Evidence map›Paper›PMID 28214943›Full record

Trial reportHernia : the journal of hernias and abdominal wall surgery2017

Comparison of mesh fixation and non-fixation in laparoscopic totally extraperitoneal inguinal hernia repair.

K Buyukasik, A Ari, B Akce, C Tatar, O Segmen, H Bektas

2 registry-linked trialsAbstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Hernia : the journal of hernias and abdominal wall surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 12 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 4 pooled it
4.0field-weighted citation impact, top 6% 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.

NCT03564535 naunknown statusnot on this mapstarted 2018, after this paper: background citation

Comparison of Mesh Fixation With Tackers to Use of Self Fixating Mesh in Total Extra Peritoneal Inguinal Hernia Repair: A Double Blinded Randomized Controlled Trial

TypeinterventionalSponsorAll India Institute of Medical Sciences, BhubaneswarRan2018 to 2021Enrolled112ConditionsInguinal Hernia, AdultArmsSelf fixating group, Tacker fixation group
NCT05152654 nacompletednot on this mapstarted 2019, after this paper: background citation

Is it Necessary to Fix Mesh in Laparoscopic Hernia Repair; Prospective Randomized Double-blinded Controlled Study

TypeinterventionalSponsorHitit UniversityRan2019 to 2021Enrolled100ConditionsInguinal Hernia, Pain, Acute, Pain, ChronicArmsTacker
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 4 syntheses or guidelines pooled it, 33 citations in OpenAlex.

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  11. Totally extraperitoneal inguinal hernia repair with or without fixation leads to similar results. Outcome of randomized prospective trial.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020
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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

6 authors at 1 institution in 1 country.

K BuyukasikDepartment of General Surgery, Istanbul Training and Research Hospital, 34029, Fatih, Istanbul, Turkey. op_dr_kenan@hotmail.com.
A AriDepartment of General Surgery, Istanbul Training and Research Hospital, 34029, Fatih, Istanbul, Turkey.
B AkceDepartment of General Surgery, Istanbul Training and Research Hospital, 34029, Fatih, Istanbul, Turkey.
C TatarDepartment of General Surgery, Istanbul Training and Research Hospital, 34029, Fatih, Istanbul, Turkey.
O SegmenDepartment of General Surgery, Istanbul Training and Research Hospital, 34029, Fatih, Istanbul, Turkey.
H BektasDepartment of General Surgery, Istanbul Training and Research Hospital, 34029, Fatih, Istanbul, Turkey.
Fatih Sultan Mehmet Eğitim Ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to compare laparoscopic total extraperitoneal (TEP) hernia repair procedures with or without mesh fixation for non-recurrent inguinal hernia.

methods100 male patients with non-recurrent inguinal hernia (62 unilateral and 38 bilateral) were included in the study. The patients were randomly assigned to either the mesh fixation group (n = 50) or the mesh non-fixation group (n = 50). The operative and follow-up data of the two groups were analyzed and compared in terms of recurrence rates, postoperative pain, length of hospital stay, and postoperative changes in testicular arterial blood flow.

resultsPain scores were significantly higher in the mesh fixation group prior to discharge and at the 1st postoperative month (p = 0.034 and 0.001, respectively). Necessity to use narcotic analgesics was higher in the fixation group prior to discharge (p = 0.025). Urinary retention was significantly more frequent in the fixation group than in the non-fixation group. (p = 0.007). The mean operative time and length of hospital stay were similar in both groups. Preoperative and postoperative measurements of testicular arterial blood flow showed a substantial but not statistically significant difference for the frequency of impairment (14.2% in the fixation group and 5.8% in the non-fixation group) (p = 0.176). At long-term follow-up, no recurrence and no nerve injury were determined.

conclusionFixation of the mesh to the abdominal wall has been associated with various postoperative complications for no additional benefit in lowering recurrence rates. For non-recurrent inguinal hernia, non-fixation of the mesh is safe and reliable. Further studies with larger sample sizes are necessary for subgroup analyses.

Indexed as

Surgical MeshAdultHernia, InguinalHerniorrhaphyHumansLaparoscopyLength of StayMaleMiddle AgedOperative TimePostoperative PainRecurrenceUrinary RetentionYoung AdultInguinal herniaMesh fixationPostoperative painRecurrenceTesticular blood flowTotal extraperitoneal repair

Identifiers

PMID28214943
OpenAlexW2588270315

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.