Evidence map›Paper›PMID 29075969›Full record

ArticleSurgical endoscopy2018

What are the influencing factors for chronic pain following TAPP inguinal hernia repair: an analysis of 20,004 patients from the Herniamed Registry.

H Niebuhr, F Wegner, M Hukauf, M Lechner, R Fortelny, R Bittner, C Schug-Pass, F Köckerling

Open access · hybridAbstract read
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 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
3.2field-weighted citation impact, top 8% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 55 citations in OpenAlex.

  1. Pooled it
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  8. Ambulatory bilateral groin hernia repair: open preperitoneal versus laparoscopic outcomes.Hernia : the journal of hernias and abdominal wall surgery · 2025
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  10. Review
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  13. Impact of surgical approach on complications by sex following ventral and incisional hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2025
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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

8 authors at 5 institutions in 2 countries.

H NiebuhrHanse-Hernia Center, Alte Holstenstrasse 16, 21031, Hamburg, Germany.
F WegnerHanse-Hernia Center, Alte Holstenstrasse 16, 21031, Hamburg, Germany.
M HukaufStatConsult GmbH, Halberstädter Strasse 40 a, 39112, Magdeburg, Germany.
M LechnerDepartment of Surgery, Paracelsus Medical University, Müllner Hauptstrasse 48, 5020, Salzburg, Austria.
R FortelnyDepartment of General, Visceral and Oncologic Surgery, Wilhelminen Hospital, Montleartstrasse 37, 1160, Vienna, Austria.
R BittnerWinghofer Medicum, Hernia Center, Winghofer Strasse 42, 72108, Rottenburg am Neckar, Germany.
C Schug-PassDepartment of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstrasse 6, 13585, Berlin, Germany.
F KöckerlingDepartment of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstrasse 6, 13585, Berlin, Germany. ferdinand.koeckerling@vivantes.de.
Vivantes Klinikum · DEInfoConsult (Germany) · DEParacelsus Medical University · ATWilhelminen Hospital · ATWinghofer Medicum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn inguinal hernia repair, chronic pain must be expected in 10-12% of cases. Around one-quarter of patients (2-4%) experience severe pain requiring treatment. The risk factors for chronic pain reported in the literature include young age, female gender, perioperative pain, postoperative pain, recurrent hernia, open hernia repair, perioperative complications, and penetrating mesh fixation. This present analysis of data from the Herniamed Hernia Registry now investigates the influencing factors for chronic pain in male patients after primary, unilateral inguinal hernia repair in TAPP technique.

methodsIn total, 20,004 patients from the Herniamed Hernia Registry were included in uni- and multivariable analyses. For all patients, 1-year follow-up data were available.

resultsMultivariable analysis revealed that onset of pain at rest, on exertion, and requiring treatment was highly significantly influenced, in each case, by younger age (p < 0.001), preoperative pain (p < 0.001), smaller hernia defect (p < 0.001), and higher BMI (p < 0.001). Other influencing factors were postoperative complications (pain at rest p = 0.004 and pain on exertion p = 0.023) and penetrating compared with glue mesh fixation techniques (pain on exertion p = 0.037).

conclusionsThe indication for inguinal hernia surgery should be very carefully considered in a young patient with a small hernia and preoperative pain.

Indexed as

AdultChronic PainFollow-Up StudiesHernia, InguinalHerniorrhaphyHumansMaleMiddle AgedMultivariate AnalysisPostoperative PainRegistriesRisk FactorsTreatment OutcomeChronic painComplicationsHernia registryInguinal herniaTAPP

Identifiers

PMID29075969
PMCPMC5845068
OpenAlexW2766370803

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

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.