ArticleSurgical endoscopy2018
Closure of a direct inguinal hernia defect in laparoscopic repair with barbed suture: a simple method to prevent seroma formation?
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 5 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
41 citing papers in PubMed, 5 syntheses or guidelines pooled it, 69 citations in OpenAlex.
- Differences in the rates of seroma complications between hernial sac transection and reduction after laparoscopic inguinal hernia repair: systematic review and meta-analysis.Scientific reports · 2025Pooled it
- Effect of sac transection versus sac reduction on seroma in laparoscopic indirect hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Fascia defect closure versus non-closure in minimal invasive direct inguinal hernia mesh repair: a systematic review and meta-analysis of real-world evidence.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- Does closure of the direct hernia defect in laparoscopic inguinal herniotomy reduce the risk of recurrence and seroma formation?: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- Intraoperative adjunctive techniques to reduce seroma formation in laparoscopic inguinal hernioplasty: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2019Pooled it
- Influence of internal ring defect closure on postoperative seroma formation after laparoscopic transabdominal preperitoneal repair for large indirect inguinal hernia: A randomized controlled study.Hernia : the journal of hernias and abdominal wall surgery · 2026Trial
- Cruciate gear suture: a simple and effective technique for pseudo-sac management in TAPP.Hernia : the journal of hernias and abdominal wall surgery · 2026Trial
- Progrip versus ProFlor: two fixation-free devices for laparoscopic inguinal hernia repair-the Pro/Pro study, a randomized clinical trial.Surgical endoscopy · 2025Trial
- The effect of internal orifice narrowing in laparoscopic inguinoscrotal hernia repair to prevent seroma formation: a prospective double-blind randomized controlled trial.Surgical endoscopy · 2024Trial
- Does the use of monopolar energy as the preferred mode of dissection effectively reduce seroma formation in laparoscopic total extra peritoneal hernioplasty? A prospective double-blinded randomized control trial.Hernia : the journal of hernias and abdominal wall surgery · 2020Trial
- Primary defect closure in minimally invasive direct inguinal hernia repair: a propensity-weighted analysis.Surgical endoscopy · 2026Article
- To close or not to close the deep inguinal ring in laparoscopic hernia repair. A comparative study.Hernia : the journal of hernias and abdominal wall surgery · 2026Article
- Effect of closing the internal ring during laparoscopic TAPP for Nyhus type III indirect inguinal hernia on postoperative seroma: a retrospective cohort study.Frontiers in surgery · 2026Article
- Short term results of routine defect closure and obliteration of dead space in minimal invasive inguinal hernia repairs: a retrospective cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Comment to: A novel laparoscopic technique for closing the defect of direct inguinal hernia.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Severity classification and risk factors of seroma after transabdominal preperitoneal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- To close, not to close, or to act bigger? Managing the defect of large direct inguinal hernia to reduce the risk of recurrence during laparoscopic TAPP repair: a retrospective cohort study.Updates in surgery · 2024Article
- A comparative study on effects of defect closure versus non-closure in laparoscopic totally extraperitoneal repair of direct inguinal hernia.Annals of medicine and surgery (2012) · 2024Article
- Article
- Indocyanine Green Fluorescent Lymphography During Open Inguinal Hernia Repair: Relationship Between Lymphatic Vessel Injury and Postoperative Hydrocele.World journal of surgery · 2023Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSeroma is a frequent postoperative complication after laparoscopic direct inguinal hernia repair (both in TAPP and TEP). There are several methods to address this problem; however, these techniques are not without problems. The purpose of this study was to introduce and evaluate a new technique to address this problem.
methodsThis is a prospective study of consecutive patients. All patients diagnosed with direct inguinal hernias eligible for laparoscopic repair were included. A single surgeon performed all the included operations. During laparoscopic inguinal hernia repair (TAPP or TEP), we closed the direct hernia defect with barbed sutures around the transversalis fascia, inverted the apex of the attenuated transversalis fascia, and sutured it at the base to completely eradicate the defect cavity. Prosthetic mesh was not additionally fixed in all patients. The primary postoperative outcome parameter was seroma formation, and secondary outcome parameters included groin pain, surgical complications, and hernia recurrence.
resultsTwenty-five male patients with 36 sides of direct hernias were included in this study, and all procedures were carried out laparoscopically and successfully. Only one patient developed significant seroma, which resolved 1 month later. The early postoperative pain was minimal, and no recurrence and chronic pain occurred during the follow-up period (4-13 months).
conclusionsThe present direct inguinal hernia defect closing technique with barbed suture is a simple, easily reproducible, and effective method for the prevention of seroma formation.
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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.