Evidence map›Paper›PMID 29700715›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2018

Factors influencing inguinal hernia symptoms and preoperative evaluation of symptoms by patients: results of a prospective study including 1647 patients.

K Mitura, M Śmietański, S Kozieł, K Garnysz, I Michałek

Open access · hybridAbstract read
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
4.0field-weighted citation impact, top 6% 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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Management of giant inguinal hernia; report of four cases and review of literature.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Risk factors predicting acute postoperative pain immediately after minimally invasive inguinal hernia repair.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    Article
  10. Assessment of feasibility and safety of cyanoacrylate glue versus absorbable tacks for inguinal hernia mesh fixation. A prospective comparative study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    Article
  11. [Inguinal hernia operations-Always outpatient?]Chirurgie (Heidelberg, Germany) · 2023
    Review
  12. Review
  13. Article
  14. Totally extraperitoneal inguinal hernia repair in patients with hemophilia and von Willebrand disease. Prospective controlled study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021
    Article
  15. Article
  16. Effects of different anesthetic methods on immune function and oxidative stress in patients undergoing laparoscopic herniorrhaphy.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2021
    Article
  17. Article
  18. Article
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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

5 authors at 2 institutions in 1 country.

K MituraGeneral Surgery Department, Siedlce Hospital, ul. Narutowicza 25, 08-110, Siedlce, Poland. chirurgia.siedlce@gmail.com.ORCID http://orcid.org/0000-0002-2227-4550
M Śmietański2nd Department of Radiology, Medical University of Gdańsk, Gdańsk, Poland.
S KoziełGeneral Surgery Department, Beskid Center of Oncology-Municipal Hospital in Bielsko Biala, Bielsko-Biała, Poland.
K GarnyszGeneral Surgery Department, Siedlce Hospital, ul. Narutowicza 25, 08-110, Siedlce, Poland.
I MichałekGeneral Surgery Department, Siedlce Hospital, ul. Narutowicza 25, 08-110, Siedlce, Poland.
University of Siedlce · PLGdańsk Medical University · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCurrent recommendations for hernia treatment suggest applying techniques aimed at reducing postoperative pain in patients experiencing intense preoperative pain. However, there is still no reliable stratification method of preoperative pain, its circumstances, intensity and frequency, and the current assessments of hernia symptoms are performed by means of a subjective evaluation. The aim of this work is to discuss preoperative pain before hernia repair and determine its nature depending on the type and length of hernia persistence and the patient's age. MATERIALS AND

methodsThe data from 1647 patients before inguinal hernia repairs (2010-2017) were registered prospectively in the National Hernia Repair Register (demographic data, pain score and influence on everyday activities).

resultsThe most common symptom upon admission was pain (949 patients at rest; 57.6% and 1561 at physical activity; 94.8%). A significant influence of hernia persistence on the pain occurrence and intensity was not observed between patients with hernia < 12-months (60.8%;VAS5.0) and > 5-years (58.3%;VAS5.4) (p = 0.068). The occurrence and intensity of pain was significantly higher patients < 40-years (63.7%;VAS5.4) than patients > 60-years (54.3%;VAS4.8) (p = 0.008).

conclusionsWhile pain at rest is not a significant problem, undertaking physical activities may intensify pain and increase the number of patients suffering from it. Preoperative assessment of pain may help determine the group of younger patients who could benefit the most from inguinal hernia repair. New indications for prompter admission for treatment should be planned in future studies of patients showing pain at rest for possible prevention of postoperative neuropathy.

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleHernia, InguinalHerniorrhaphyHumansMaleMiddle AgedPainPain MeasurementPolandRegistriesRetrospective StudiesSurgical MeshHernia repairInguinal herniaPainPreoperativeQuality of lifeSymptoms

Identifiers

PMID29700715
PMCPMC6061064
OpenAlexW2801306168

What OpenQuestion holds

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LicenceCC BY-NC
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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.