Evidence map›Paper›PMID 26546187›Full record

ArticleWorld journal of surgery2016

Self-Gripping Meshes for Lichtenstein Repair. Do We Need Additional Suture Fixation?

Gernot Köhler, Michael Lechner, Franz Mayer, Ferdinand Köckerling, Rudolf Schrittwieser, René H Fortelny, Daniela Adolf, Klaus Emmanuel

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Trial
  2. Causes of recurrences after open inguinal herniorrhaphy.Hernia : the journal of hernias and abdominal wall surgery · 2019
    Review
  3. Article
  4. Review
  5. Review
  6. 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

8 authors.

Gernot KöhlerDepartment of General and Visceral Surgery, Linz, Academic Teaching Hospital of the Medical Universities Graz and Innsbruck, Sisters of Charity Hospital, 4010, Linz, Austria. gernot.koehler@bhs.at.
Michael LechnerDepartment of Surgery, Paracelsus Medical University, Salzburg, Austria.
Franz MayerDepartment of Surgery, Paracelsus Medical University, Salzburg, Austria.
Ferdinand KöckerlingDepartment of Surgery and Centre of Minimally Invasive Surgery, Vivantes Hospital, Berlin, Germany.
Rudolf SchrittwieserDepartment of General Surgery, Landeskrankenhaus Hochsteiermark, Bruck an der Mur, Austria.
René H FortelnyDepartment of Surgery, Paracelsus Medical University, Salzburg, Austria.
Daniela AdolfInstitut StatConsult GmbH®, Magdeburg, Germany.
Klaus EmmanuelDepartment of General and Visceral Surgery, Linz, Academic Teaching Hospital of the Medical Universities Graz and Innsbruck, Sisters of Charity Hospital, 4010, Linz, Austria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Lichtenstein repair is a frequently used treatment of inguinal hernias. In recent years, there has been an increasing tendency to apply self-gripping meshes (s.g). In many cases, additional suture of the mesh is carried out; however, it is uncertain what the benefits or potential risks of this actually are.

methodsThe evaluation was undertaken on the basis of the Herniamed register, and covered all unilateral Lichtenstein operations between 01.09.2009 up to 30.09.2013. The analysis only included patients with whom s.g. meshes with resorbable micro hooks had been used (Progrip(®), Covidien) and who had undergone a full 1-year follow-up examination (80.15 %).

resultsIn total, 2095 patients were suitable for analysis, of which 816 (38.95 %) cases received an additional suture fixation (Fix). With increasing hernia size, more frequent fixation took place (29.97 % of hernias <1.5 cm vs. 46.65 % of hernias >3 cm, p < 0.001). The recurrence rates 1 year after surgery did not show any significant differences (Fix. 0.86 % vs. No Fix. 1.17 %; p = 0.661) with and without fixation, even when being adjusted for covariables. Likewise, no differences were noted in terms of postoperative complications (Fix. 5.15 % vs. No Fix. 5.08 %; p = 1.0). In addition, the numbers of patients needing to be treated after 1 year for chronic pain were also comparable (Fix. 2.33 % vs. No Fix. 2.97 %; p = 0.411).

conclusionWithin the group that did not have additional suture fixation of self-gripping meshes (No Fix.), the length of operations was on average 8 min shorter (p < 0.001). No differences could be observed in terms of postoperative complications, treatment requiring chronic pain and recurrence rates.

Indexed as

Surgical MeshSuture TechniquesAgedAged, 80 and overChronic PainFemaleHernia, InguinalHerniorrhaphyHumansMaleMiddle AgedPostoperative ComplicationsPostoperative PainRecurrenceSutures

Identifiers

PMID26546187

What OpenQuestion holds

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Registered trials

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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.