No difference in sexual dysfunction after transabdominal preperitoneal (TAPP) approach for inguinal hernia with fibrin sealant or tacks for mesh fixation.

H C Pommergaard, J Burcharth, K Andresen, A Q Fenger, J Rosenberg

Abstract read

In one paragraph

Article in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it

0cells of the map it votes in

6citing papers in PubMed, 1 pooled it

1.9field-weighted citation impact, top 15% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

Comparison of sexual function following Lichtenstein versus laparoscopic mesh repair in primary inguinal hernias, the meta-analysis of randomized controlled trials.Surgical endoscopy · 2025
Pooled it
Transabdominal pre-peritoneal hernia repair: risk of operation for recurrence depends on choice of both mesh and fixation device. A study from the Danish Hernia Database.Hernia : the journal of hernias and abdominal wall surgery · 2025
Article
Decreasing prevalence of chronic pain after laparoscopic groin hernia repair: a nationwide cross-sectional questionnaire study.Surgery today · 2018
Article
An overlooked complication of the inguinal hernia repair: Dysejaculation.Turkish journal of surgery · 2018
Review
Mesh fixation methods and chronic pain after transabdominal preperitoneal (TAPP) inguinal hernia surgery: a comparison between fibrin sealant and tacks.Surgical endoscopy · 2017
Article
Data and outcome of inguinal hernia repair in hernia registers - a review of the literature.Innovative surgical sciences · 2017
Review

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

5 authors at 1 institution in 1 country.

H C PommergaardDepartment of Surgery, Hvidovre Hospital, University of Copenhagen, Kettegårds Allé 30, 2650, Hvidovre, Denmark. HCPommergaard@gmail.com.ORCID 0000-0001-7068-1946

J BurcharthDepartment of Surgery, Køge Hospital, University of Copenhagen, Copenhagen, Denmark.

K AndresenDepartment of Surgery, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark.

A Q FengerDepartment of Surgery, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark.

J RosenbergDepartment of Surgery, Herlev Hospital, University of Copenhagen, Copenhagen, Denmark.

University of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative sexual dysfunction in relation to laparoscopic groin hernia surgery may be related to methods of mesh fixation. However, this has not been investigated earlier. Moreover, results regarding sexual dysfunction in females have not been reported systematically. The aim of this study was to compare fibrin sealant versus tacks for fixation of mesh regarding sexual dysfunction in males and females.

methodsUsing the Danish Hernia Database, patients operated laparoscopically for groin hernia with a transabdominal preperitoneal (TAPP) procedure with fibrin sealant or tacks for mesh fixation were sent a questionnaire regarding sexual dysfunction. Sexually active patients without recurrence were evaluated in this study.

resultsPain during sexual activity was present in 115 of 1019 (11.3 %) males and 17 of 147 (11.6 %) females. There was no difference between fibrin sealant and tacks for mesh fixation and no difference between genders. Pain intensity, characteristics and origin were comparable between fibrin sealant and tacks for both genders. We found a relationship between a higher rate of sexual dysfunction and lower age for both genders.

conclusionWe found no difference between fibrin sealant and tacks in pain during sexual activity or intensity of pain. However, younger age may be a risk factor for pain during sexual activity. Considering the high rate of postoperative sexual dysfunction, it is important to include this topic in the preoperative patient information.

Indexed as

Surgical MeshAdultAgedAged, 80 and overAge FactorsDatabases, FactualDenmarkDyspareuniaFemaleFibrin Tissue AdhesiveHernia, FemoralHernia, InguinalHerniorrhaphyHumansLaparoscopyLogistic ModelsFibrin Tissue AdhesiveTissue AdhesivesInguinal herniaLaparoscopyMesh fixationPainSexual activitySexual dysfunction

Identifiers

PMID27287916

DOI10.1007/s00464-016-5017-4

OpenAlexW2413253090

What OpenQuestion holds

Textmetadata

Read underepoch 390

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.