Evidence map›Paper›PMID 26541729›Full record

Trial reportSurgical endoscopy2016

Quality-of-life scores in laparoscopic preperitoneal inguinal hernia repair.

John E Wennergren, Margaret Plymale, Daniel Davenport, Salomon Levy, Jeffrey Hazey, Kyle A Perry, Kyle Stigall, J Scott Roth

Abstract 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. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
2.4field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 42 citations in OpenAlex.

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  9. Evaluation of inguinal hernia repair using post-operative pain and quality of life metrics.Hernia : the journal of hernias and abdominal wall surgery · 2023
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  12. LAPAROSCOPIC INGUINAL HERNIA REPAIR: THE LONG-TERM ASSESSMENT OF CHRONIC PAIN AND QUALITY OF LIFE.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2022
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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

8 authors at 2 institutions in 1 country.

John E WennergrenDepartment of Surgery, University of Kentucky, Lexington, KY, 40536, USA.
Margaret PlymaleDepartment of Surgery, University of Kentucky, Lexington, KY, 40536, USA.
Daniel DavenportDepartment of Surgery, University of Kentucky, Lexington, KY, 40536, USA.
Salomon LevyDepartment of Surgery, University of Kentucky, Lexington, KY, 40536, USA.
Jeffrey HazeyDivision of General and Gastrointestinal Surgery, The Ohio State University, Columbus, OH, 43210, USA.
Kyle A PerryDivision of General and Gastrointestinal Surgery, The Ohio State University, Columbus, OH, 43210, USA.
Kyle StigallUniversity of Kentucky College of Medicine, MN273 Medical Science Building, 800 Rose Street, Lexington, KY, 40536-0298, USA.
J Scott RothDepartment of Surgery, University of Kentucky, Lexington, KY, 40536, USA. s.roth@uky.edu.
University of Kentucky · USThe Ohio State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPublished support exists for using lightweight polypropylene mesh (PPM) to repair inguinal hernias with increased biocompatibility and decreased foreign body reaction and pain. However, quality of life (QOL) has not been assessed. We assess QOL in patients undergoing laparoscopic totally extraperitoneal hernia repair (TEP) with lightweight PPM.

methodsWe performed an IRB-approved study of patients undergoing TEP hernia repair. Demographic information and hernia characteristics were collected perioperatively. Baseline Short Form-36 (SF-36), Carolinas Comfort Scale (CCS), and visual analog scale (VAS) for pain were performed preoperatively, and then after 1, 26, and 52 weeks.

resultsForty-eight patients undergoing TEP with mesh were selected. Average age was 43.2 years (SD = 13.2), and average BMI was 26.1 kg/m(2) (SD = 4.3). Procedures include bilateral hernia, right inguinal hernia, and left inguinal hernia repairs. Mean scores on the CCS(®) and VAS were low during the immediate post-op period and 1 year. SF-36 mean scores for body pain, physical function, and role physical showed decreases at the postoperative survey and then subsequent increases. Pain-associated scores increased during the immediate post-op period. CCS and SF-36 scores demonstrated improvement after 1 year. There was no significant difference in VAS. Bilateral repair patients reported more pain and reduced physical function versus unilateral repairs. Patients with larger mesh reported greater pain scores and reduced physical function scores.

conclusionsLaparoscopic inguinal hernia repair is associated with initial declines in QOL in the postoperative period. Improvements appear in the long term. General health does not appear to be impacted by laparoscopic TEP. Smaller mesh and unilateral repairs are associated with improved QOL following laparoscopic TEP with PPM. Multiple metrics for QOL are required to reflect patient recovery.

Indexed as

LaparoscopyPolypropylenesQuality of LifeSurgical MeshAdultFemaleHernia, InguinalHumansMaleProspective StudiesVisual Analog ScalePolypropylenesHernia repairInguinal groinLightweight polypropylene meshQuality of lifeTEPTotally extraperitoneal (TEP) hernia repair

Identifiers

PMID26541729
OpenAlexW2238047538

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.