Evidence map›Paper›PMID 27787617›Full record

ArticleSurgery today2017

Feasibility of a new approach for creating a preperitoneal space in transabdominal preperitoneal repair inguinal hernia repair: using a sandwich approach.

Yoshio Nagahisa, Shusaku Homma, Kai Chen, Reo Sakurai, Nobuaki Hattori, Yusuke Kawamoto, Kazuki Hashida, Michio Okabe, Tadashi Itou

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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 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

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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

9 authors.

Yoshio NagahisaDepartment of Surgery, Kurashiki Central Hospital, Miwa 1-1-1, Kurashiki City, Okayama, 710-8602, Japan. nagahisa440@yahoo.co.jp.
Shusaku HommaHimeji Medical Center, Honmachi 64, Himeji City, Hyogo, 670-8520, Japan.
Kai ChenDepartment of Surgery, Kurashiki Central Hospital, Miwa 1-1-1, Kurashiki City, Okayama, 710-8602, Japan.
Reo SakuraiDepartment of Surgery, Kurashiki Central Hospital, Miwa 1-1-1, Kurashiki City, Okayama, 710-8602, Japan.
Nobuaki HattoriDepartment of Surgery, Kurashiki Central Hospital, Miwa 1-1-1, Kurashiki City, Okayama, 710-8602, Japan.
Yusuke KawamotoDepartment of Surgery, Kurashiki Central Hospital, Miwa 1-1-1, Kurashiki City, Okayama, 710-8602, Japan.
Kazuki HashidaDepartment of Surgery, Kurashiki Central Hospital, Miwa 1-1-1, Kurashiki City, Okayama, 710-8602, Japan.
Michio OkabeDepartment of Surgery, Kurashiki Central Hospital, Miwa 1-1-1, Kurashiki City, Okayama, 710-8602, Japan.
Tadashi ItouDepartment of Surgery, Kurashiki Central Hospital, Miwa 1-1-1, Kurashiki City, Okayama, 710-8602, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn Japan, transabdominal preperitoneal (TAPP) inguinal hernia repair is performed by firmly pulling the peritoneum inwards to lift it from the underlying deep layer of subperitoneal fascia. It decreases the postoperative pain and discomfort in the inguinal area. The aim of this study was to evaluate the feasibility of the sandwich approach, which is a new technique for creating a preperitoneal space.

methodsThe operation was performed via the sandwich approach. We made sure to protect the preperitoneal fascia areolar layer when making the preperitoneal space.

resultsWe performed TAPP in 745 patients (876 hernias) treated between October 2006 and April 2015 at Himeji Medical Center and Kurashiki Central Hospital. Before October 2010, we did not use the sandwich approach, and recurrence was observed in three patients. From October 2010, we always used the sandwich approach and never experienced any cases of recurrence. Clavien-Dindo classification Grade 3 or higher postoperative complications occurred in 6 patients (0.8%) between October 2006 and April 2015. Mesh-related ileus was the most frequently observed morbidity. There were no cases of vas differentia or spermatic vessel injury, postoperative chronic pain, or urinary retention.

conclusionThe sandwich approach is feasible as another standard dissective procedure for TAPP.

Indexed as

AgedAged, 80 and overFeasibility StudiesFemaleHernia, InguinalHerniorrhaphyHumansMaleMiddle AgedPeritoneumPostoperative PainTreatment OutcomeInguinal herniaPreperitoneal repairSandwich approachTAPP

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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.