, gender, body mass index (BMI), and hernia location (uni- or bilateral), in addition to bivariate and multivariate analyses of surgical technique and outcomes including operative times, conversions, and complications.

resultsThe study compared 129 patients who underwent SILS inguinal hernia repair and 76 patients who underwent MP inguinal hernia repair. The cases included 190 men (92.68 %) with a mean age of 55.36 ± 18.01 years (range, 8-86 years) and a mean BMI of 26.49 ± 4.33 kg/m(2) (range, 17.3-41.7 kg/m(2)). These variables did not differ significantly between the SILS and MP cohorts. The average operative times for the SILS and MP unilateral cases were respectively 57.51 and 66.96 min. For the bilateral cases, the average operative times were 81.07 min for SILS and 81.38 min for MP. A multivariate analysis using surgical approach, BMI, case complexity, and laterality as the covariates demonstrated noninferiority of the SILS technique in terms of operative time (p = 0.031). No conversions from SILS to MP occurred, and the rates of conversion to open procedure did not differ significantly between the cohorts (p = 1.00, Fisher's exact test), nor did the complication rates (p = 0.65, χ (2)).

conclusionsAs shown by the findings, SILS inguinal herniorrhaphy is a safe and feasible alternative to traditional MP inguinal hernia repair and can be performed successfully with similar operative times, conversion rates, and complication rates. Prospective trials are essential to confirm equivalence in these areas and to detect differences in patient-centered outcomes.

Indexed as

AdolescentAdultAgedAged, 80 and overBody Mass IndexChildEvidence-Based MedicineFeasibility StudiesHernia, InguinalHerniorrhaphyHumansLaparoscopyMaleMiddle AgedOperative TimeProspective Studies

Identifiers

PMID24002914
OpenAlexW2036612476

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.