Evidence map›Paper›PMID 29021976›Full record

ArticleFrontiers in pediatrics2017

Learning Curves for Laparoscopic Repair of Inguinal Hernia and Communicating Hydrocele in Children.

Catarina Barroso, Péter Etlinger, Ana Luísa Alves, Angélica Osório, José Luís Carvalho, Ruben Lamas-Pinheiro, Jorge Correia-Pinto

Registry-linked trialAbstract read
In one paragraph

Article in Frontiers in pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04628455 (Needlescopic Inversion and Snaring for Inguinal Hernia in Girls Using 1.6-mm Instruments), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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.

NCT04628455 nacompletednot on this mapstarted 2018, after this paper: background citation

Needlescopic Inversion and Snaring for Inguinal Hernia in Girls Using 1.6-mm Instruments

TypeinterventionalSponsorAl-Azhar UniversityRan2018 to 2019Enrolled53ConditionsInguinal Hernia, Polyps, Fallopian Tube Injury, Round LigamentArmsInversion and snaring
3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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  17. Pediatric inguinal hernia treated by single-port laparoscopic water injection hernia crochet needle.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2020
    Article
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.

Catarina BarrosoDepartment of Pediatric Surgery, Hospital Braga, Braga, Portugal.
Péter EtlingerDepartment of Pediatric Surgery, Hospital Braga, Braga, Portugal.
Ana Luísa AlvesSchool of Medicine, Life and Health Sciences Research Institute (ICVS), University of Minho, Braga, Portugal.
Angélica OsórioDepartment of Pediatric Surgery, Hospital Braga, Braga, Portugal.
José Luís CarvalhoDepartment of Pediatric Surgery, Hospital Braga, Braga, Portugal.
Ruben Lamas-PinheiroDepartment of Pediatric Surgery, Hospital Braga, Braga, Portugal.
Jorge Correia-PintoDepartment of Pediatric Surgery, Hospital Braga, Braga, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe analyzed the department and surgeon learning curves during implementation of the percutaneous internal ring suturing (PIRS) technique in our department.

methodsChildren proposed for inguinal hernia or communicating hydrocele repair were included (

resultsDepartment-centered analysis revealed that perioperative complications, conversion, and ipsilateral recurrence rates were higher in the beginning, reaching the benchmarks when each surgeon performed, at least, 35 laparoscopic repairs. Postoperative complications and metachronous hernia rates were independent from learning curves, with the metachronous hernia rate being significantly lower in PIRS patients. During the program, the percentage of males in those operated by PIRS progressively increased reaching the percentage of males, in our sample, when department operated over 230 cases.

conclusionThirty-five laparoscopic cases per surgeon are required for perioperative complications, conversion, and ipsilateral recurrence reach the benchmark. The gap between the percentage of males, in those operated by PIRS and in those proposed for surgery, monitors the confidence of the team in the program.

Indexed as

childrencommunicating hydroceleinguinal hernialaparoscopylearning curvepercutaneous internal ring suturing

Identifiers

PMID29021976
PMCPMC5623676

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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.