Evidence map›Paper›PMID 31004238›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2019

Could long-term follow-up modify the outcomes after laparoscopic TAPP? A 5-year retrospective cohort study.

M E Peña, N H Dreifuss, F Schlottmann, E E Sadava

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In one paragraph

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 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% 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

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

  1. The impact of smoking on ventral and inguinal hernia repair: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2024
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  5. To close or not to close the deep inguinal ring in laparoscopic hernia repair. A comparative study.Hernia : the journal of hernias and abdominal wall surgery · 2026
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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

4 authors at 1 institution in 1 country.

M E PeñaDivision of Abdominal Wall Surgery, Department of General Surgery, Hospital Alemán of Buenos Aires, Av. Pueyrredón 1640, AAT1118C, Buenos Aires, Argentina.
N H DreifussDivision of Abdominal Wall Surgery, Department of General Surgery, Hospital Alemán of Buenos Aires, Av. Pueyrredón 1640, AAT1118C, Buenos Aires, Argentina.
F SchlottmannDivision of Abdominal Wall Surgery, Department of General Surgery, Hospital Alemán of Buenos Aires, Av. Pueyrredón 1640, AAT1118C, Buenos Aires, Argentina.
E E SadavaDivision of Abdominal Wall Surgery, Department of General Surgery, Hospital Alemán of Buenos Aires, Av. Pueyrredón 1640, AAT1118C, Buenos Aires, Argentina. esadava@hospitalaleman.com.ORCID 0000-0003-2473-6154
Hospital Alemán · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLaparoscopic inguinal hernia repair (LIHR) has demonstrated multiple benefits. However, long-term results regarding recurrence and quality of life (QoL) are still on debate. We aimed to analyze postoperative outcomes with long-term follow-up after LIHR.

methodsA consecutive series from December 2012 to May 2017 of laparoscopic TAPP was included. A minimum of 6 months of follow-up was required for inclusion. The sample was divided into two groups, G1: patients with recurrence and G2: patients without recurrence. Patient's characteristics, operative variables and postoperative outcomes were analyzed. A QoL survey (Eura-HS QoL) was performed in the pre- and postoperative period.

resultsA total of 717 laparoscopic TAPP were performed in 443 patients. On univariate analysis, smoking, previous recurrence, mesh size smaller than 12 × 15 cm and surgical teams with less than 30 cases/year showed an increased recurrence rate (p < 0.05). But only smoking and less experienced teams were statistically significant on multivariate analysis (p < 0.01). After a 2-year follow-up, recurrence rate was 1.5%, while it increased to 2.6% (n = 19) at 5-year follow-up. Sixty percent of patients answered QoL survey. Average preoperative scores of pain, activities restriction and aesthetic dissatisfaction improved significantly after 6 months of follow-up in patients without recurrence.

conclusionsAfter LIHR, quality of life shows a significant improvement in all parameters. Extending follow-up beyond 2 years after laparoscopic TAPP allows a more accurate assessment of recurrence rate. Smoking and inexperienced teams were significant risk factors for its development.

Indexed as

HerniorrhaphyLaparoscopyQuality of LifeAdultAgedFemaleFollow-Up StudiesHernia, InguinalHumansMaleMiddle AgedRecurrenceRetrospective StudiesSurgical MeshTime FactorsTreatment OutcomeLaparoscopic inguinal herniaQuality of lifeRecurrenceRisk factors

Identifiers

PMID31004238
OpenAlexW2939754030

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.