Evidence map›Paper›PMID 25805239›Full record

ArticleSurgical endoscopy2015

TEP versus TAPP: comparison of the perioperative outcome in 17,587 patients with a primary unilateral inguinal hernia.

F Köckerling, R Bittner, D A Jacob, L Seidelmann, T Keller, D Adolf, B Kraft, A Kuthe

Open access · hybridAbstract readComparative StudyEvaluation Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgical endoscopy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 10 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 10 pooled it
14.8field-weighted citation impact, top 1% 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

74 citing papers in PubMed, 10 syntheses or guidelines pooled it, 178 citations in OpenAlex.

  1. Pooled it
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  4. Intestinal erosions following inguinal hernia repair: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2021
    Pooled it
  5. Pooled it
  6. Pooled it
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  8. Robotic inguinal hernia repair: is technology taking over? Systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2019
    Pooled it
  9. Pooled it
  10. International guidelines for groin hernia management.Hernia : the journal of hernias and abdominal wall surgery · 2018
    Guideline
  11. Trial
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  14. Trial
  15. Article
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  20. No mesh fixation versus mesh fixation in laparoscopic groin hernia repair.The Cochrane database of systematic reviews · 2026
    Article

14 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

8 authors at 6 institutions in 1 country.

F KöckerlingDepartment of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstraße 6, 13585, Berlin, Germany. ferdinand.koeckerling@vivantes.de.
R BittnerHernia Center, Winghofer Medicum, Winghofer Straße 42, 72108, Rottenburg am Neckar, Germany.
D A JacobDepartment of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstraße 6, 13585, Berlin, Germany.
L SeidelmannDepartment of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstraße 6, 13585, Berlin, Germany.
T KellerStatConsult GmbH, Halberstädter Straße 40 a, 39112, Magdeburg, Germany.
D AdolfStatConsult GmbH, Halberstädter Straße 40 a, 39112, Magdeburg, Germany.
B KraftDepartment of General and Visceral Surgery, Diakonie Hospital, Rosenbergstraße 38, 70176, Stuttgart, Germany.
A KutheDepartment of General and Visceral Surgery, German Red Cross Hospital, Lützerodestraße 1, 30161, Hannover, Germany.
Charité - Universitätsmedizin Berlin · DEInfoConsult (Germany) · DEDiakonie-Klinikum Stuttgart · DEGerman Red Cross · DEVivantes Klinikum · DEWinghofer Medicum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMore than 20 years since the introduction of TAPP and TEP into clinical routine, there is a lack of clarity due to conflicting comparative data. Therefore, more results from registries are needed. PATIENTS AND

methodsA total of 17,587 patients were enrolled prospectively between September 1, 2009, and April 15, 2013, in the Herniamed registry. Of these patients, 10,887 (61.9%) had a TAPP and 6700 (38.1%) a TEP repair. The dependent variables were intra- and postoperative complication rates, number of reoperations as well as absolute and relative frequencies. The results of unadjusted analyses were verified via multivariable analyses.

resultsMultivariable analysis verified the results of unadjusted analysis, indicating that the surgical technique did not have any significant impact, also while taking account of other factors, on occurrence of intraoperative [p = 0.1648; OR = 1.214 (0.923; 1.596)] and general postoperative complications [p = 0.0738; OR = 1.315 (0.974; 1.775)]. Postoperative surgical complications [OR = 2.323 (1.882; 2.866); p < 0.0001] were noted more often after TAPP. Furthermore, the hernia defect size [p < 0.0001; I vs III: OR = 0.439 (0.313; 0.615), II vs III: OR = 0.712 (0.582; 0.872)] or scrotal [p < 0.0001; OR = 2.170 (1.501; 3.137)] hernia and age [p = 0.0002; 10-year OR = 1.135 (1.062; 1.213)] had a significant impact on the occurrence of postoperative complications. Complications were observed more commonly for larger hernia defects and a scrotal hernia. However, the difference in the postoperative complication rate between TEP and TAPP did not result in any difference in the reoperation rate (TEP 0.82% vs TAPP 0.90%; p = 0.6165).

conclusionThe intraoperative and general postoperative complication rates as well as the reoperation rate for complications show no significant difference between TEP and TAPP. The higher postoperative complication rate for TAPP, which could be managed conservatively, is partly explained by larger defect sizes, more scrotal hernias and older age.

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleFollow-Up StudiesHernia, InguinalHerniorrhaphyHumansIntraoperative ComplicationsLaparoscopyMaleMiddle AgedMultivariate AnalysisPostoperative ComplicationsRegistriesInguinal hernia repairIntraoperative complicationsPostoperative complicationsSeromaTAPPTEP

Identifiers

PMID25805239
PMCPMC4648956
OpenAlexW2053700188

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.