Evidence map›Paper›PMID 30317375›Full record

ArticlePediatric surgery international2018

Comparison of laparoscopic and open pediatric inguinal hernia repairs at two institutions.

Kelly F Darmawan, Tiffany Sinclair, James C Y Dunn

Abstract readComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Article in Pediatric surgery international, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.7field-weighted citation impact, top 16% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Comparison of low and standard pneumoperitoneum pressure in laparoscopic pediatric inguinal hernia repair.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024
    Article
  6. Comparison of Two Laparoscopic Techniques in Management of Pediatric Inguinal Hernias.Journal of laparoendoscopic & advanced surgical techniques. Part A · 2022
    Article
  7. Review
  8. Article
  9. Article
  10. Article
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

3 authors at 2 institutions in 1 country.

Kelly F DarmawanDavid Geffen School of Medicine at University of California, Los Angeles, 10833 Le Conte Ave, Los Angeles, CA, 90095, USA.
Tiffany SinclairDivision of Pediatric Surgery, Department of Surgery, Stanford University, 300 Pasteur Drive, Alway Building M116, MC 5733, Stanford, CA, 94305, USA.
James C Y DunnDivision of Pediatric Surgery, Department of Surgery, Stanford University, 300 Pasteur Drive, Alway Building M116, MC 5733, Stanford, CA, 94305, USA. jdunn2@stanford.edu.
Stanford University · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background/purposeThe proposed benefits of laparoscopic inguinal hernia repair in the pediatric population include easier access to the contralateral groin and avoidance of manipulation of the spermatic cord; however, some studies also report higher recurrence rates. Due to these differences, the traditional open technique is still used by many pediatric surgeons. The objective of this study is to compare the outcomes of two institutions that employed different techniques.

methodsWe retrospectively reviewed pediatric patients who had open repair of inguinal hernias at hospital A or laparoscopic repair at hospital B. Data collection included age of patients, laterality, operative time, and complications.

resultsFrom 2010 to 2015, 154 patients underwent open repair at hospital A and 220 patients underwent laparoscopic repair at hospital B. The mean operative time was 52 min for the open technique and 23 min for the laparoscopic technique (p < 0.01). There were 2.6% complications and 0.65% recurrences with the open technique, compared to 4.6% complications and 2.7% recurrences with the laparoscopic technique (p > 0.2).

conclusionLaparoscopic hernia repairs at hospital B are associated with shorter operative times and have similar outcomes as open repairs at hospital A. A prospective study with both techniques done at the same institution is warranted.

Indexed as

Child, PreschoolFemaleHernia, InguinalHerniorrhaphyHumansInfantLaparoscopyMaleOperative TimeRecurrenceRetrospective StudiesTreatment OutcomeInguinal herniaLaparoscopyOutcomesPediatricSurgery

Identifiers

PMID30317375
OpenAlexW2896271883

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.