Evidence map›Paper›PMID 26092029›Full record

Trial reportSurgical endoscopy2016

Prospective, randomized and controlled study of mesh displacement after laparoscopic inguinal repair: fixation versus no fixation of mesh.

C M P Claus, G M Rocha, A C L Campos, E A Bonin, D Dimbarre, M P Loureiro, J C U Coelho

3 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 33 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 6 pooled it
5.0field-weighted citation impact, top 5% 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.

NCT06070142 nacompletednot on this mapstarted 2022, after this paper: background citation

Prospective Randomized Study of Comparison Mesh Displacement in Laparoscopic İnguinal Hernia Repair With No Fixation: eTEP Versus TEP

TypeinterventionalSponsorMehmet Eşref UlutaşRan2022 to 2024Enrolled60ConditionsMigration of Implant, Pain, Postoperative Complications, RelapseArmsTEP Group, eTEP Group
NCT06070207 nacompletednot on this mapstarted 2023, after this paper: background citation

Prospective Randomized Study of Comparison Mesh Displacement in Bilateral Laparoscopic İnguinal Hernia Repair With No Fixation: eTEP Versus TEP

TypeinterventionalSponsorMehmet Eşref UlutaşRan2023 to 2024Enrolled40ConditionsMigration of Implant, Pain, Postoperative Complications, RelapseArmsTEP group, eTEP group
NCT06417359 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Comparison of Mesh Fixation and Non-Fixation in Laparoscopic eTEP Inguinal Hernia Repair

TypeinterventionalSponsorMehmet Eşref UlutaşRan2023 to 2024Enrolled60ConditionsMigration of Implant, Pain, Postoperative Complications, RelapseArmsMesh Fixation, No Mesh Fixation
3 · Its place in the literature

Who cites it

33 citing papers in PubMed, 6 syntheses or guidelines pooled it, 76 citations in OpenAlex.

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  10. Mesh Displacement After Bilateral Inguinal Hernia Repair With No Fixation.JSLS : Journal of the Society of Laparoendoscopic Surgeons
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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

7 authors at 3 institutions in 1 country.

C M P ClausMinimally Invasive Surgery, Positivo University/Jacques Perissat Institute, Rua Professor Pedro Viriato Parigot de Souza, 5300, Curitiba, PR, 81280-330, Brazil. christiano.claus@gmail.com.
G M RochaRadiology, Nossa Senhora das Graças Hospital, Curitiba, Brazil.
A C L CamposSurgery, Universidade Federal do Parana, Curitiba, Brazil.
E A BoninMinimally Invasive Surgery, Positivo University/Jacques Perissat Institute, Rua Professor Pedro Viriato Parigot de Souza, 5300, Curitiba, PR, 81280-330, Brazil.
D DimbarreMinimally Invasive Surgery, Positivo University/Jacques Perissat Institute, Rua Professor Pedro Viriato Parigot de Souza, 5300, Curitiba, PR, 81280-330, Brazil.
M P LoureiroMinimally Invasive Surgery, Positivo University/Jacques Perissat Institute, Rua Professor Pedro Viriato Parigot de Souza, 5300, Curitiba, PR, 81280-330, Brazil.
J C U CoelhoSurgery, Universidade Federal do Parana, Curitiba, Brazil.
Universidade Positivo · BRUniversidade Federal do Paraná · BRHospital Nossa Senhora das Graças · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRepair of inguinal hernia is one of the most common elective operations performed in general surgery practice. Mesh hernia repair became the gold standard because of its low recurrence rate in comparison with non-tension-free repair. Laparoscopic approach seems to have potential advantages over open techniques, including faster recovery and reduced acute and chronic pain rate. Laparoscopic mesh fixation is usually performed using staples, which is associated with higher cost and risk for chronic pain. Recently, the role of mesh fixation has been questioned by several surgeons.

aimTo evaluate mesh displacement in patients undergoing laparoscopic inguinal hernia repair comparing mesh fixation with no fixation.

methodsFrom January 2012 to May 2014, 60 consecutive patients with unilateral inguinal hernia were randomized into two groups: control group--10 patients underwent totally extraperitoneal (TEP) repair with mesh fixation; NO FIX group-50 patients underwent TEP repair with no mesh fixation. Mesh was marked with three 3-mm surgical clips at its medial inferior, medial superior and lateral inferior corners. Mesh displacement was measured by comparing an initial X-ray, performed in the immediate postoperative period, with a second X-ray obtained 30 days later.

resultsThe mean displacement of all three clips in control group was 0.1-0.35 cm (range 0-1.2 cm), while in NO FIX group was 0.1-0.3 cm (range 0-1.3 cm). The overall displacement of control and NO FIX group did not show any difference (p = 0.50).

conclusionFixation of the mesh for TEP repair is unnecessary. TEP repair with no mesh fixation is safe and is not associated with increased risk of mesh displacement.

Indexed as

HerniorrhaphyLaparoscopyAdultAgedElective Surgical ProceduresFemaleHernia, InguinalHumansMaleMiddle AgedPostoperative ComplicationsPostoperative PainProspective StudiesRecurrenceSurgical MeshSurgical StaplingInguinal herniaLaparoscopicMesh fixationTEP

Identifiers

PMID26092029
OpenAlexW606932375

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.