Evidence map›Paper›PMID 28025693›Full record

Trial reportPediatric surgery international2017

Laparoscopic versus open inguinal hernia repair in children ≤3: a randomized controlled trial.

Colin D Gause, Maria G Sacco Casamassima, Jingyan Yang, Grace Hsiung, Daniel Rhee, Jose H Salazar, Dominic Papandria, Howard I Pryor, Dylan Stewart, Jeffrey Lukish and 4 more

Registry-linked trialAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pediatric surgery international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04628455 (Needlescopic Inversion and Snaring for Inguinal Hernia in Girls Using 1.6-mm Instruments), which is not on this map. Cited by 28 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 8 pooled it
6.6field-weighted citation impact, top 3% 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.

NCT04628455 nacompletednot on this mapstarted 2018, after this paper: background citation

Needlescopic Inversion and Snaring for Inguinal Hernia in Girls Using 1.6-mm Instruments

TypeinterventionalSponsorAl-Azhar UniversityRan2018 to 2019Enrolled53ConditionsInguinal Hernia, Polyps, Fallopian Tube Injury, Round LigamentArmsInversion and snaring
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 8 syntheses or guidelines pooled it, 78 citations in OpenAlex.

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  16. Comparison of low and standard pneumoperitoneum pressure in laparoscopic pediatric inguinal hernia repair.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024
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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

14 authors at 6 institutions in 1 country.

Colin D GauseDivision of Pediatric Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Maria G Sacco CasamassimaDivision of Pediatric Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jingyan YangDepartment of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY, USA.
Grace HsiungDivision of Pediatric Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Daniel RheeDivision of Pediatric Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jose H SalazarDivision of Pediatric Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Dominic PapandriaDivision of Pediatric General and Thoracic Surgery, Department of Surgery, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, USA.
Howard I PryorDivision of Pediatric Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Dylan StewartDivision of Pediatric Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Jeffrey LukishDivision of Pediatric Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Paul ColombaniDivision of Pediatric Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Nicole M ChandlerDepartment of Pediatric Surgery, All Children's Hospital Johns Hopkins Medicine, St. Petersburg, FL, USA.
Emilie JohnsonDivision of Pediatric Urology, Department of Surgery, Ann & Robert H. Lurie Children's Hospital of Chicago and Feinberg School of Medicine, Chicago, IL, USA.
Fizan AbdullahDivision of Pediatric Surgery, Department of Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA. FAbdullah@luriechildrens.org.
Johns Hopkins University · USJohns Hopkins Medicine · USLurie Children's Hospital · USChildren's Hospital of Pittsburgh · USColumbia University · USJohns Hopkins All Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLaparoscopy is being increasingly applied to pediatric inguinal hernia repair. In younger children, however, open repair remains preferred due to concerns related to anesthesia and technical challenges. We sought to assess outcomes after laparoscopic and open inguinal hernia repair in children less than or equal to 3 years.

methodsA prospective, single-blind, parallel group randomized controlled trial was conducted at three clinical sites. Children ≤3 years of age with reducible unilateral or bilateral inguinal hernias were randomized to laparoscopic herniorrhaphy (LH) or open herniorrhaphy (OH). The primary outcome was the number of acetaminophen doses. Secondary outcomes included operative time, complications, and parent/caregiver satisfaction scores.

resultsForty-one patients were randomized to unilateral OH (n = 10), unilateral LH (n = 17), bilateral OH (n = 5) and bilateral LH (n = 9). Acetaminophen doses, LOS, complications, and parent/caregiver scores did not differ among groups. Laparoscopic unilateral hernia repair demonstrated shorter operative time, a consistent finding for overall laparoscopic repair in univariate (p = 0.003) and multivariate (p = 0.010) analysis. No cases of testicular atrophy were documented at 2 (SD = 2.7) years.

conclusionChildren ≤3 years of age in our cohort safely underwent LH with similar pain scores, complications, and recurrence as OH. Parents and caregivers report high satisfaction with both techniques.

Indexed as

Child, PreschoolFemaleHernia, InguinalHerniorrhaphyHumansInfantLaparoscopyMaleOperative TimeProspective StudiesSingle-Blind MethodTreatment OutcomeInguinal hernia repairLaparoscopyMISOutcomesPediatricSEAL

Identifiers

PMID28025693
OpenAlexW2565544386

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.