ArticleHernia : the journal of hernias and abdominal wall surgery2018
Lower recurrence rate with heavyweight mesh compared to lightweight mesh in laparoscopic totally extra-peritoneal (TEP) repair of groin hernia: a nationwide population-based register study.
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 14 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
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- TEP for elective primary unilateral inguinal hernia repair in men: what do we know?Hernia : the journal of hernias and abdominal wall surgery · 2019Pooled it
- Association of mesh weight with adverse outcomes: a cohort study including 123,880 inguinal hernia repairs.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Lightweight versus heavyweight synthetic mesh for inguinal hernia repair.The Cochrane database of systematic reviews · 2025Article
- Observational
- Article
- Article
- Female Groin Hernia Repairs in the Swedish Hernia Register 1992-2022: A Review With Updates.Journal of abdominal wall surgery : JAWS · 2023Article
- Long-term outcomes of single-incision versus multiport laparoscopic totally extra-peritoneal inguinal hernia repair: a single-institution experience of 186 consecutive cases.Surgery today · 2022Article
- Necessary duration of follow-up to assess complications of mesh in hernia surgery: a time-lapse study based on 460 explants.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- More work should be done in laparo-endoscopic direct hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2021Article
- Single incision laparoscopic totally extraperitoneal hernioplasty: lessons learned from 1,231 procedures.Annals of surgical treatment and research · 2021Article
- Value and patient appreciation of follow-up after endoscopic totally extraperitoneal (TEP) inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Preparation and Performances of Warp-Knitted Hernia Repair Mesh Fabricated with Chitosan Fiber.Polymers · 2019Article
- Causes of recurrence in laparoscopic inguinal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2018Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeLightweight meshes (LWM) have shown benefits compared to heavyweight meshes (HWM) in terms of less postoperative pain and stiffness in open inguinal hernia repair. It appears to have similar advantages also in TEP, but concerns exist if it may be associated with higher recurrence rates. The aim of the study was to compare reoperation rate for recurrence of LWM to HWM in laparoscopic totally extra-peritoneal (TEP) repair.
methodsAll groin hernias operated on with TEP between 1 January 2005 and 31 December 2013 at surgical units participating in The Swedish Hernia Register were eligible. Data included clinically important hernia variables. Primary endpoint was reoperation for recurrence. Median follow-up time was 6.1 years (0-11.5) with minimum 2.5 years postoperatively.
resultsIn total, 13,839 repairs were included for statistical analysis and 491 were re-operated for recurrence. Multivariate analysis demonstrated significantly increased risk of reoperation for recurrence in LWM 4.0% (HR 1.56, P < 0.001) compared to HWM 3.2%. This was most evident in direct hernias (HR 1.75, P < 0.001) and in hernia repairs with a defect > 3 cm (HR 1.54, P < 0.021). The risk of recurrence with use of LWM in indirect hernias and in hernia repairs with a defect < 1.5 cm was more comparable to HWM.
conclusionsLightweight meshes were associated with an increased risk of reoperation for recurrence compared to HWM. While direct hernias and larger hernia defects may benefit from HWM to avoid increased recurrence rates, LWM is recommended to be used in indirect and smaller hernia defects in TEP repair.
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.