Evidence map›Paper›PMID 28233095›Full record

ArticleSurgical endoscopy2017

Mesh fixation methods and chronic pain after transabdominal preperitoneal (TAPP) inguinal hernia surgery: a comparison between fibrin sealant and tacks.

Kristoffer Andresen, Andreas Q Fenger, Jakob Burcharth, Hans-Christian Pommergaard, Jacob Rosenberg

Abstract readComparative Study
PubMed Publisher
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 32 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 6 pooled it
–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

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

32 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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  5. Intestinal erosions following inguinal hernia repair: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2021
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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

5 authors.

Kristoffer AndresenDepartment of Surgery, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, Herlev, 2730, Denmark. kristofferandresen@gmail.com.ORCID 0000-0002-9820-3580
Andreas Q FengerDepartment of Surgery, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, Herlev, 2730, Denmark.
Jakob BurcharthDepartment of Surgery, Køge Hospital, University of Copenhagen, Køge, Denmark.
Hans-Christian PommergaardDepartment of Surgery, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark.
Jacob RosenbergDepartment of Surgery, Herlev Hospital, University of Copenhagen, Herlev Ringvej 75, Herlev, 2730, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionMesh fixation techniques have been associated with pain after groin hernia surgery. The aim of this study was to compare fibrin sealant and tacks for mesh fixation in laparoscopic inguinal hernia repair regarding long-term persistent pain.

methodsThrough the Danish Hernia Database, we identified patients operated for groin hernia using the transabdominal preperitoneal laparoscopic technique (TAPP) from 2009 to 2012 with fibrin sealant for mesh fixation. These were matched in a ratio of 1:2 with patients operated with TAPP using tacks. All patients were sent a validated questionnaire (the inguinal pain questionnaire) between March 2013 and June 2014. The primary outcome was pain at follow-up.

resultsA total of 1421 patients (84% males) answered the questionnaire (34% fibrin sealant, 66% tacks). The median follow-up was 35 months (range 12-62). Preoperative pain was associated with postoperative pain (p < 0.005), which was confirmed by multivariate analysis (OR 1.57 (CI 95% 1.40-1.77)). Furthermore, male gender was protective against postoperative pain (OR 0.47 (CI 95% 0.29-0.74)). A total of 18% in the fibrin sealant group and 20% in the tacks group reported pain during the past week at follow-up, and 6 and 7% reported pain not possible to ignore (p = 0.44). No difference was found between the fixation methods regarding getting up from a chair, sitting, or standing for more than 30 min, walking up stairs, driving a car, doing exercise, or the need for postoperative analgesics or postoperative sick leave (all p > 0.20).

conclusionMesh fixation technique did not affect long-term persistent pain. A large number of patients reported persistent pain regardless of mesh fixation technique, which emphasizes the need for preoperative information. Preoperative pain was a risk factor for persistent pain, whereas male gender was protective.

Indexed as

AdultAgedAged, 80 and overChronic PainCohort StudiesDatabases, FactualFemaleFibrin Tissue AdhesiveGroinHernia, InguinalHerniorrhaphyHumansLaparoscopyMaleMiddle AgedPostoperative PainFibrin Tissue AdhesiveFibrin sealantGlueInguinal herniaLaparoscopyMesh fixationTacks

Identifiers

PMID28233095

What OpenQuestion holds

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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.