Evidence map›Paper›PMID 27170378›Full record

ArticleSurgery today2017

Modified Marcy repair for indirect inguinal hernia in children: a 24-year single-center experience of 6826 pediatric patients.

Zenon Pogorelić, Marijana Rikalo, Miro Jukić, Josip Katić, Ivo Jurić, Dubravko Furlan, Dražen Budimir, Mihovil Biočić

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Article in Surgery today, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

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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 1 institution in 1 country.

Zenon PogorelićDepartment of Pediatric Surgery, Split University Hospital Center and Split University School of Medicine, Spinčićeva 1, 21 000, Split, Croatia. zpogorelic@gmail.com.
Marijana RikaloSchool of Medicine, University of Split, Šoltanska 2, 21 000, Split, Croatia.
Miro JukićDepartment of Pediatric Surgery, Split University Hospital Center and Split University School of Medicine, Spinčićeva 1, 21 000, Split, Croatia.
Josip KatićSchool of Medicine, University of Split, Šoltanska 2, 21 000, Split, Croatia.
Ivo JurićDepartment of Pediatric Surgery, Split University Hospital Center and Split University School of Medicine, Spinčićeva 1, 21 000, Split, Croatia.
Dubravko FurlanDepartment of Pediatric Surgery, Split University Hospital Center and Split University School of Medicine, Spinčićeva 1, 21 000, Split, Croatia.
Dražen BudimirDepartment of Pediatric Surgery, Split University Hospital Center and Split University School of Medicine, Spinčićeva 1, 21 000, Split, Croatia.
Mihovil BiočićDepartment of Pediatric Surgery, Split University Hospital Center and Split University School of Medicine, Spinčićeva 1, 21 000, Split, Croatia.
University of Split · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate the management and outcomes of modified Marcy repair for inguinal hernia in a large series of children.

methodsWe analyzed the case records of 6826 pediatric patients who underwent surgery for inguinal hernia between January, 1991 and January, 2015 at Split University Hospital in Croatia. The following parameters were examined: sex, age, location of the hernia, intraoperative or postoperative complications, recurrence, and surgical method.

resultsThe 6826 patients included 4751 boys and 2075 girls operated on for inguinal hernia. The mean age was 3.5 years, and mean followup was 14 years. Right-side predominance was noted with 59.50 % right hernia repairs, 33.72 % left hernia repairs, and 6.78 % bilateral hernia repairs. There were 6410 (93.90 %) elective procedures and 416 (6.10 %) emergency procedures for incarceration. The mean duration of surgery was 26 min (14-90 min), and the mean hospital stay was 1 day. Marcy repair was the most commonly performed operation (95.76 %), whereas Ferguson's technique was performed in only 3.98 % of the children. The overall recurrence rate was 0.43 %, with a recurrence rate of 0.36 % for Marcy repair and 1.83 % for Ferguson repair (p = 0.0003).

conclusionModified Marcy hernia repair is a safe and effective procedure for inguinal hernia in children with excellent outcomes and a low incidence of recurrence.

Indexed as

AdolescentChildChild, PreschoolFemaleFollow-Up StudiesHernia, InguinalHerniorrhaphyHumansInfantInfant, NewbornIntraoperative ComplicationsMalePostoperative ComplicationsRecurrenceRetrospective StudiesTime FactorsChildrenInguinal herniaMarcy repair

Identifiers

PMID27170378
OpenAlexW2365215204

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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.