Evidence map›Paper›PMID 28779250›Full record

ArticleSurgical endoscopy2018

Quality of life after laparoscopic totally extraperitoneal repair of an asymptomatic inguinal hernia.

H Mason Hedberg, Tyler Hall, Matthew Gitelis, Brittany Lapin, Zeeshan Butt, John G Linn, Stephen Haggerty, Woody Denham, JoAnn Carbray, Michael B Ujiki

Abstract readComparative Study
PubMed Publisher
In one paragraph

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 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 26% 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.

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

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Review
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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

10 authors at 5 institutions in 1 country.

H Mason HedbergDepartment of Surgery, University of Chicago Medical Center, Chicago, USA. herbert.hedberg@uchospitals.edu.
Tyler HallDepartment of Surgery, NorthShore University HealthSystems, 2650 Ridge Ave, Evanston, IL, 60201, USA.
Matthew GitelisRush Medical College, Chicago, USA.
Brittany LapinDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, USA.
Zeeshan ButtDepartments of Medical Social Sciences, Surgery (Division of Organ Transplantation), and Psychiatry and Behavioral Sciences, Northwestern University, Chicago, USA.
John G LinnDepartment of Surgery, NorthShore University HealthSystems, 2650 Ridge Ave, Evanston, IL, 60201, USA.
Stephen HaggertyDepartment of Surgery, NorthShore University HealthSystems, 2650 Ridge Ave, Evanston, IL, 60201, USA.
Woody DenhamDepartment of Surgery, NorthShore University HealthSystems, 2650 Ridge Ave, Evanston, IL, 60201, USA.
JoAnn CarbrayDepartment of Surgery, NorthShore University HealthSystems, 2650 Ridge Ave, Evanston, IL, 60201, USA.
Michael B UjikiDepartment of Surgery, NorthShore University HealthSystems, 2650 Ridge Ave, Evanston, IL, 60201, USA.
NorthShore University HealthSystem · USCleveland Clinic · USNorthwestern University · USRush University Medical Center · USUniversity of Chicago Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhen considering an asymptomatic inguinal hernia, surgeons must weigh the risks of watchful waiting against the risk of operative complications. Laparoscopy offers the benefit of reduced postoperative pain, which, for appropriate surgical candidates, may strengthen the case for repair. This study compares general and disease-specific quality of life following totally extraperitoneal (TEP) laparoscopic inguinal hernia repair (LIHR) of asymptomatic and symptomatic hernias.

methodsWe summarize prospective data from 387 patients who underwent TEP LIHR between 2009 and 2015 by four surgeons at a single institution. Asymptomatic individuals were identified by pain scores of zero at preoperative clinic visits. Validated quality of life (QOL) measurements were administered preoperatively and at 3 weeks, 6 months, and 1-year postop. Comparisons were made using Chi-square test, t test, or Mann-Whitney U test. Changes over time were assessed using longitudinal mixed effects models.

resultsA cohort of 79 asymptomatic cases were compared to 308 symptomatic individuals. The asymptomatic cohort had larger median hernia defects (2.5 vs 2 cm, p < 0.01), was older (mean 63.0 vs 58.9 years, p = 0.03), included fewer indirect hernias (57.7 vs 74.9%, p < 0.01), took pain medication for fewer days (mean 1.2 ± 1.5 vs 2.2 ± 3.0 days, p = 0.02), returned to baseline activities of daily living earlier (median 3 vs 5 days, p < 0.01), and reported decreased postoperative pain (p = 0.02). There was no significant difference in general QOL. There was one recurrence in the asymptomatic group and were two in the symptomatic cohort.

conclusionsAsymptomatic individuals undergoing TEP LIHR reported less postoperative pain, returned to baseline activities, and discontinued pain medication sooner than symptomatic patients. These results are encouraging and may inform patient-centered discussions about asymptomatic hernia repair.

Indexed as

Asymptomatic DiseasesLaparoscopyQuality of LifeFemaleHernia, InguinalHumansMaleMiddle AgedPostoperative PainProspective StudiesRecovery of FunctionVisual Analog ScaleAsymptomaticCCSHerniaInguinalLaparoscopySOMSTotally extraperitoneal

Identifiers

PMID28779250
OpenAlexW2744676825

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.