Evidence map›Paper›PMID 28424930›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2017

Comparison of laparoscopic hernia repair and open herniotomy in children: a retrospective cohort study.

L L Zhu, W J Xu, J B Liu, X Huang, Z B Lv

Registry-linked trialAbstract readComparative Study
PubMed Publisher
In one paragraph

Article 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 trial NCT05092425 (Analysis of Risk Factors for Children With Heterochronous Indirect Hernia), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.0field-weighted citation impact, top 9% 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.

NCT05092425 unknown statusnot on this mapstarted 2021, after this paper: background citation

Analysis of Risk Factors for Children With Heterochronous Indirect Hernia

TypeobservationalSponsorShanghai Children's HospitalRan2021 to 2024Enrolled172ConditionsInguinal Hernia, Direct, Child, Only, Laparoscopic SurgeryArmsno intervention
3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 44 citations in OpenAlex.

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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 at 2 institutions in 1 country.

L L ZhuDepartment of General Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, No. 355, Luding Rd, Shanghai, 200062, China.
W J XuDepartment of General Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, No. 355, Luding Rd, Shanghai, 200062, China.
J B LiuDepartment of General Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, No. 355, Luding Rd, Shanghai, 200062, China.
X HuangDepartment of General Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, No. 355, Luding Rd, Shanghai, 200062, China.
Z B LvDepartment of General Surgery, Shanghai Children's Hospital, Shanghai Jiao Tong University, No. 355, Luding Rd, Shanghai, 200062, China. lzbtougao@163.com.
Shanghai Jiao Tong University · CNShanghai Children's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic hernia repair in infancy and childhood is still debatable. The objective of this study is to compare laparoscopic-assisted hernia repair (LH) versus open herniotomy (OH) as regards operative time, postoperative complications, recurrence rate, and contralateral metachronous hernia rate.

methodsWe analyzed all the patients with inguinal hernia who underwent surgery in our hospital from January 1, 2015 to December 31, 2015. There were 1125 patients, of which 202 patients received laparoscopic inguinal hernia repair (group A) and 923 patients received open herniotomy (group B). We recalled all the patients' records to identify operative time, postoperative hydrocele formation, and contralateral patent processus vaginalis (CPP) detection; we recalled all the patients' parents to identify the ipsilateral and contralateral recurrence and the testis position.

resultsDuring the study period, the lost to follow-up rate is 9.9% in group A and 14.1% in group B. The mean follow-up period was about 10.1 months. The mean operative time for females with bilateral hernia in group A was much shorter than that for those in group B (P = 0.001). The postoperative hydrocele formation rate in group A was 1.5%, compared with 8.2% in group B (P = 0.001). The recurrence rate was 0.64% in group A, whereas in group B the recurrence rate was 0.46%. Of patients with unilateral hernia, none in group A experienced a contralateral metachronous hernia (MH) compared with 10.1% in group B (P < 0.001) and 65% MH appeared in 3 months after the first hernia repair. Females and patients with initial left-sided hernia tended to have a contralateral MH after the first open hernia repair.

conclusionLaparoscopic hernia repair in children is safe and effective, especially for female patients and patients with initial left-sided hernia. We recommend repairing the CPP simultaneously when performing laparoscopic procedures.

Indexed as

ChildChild, PreschoolDatabases, FactualFemaleHernia, InguinalHerniorrhaphyHumansInfantLaparoscopyMaleRetrospective StudiesInguinal herniaLaparoscopic hernia repairPediatric

Identifiers

PMID28424930
OpenAlexW2606210630

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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.