Evidence map›Paper›PMID 30758474›Full record

ArticleArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2019

SYSTEMIZATION OF LAPAROSCOPIC INGUINAL HERNIA REPAIR (TAPP) BASED ON A NEW ANATOMICAL CONCEPT: INVERTED Y AND FIVE TRIANGLES.

Marcelo Furtado, Christiano M P Claus, Leandro Totti Cavazzola, Flavio Malcher, Alexandre Bakonyi-Neto, Rogério Saad-Hossne

Abstract read
In one paragraph

Article in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–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

31 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Trial
  5. The current state of hernia surgery and Brazilian hernia congress 2025.Journal of abdominal wall surgery : JAWS · 2026
    Article
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. TEP or TAPP: who, when, and how?Frontiers in surgery · 2024
    Review
  19. Article
  20. 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

6 authors.

Marcelo FurtadoVideolaparoscopic Surgery Service, Pintagueiras Hospital, Jundiaí, São Paulo, Brazil.
Christiano M P ClausDepartment of Surgical Clinic and Post-Graduation in Mini Invasive Surgery, Positivo University - Jacques Perissat Institute, Curitiba, PR, Brazil.
Leandro Totti CavazzolaDepartment of General Surgery, Hospital de Clínicas, Porto Alegre, RS, Brazil.
Flavio MalcherDepartment of Surgery, Celebration Health Florida Center, Florida, USA.
Alexandre Bakonyi-NetoDepartment of Surgery, Hospital das Clínicas, Botucatu Medical School, Botucatu, SP, Brazil).
Rogério Saad-HossneDepartment of Surgery, Hospital das Clínicas, Botucatu Medical School, Botucatu, SP, Brazil).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic inguinal hernia repair has been shown to be superior than open repairs with faster return to daily activities and decrease in the occurrence of chronic pain. However, higher direct costs and mandatory use of general anesthesia are arguments against their use. In addition, increased complexity of surgery resulting from an anatomy that is unusual to general surgeons prevents the widespread adoption of laparoscopic approach.

aimTo propose a technical systematization for transabdominal laparoscopic repair (TAPP) of inguinal hernias based on anatomical concepts.

methodTo offer a systematization of TAPP repair based on well defined anatomic landmarks, describing the concept of "inverted Y", identification of five triangles and three zones of dissection, to achieve the "critical view of safety" for laparoscopic inguinal hernia repair.

resultsSince this standardization was developed five years ago, many surgeons were trained following these precepts. Reproducibility is high, as far as, it´s rate of adoption among surgeons.

conclusionThe concept of the "inverted Y", "Five triangles" and the dissection based in "Three Zones" establish an effective and reproducible standardization of the TAPP technique.

Indexed as

Hernia, InguinalHerniorrhaphyHumansLaparoscopyMaleReproducibility of ResultsTreatment Outcome

Identifiers

PMID30758474
PMCPMC6368153

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.