Evidence map›Paper›PMID 30327912›Full record

Trial reportSurgical endoscopy2019

Correlation between laparoscopic transection of an indirect inguinal hernial sac and postoperative seroma formation: a prospective randomized controlled study.

Rexiati Ruze, Zhibo Yan, Qunzheng Wu, Hanxiang Zhan, Guangyong Zhang

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 6 pooled it
–field-weighted citation impact
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

32 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Continuous use of anticoagulants in inguinal hernia repair - a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025
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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.

Rexiati RuzeDepartment of General Surgery, Qilu Hospital of Shandong, Shandong University, 107#, Wenhua Xi Road, Jinan, 250012, Shandong, China.
Zhibo YanDepartment of General Surgery, Qilu Hospital of Shandong, Shandong University, 107#, Wenhua Xi Road, Jinan, 250012, Shandong, China.
Qunzheng WuDepartment of General Surgery, Qilu Hospital of Shandong, Shandong University, 107#, Wenhua Xi Road, Jinan, 250012, Shandong, China.
Hanxiang ZhanDepartment of General Surgery, Qilu Hospital of Shandong, Shandong University, 107#, Wenhua Xi Road, Jinan, 250012, Shandong, China.
Guangyong ZhangDepartment of General Surgery, Qilu Hospital of Shandong, Shandong University, 107#, Wenhua Xi Road, Jinan, 250012, Shandong, China. guangyongzhang@hotmail.com.ORCID http://orcid.org/0000-0001-5308-0129

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeroma is the most common early minor complication of inguinal hernia repair. Seromas generally resolve spontaneously within a few weeks, but can sometimes cause other complications. The optimal ways to repair inguinal hernia and handle the hernial sac are still debatable. Large scale, prospective, randomized, controlled studies focusing on the correlation between transection of the hernial sac and seroma formation are scarce.

methodsA total of 159 adult male patients with primary indirect inguinal hernia who underwent laparoscopic transabdominal preperitoneal repair were recruited. The patients were randomized to undergo either complete dissection or transection of the hernial sacs. Patients were followed up at postoperative 7 days, 1 and 3 months, looking specifically for seroma. Seroma was diagnosed via physical examination, and a prestructured form was used to evaluate patient recovery and define the type of seroma present at each follow-up visit.

resultsThere were 83 patients in the completely dissected group and 76 in the transected group. The overall incidence of postoperative seroma was 12.6% (n = 20). The χ

conclusionsWhen using the laparoscopic transabdominal preperitoneal technique for indirect inguinal hernia repair, the risk of postoperative seroma formation is greater after transection compared with complete dissection of the hernial sac.

Indexed as

AdultAgedAge FactorsAnticoagulantsBody Mass IndexFollow-Up StudiesHernia, InguinalHumansLaparoscopyMaleMiddle AgedOperative TimePhysical ExaminationPostoperative ComplicationsPostoperative PainProspective StudiesAnticoagulantsHernial sacInguinal herniaLaparoscopic repairSeromaTAPP

Identifiers

PMID30327912

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.