ReviewDeutsches Arzteblatt international2016
Evidence-Based Hernia Treatment in Adults.
Review in Deutsches Arzteblatt international, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
25 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.
- The Treatment of Incisional Hernia.Deutsches Arzteblatt international · 2018Pooled it
- Analgesic effect of preoperative dezocine-based local anesthesia in patients undergoing inguinal hernia repair.The Journal of international medical research · 2018Trial
- Analysis of mesh-related factors associated with recurrence and treatment outcomes after laparoscopic inguinal hernia repair.Surgical endoscopy · 2025Article
- Article
- Inguinal hernia repair under crisis: a retrospective cohort study of surgical outcomes across the COVID-19 era in China.Journal of minimally invasive surgery · 2025Article
- Evaluating surgical techniques for incarcerated incisional hernia: laparoscopic vs. Open repair in a tertiary care setting.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Functional Investigation and Two-sample Mendelian Randomization Study of Inguinal Hernia Hub Genes Obtained by Bioinformatics Analysis.Current computer-aided drug design · 2025Article
- Indirect Inguinal Hernia and Hiatal Hernia in an Elderly Female Cadaver: A Report of a Rare Case.Cureus · 2025Article
- Causation between the gut microbiota and inguinal hernia: a two-sample double-sided Mendelian randomization study.Scientific reports · 2024Article
- Application of indocyanine green-labeled fluorescence technology in laparoscopic total extra-peritoneal inguinal hernia repair surgery:a preliminary study.BMC surgery · 2024Article
- Attitudes and barriers toward video visits in surgical care: Insights from a nationwide survey among surgeons.Surgery · 2024Article
- A Rare Case of a Direct Incarcerated Inguinal Hernia Containing an Epiploic Appendage and a Literature Review.Sultan Qaboos University medical journal · 2023Review
- Surgical aspects and early morbidity of patients undergoing open recurrent inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Learning curve of robotic-assisted transabdominal preperitoneal repair (rTAPP) for inguinal hernias.Surgical endoscopy · 2021Article
- Mind the gap - Small bowel obstruction due to preperitoneal herniation following laparoscopic inguinal hernia repair - A case report.International journal of surgery case reports · 2021Article
- Modified Halsted's operation for inguinal hernia repair: A new technique.Annals of medicine and surgery (2012) · 2021Article
- How to Treat Hernias in Pregnant Women?Cureus · 2020Review
- Inadvertent Inguinal Sarcoma Excision during Hernia Surgery: Outcomes, Gender Analysis, and Prevention.International journal of surgical oncology · 2020Article
- Article
- Observational
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundInguinal hernia repair is the most common general surgical procedure in industrialized countries, with a frequency of about 200 operations per 100 000 persons per year. Suture- and mesh-based techniques can be used, and the procedure can be either open or minimally invasive.
methodsThis review is based on a selective search of the literature, with interpretation of the published findings according to the principles of evidence-based medicine.
resultsInguinal hernia is diagnosed by physical examination. Surgery is not necessarily indicated for a primary, asymptomatic inguinal hernia in a male patient, but all inguinal hernias in women should be operated on. For hernias in women, and for all bilateral hernias, a laparoscopic or endoscopic procedure is preferable to an open procedure. Primary unilateral hernias in men can be treated either by open surgery or by laparoscopy/endoscopy. Patients treated by laparoscopy/endoscopy develop chronic pain less often than those treated by open surgery. A mesh-based repair is generally recommended; this seems reasonable in view of the pathogenesis of the condition, which involves an abnormality of the extracellular matrix.
conclusionThe choice of procedure has been addressed by international guidelines based on high-level evidence. Surgeons should deviate from their recommendations only in exceptional cases and for special reasons. Guideline conformity implies that hernia surgeons must master both open and endoscopic/laparoscopic techniques.
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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.