ArticleSurgical endoscopy2019
Laparoscopic repair is superior to open techniques when treating primary groin hernias in women: a nationwide register-based cohort study.
Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.
- Comparison of outcomes between preservation or division of the uterine round ligament in laparoscopic groin hernia repair in females: a meta-analysis and trial sequential analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024Pooled it
- Management of inguinal and femoral hernias in women: meta analysis of current practices and review of international guidelines.Updates in surgery · 2026Review
- Post-Operative Outcomes of Groin Hernia Repairs in Women: A Contemporary Review.Diagnostics (Basel, Switzerland) · 2026Review
- Minimally Invasive Surgical Technique for the Extraperitoneal Fixation of Acetabulum Fracture: Technical Feasibility Study in Cadaver.Advances in orthopedics · 2025Article
- Lessons learnt from the construction and implementation of a prospective ventral hernia database.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- The impact of laparoscopic versus open inguinal hernia repair for inguinal hernia treatment: A retrospective cohort study.Health science reports · 2023Article
- Female Groin Hernia Repairs in the Swedish Hernia Register 1992-2022: A Review With Updates.Journal of abdominal wall surgery : JAWS · 2023Article
- Assessing the Validity and Cover Rate of the National Swedish Hernia Register.Clinical epidemiology · 2021Article
- No difference in genitourinary complications after laparoscopic vs. open groin hernia repair in women: a nationwide linked register-based cohort study.Surgical endoscopy · 2020Article
- Characteristics of groin hernia repair in patients without a groin hernia: a nationwide cohort study.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Minimally invasive inguinal hernia repair is superior to open: a national database review.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- Simultaneous TAPP inguinal repair and laparoscopic cholecystectomy: results of a case series.Hernia : the journal of hernias and abdominal wall surgery · 2019Article
- Groin Hernias in Women-A Review of the Literature.Frontiers in surgery · 2019Article
- Groin Hernia in Females Routinely Treated by Totally Extraperitoneal Laparoscopic Approach.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
- Surgeons' Approach to Intraoperative Complications in Total Extraperitoneal (TEP) Hernia Repair.JSLS : Journal of the Society of Laparoendoscopic SurgeonsArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFew studies have described recurrence rates after groin hernia repair in women. Our aim was to investigate if laparoscopic repair of primary groin hernias in women results in a lower reoperation rate for recurrence compared with open repairs. Furthermore, we wished to compare hernia subtypes at primary repair and reoperation.
methodsThis nationwide cohort study was reported according to the RECORD statement. We used prospectively collected data from the Danish Hernia Database to generate a cohort of females operated for a primary groin hernia from 1998 to 2017. Our primary outcome was reoperation for recurrence. The secondary outcome was subtype of hernia at primary repair and reoperation. All females had at least 6-month follow-up.
resultsWe included 13,945 primary groin hernia operations in women, of whom 649 had undergone a reoperation for recurrence. Median follow-up time was 8.8 years. The cumulative reoperation rates were lower after laparoscopic repair compared with the open techniques, for both inguinal hernias (1.8 vs. 6.3%, p < 0.001) and femoral hernias (2.2 vs. 5.5%, p = 0.005). After laparoscopic repair, 25% of inguinal hernias recurred as femoral, compared with 47% after Lichtenstein (p < 0.001). Direct inguinal hernias and femoral hernias had higher risk of reoperation for recurrence after open repair compared with indirect inguinal hernias. For laparoscopic procedures, hernia subtypes at the primary groin hernia repair had similar reoperation rates.
conclusionLaparoscopic repair of primary groin hernia in women had lower reoperation rates and fewer femoral recurrences than open repair techniques.
Indexed as
Identifiers
What OpenQuestion holds
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.