Evidence map›Paper›PMID 30244345›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2019

An 11-year analysis of reoperated groins after endoscopic totally extraperitoneal (TEP) inguinal hernia repair in a high volume hernia center.

M M Roos, C V van Hessen, E J M M Verleisdonk, G J Clevers, P H P Davids, C E H Voorbrood, R K J Simmermacher, J P J Burgmans

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Article in Hernia : the journal of hernias and abdominal wall surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 27% 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

5 citing papers in PubMed, 9 citations in OpenAlex.

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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 1 institution in 1 country.

M M RoosDepartment of Surgery/Hernia Clinic, Diakonessenhuis, Utrecht/Zeist, The Netherlands. mroos@diakhuis.nl.ORCID 0000-0002-2764-2156
C V van HessenDepartment of Surgery/Hernia Clinic, Diakonessenhuis, Utrecht/Zeist, The Netherlands.
E J M M VerleisdonkDepartment of Surgery/Hernia Clinic, Diakonessenhuis, Utrecht/Zeist, The Netherlands.
G J CleversDepartment of Surgery/Hernia Clinic, Diakonessenhuis, Utrecht/Zeist, The Netherlands.
P H P DavidsDepartment of Surgery/Hernia Clinic, Diakonessenhuis, Utrecht/Zeist, The Netherlands.
C E H VoorbroodDepartment of Surgery/Hernia Clinic, Diakonessenhuis, Utrecht/Zeist, The Netherlands.
R K J SimmermacherDepartment of Surgery, University Medial Center Utrecht, Utrecht, The Netherlands.
J P J BurgmansDepartment of Surgery/Hernia Clinic, Diakonessenhuis, Utrecht/Zeist, The Netherlands.
Diakonessenhuis hospital · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevelopments in inguinal hernia surgery have substantially lowered recurrence rates, yet recurrences remain an important outcome parameter of inguinal hernia repair. The aim of this study was to analyze the characteristics of all reoperated groins after endoscopic totally extraperitoneal (TEP) inguinal hernia repair in a high-volume hernia clinic in the Netherlands.

methodsAll groins with recurrence-like symptoms reoperated after previous TEP inguinal hernia repair between January 2006 and December 2016 were analyzed. Patient characteristics, imaging findings, primary hernia type, time to recurrence and recurrence type were assessed.

resultsA total of 137 groins were reoperated in 130 patients. The median age at the TEP procedure was 55 years [interquartile range (IQR) 45-64 years]. Fifty-seven groins were initially part of a bilateral procedure (42%). Median time until recurrence was 9 months (IQR 4-26 months). Reoperation findings were a hernia recurrence in 76%, an isolated lipoma in 18%, and no recurrence or lipoma in 6%. The majority of hernias recurred at their initial site (70%), of which the greatest part involved direct hernias. Isolated lipomas were more frequently seen after indirect hernia repair.

conclusionsInguinal hernia recurrences were still observed in this high-volume hernia clinic. Recurrences were most frequently seen at their initial hernia site, the majority involving direct hernias. Isolated lipomas presenting as a pseudorecurrence were most frequently seen after correction of indirect hernias. In accordance with the current guidelines, reducing recurrence rates can be achieved by mesh fixation in bilateral, large and direct defects and by thoroughly reducing lipomas.

Indexed as

EndoscopyHerniorrhaphyReoperationAdultAgedFemaleGroinHernia, InguinalHospitals, High-VolumeHumansMaleMiddle AgedNetherlandsRecurrenceSurgical MeshTime FactorsInguinal herniaLipomaRecurrence characteristicsTEP repair

Identifiers

PMID30244345
OpenAlexW2894445647

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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.