Evidence map›Paper›PMID 28840323›Full record

ArticleSurgical endoscopy2018

Improved immediate postoperative pain following laparoscopic inguinal herniorrhaphy using self-adhering mesh.

Daniel G Davila, Melissa C Helm, Irene S Pourladian, Matthew J Frelich, Andrew S Kastenmeier, Jon C Gould, Matthew I Goldblatt

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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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 4 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

7 authors at 1 institution in 1 country.

Daniel G DavilaDepartment of Surgery, Division of General Surgery, Medical College Of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI, 53226, USA.
Melissa C HelmDepartment of Surgery, Division of General Surgery, Medical College Of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI, 53226, USA.
Irene S PourladianDepartment of Surgery, Division of General Surgery, Medical College Of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI, 53226, USA.
Matthew J FrelichDepartment of Surgery, Division of General Surgery, Medical College Of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI, 53226, USA.
Andrew S KastenmeierDepartment of Surgery, Division of General Surgery, Medical College Of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI, 53226, USA.
Jon C GouldDepartment of Surgery, Division of General Surgery, Medical College Of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI, 53226, USA.
Matthew I GoldblattDepartment of Surgery, Division of General Surgery, Medical College Of Wisconsin, 9200 W. Wisconsin Avenue, Milwaukee, WI, 53226, USA. mgoldbla@mcw.edu.
Medical College of Wisconsin · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral synthetic meshes are available to reinforce the inguinal region following laparoscopic hernia reduction. We sought to compare postoperative pain of patients who underwent laparoscopic inguinal herniorrhaphy using self-adhering polyester mesh to those who had non-adhering, synthetic mesh implanted using absorbable tacks. MATERIALS AND

methodsThis study is a retrospective review of patients who underwent primary laparoscopic inguinal herniorrhaphy at the Medical College of Wisconsin between October 2012 and July 2014. Clinical information and perioperative pain scores using the visual analog scale (VAS) were obtained to evaluate immediate pre and postoperative pain.

resultsA total of 98 patients (88 male) underwent laparoscopic inguinal herniorrhaphy during the study interval. Forty-two patients received self-adhering mesh and 56 patients received mesh secured with tacks. Patient demographics and comorbidities did not differ significantly between the two groups. There was no difference in preoperative VAS scores between groups. The self-adhering mesh patients had a lower mean VAS change score (less pain). Postoperative complications did not differ between groups apart from a higher observed incidence of seroma in the self-adhering mesh group (p = 0.04). No hernias recurred in either group during the study interval.

conclusionsSelf-adhering mesh in laparoscopic inguinal herniorrhaphy resulted in less immediate postoperative pain than tacked mesh as demonstrated by VAS score. Postoperative complications were similar between the two groups. The results of this study demonstrate that laparoscopic inguinal herniorrhaphy using self-adhering mesh is comparable to tacked mesh in regards to short-term complication rates, but show a favorable advantage in regards to immediate postoperative pain.

Indexed as

Surgical MeshAdultAgedFemaleHernia, InguinalHerniorrhaphyHumansLaparoscopyMaleMiddle AgedPostoperative PainRetrospective StudiesTreatment OutcomeHerniaInguinal hernia painMesh tacksSelf-adhering meshSurgical pain

Identifiers

PMID28840323
OpenAlexW2749496145

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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.