Evidence map›Paper›PMID 31165300›Full record

SynthesisHernia : the journal of hernias and abdominal wall surgery2019

State of the art: open mesh-based inguinal hernia repair.

D C Chen, J Morrison

Registry-linked trialAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis 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. It is linked to trial NCT05308251 (Comparison of Hernia Sac Ligation Versus Invagination in Lichtenstein Tension Free Mesh Hernioplasty. Does Type of Hernia Have a Role on Outcomes?), which is not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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.

NCT05308251 nacompletednot on this mapstarted 2020, after this paper: background citation

Comparison of Hernia Sac Ligation Versus Invagination in Lichtenstein Tension Free Mesh Hernioplasty. Does Type of Hernia Have a Role on Outcomes?

TypeinterventionalSponsorSamsun Education and Research HospitalRan2020 to 2022Enrolled108ConditionsHernia, Inguinal, Postoperative Pain, RecurrenceArmsLichtenstein Mesh Hernioplasty
3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Inguinoscrotal hernia repair: analysis of the national EVEREG registry.Journal of abdominal wall surgery : JAWS · 2026
    Article
  5. Review
  6. Article
  7. Dexamethasone relieves the inflammatory response caused by inguinal hernia meshes through miR-155.Hernia : the journal of hernias and abdominal wall surgery · 2024
    Article
  8. Article
  9. Review
  10. Article
  11. [Inguinal hernia operations-Always outpatient?]Chirurgie (Heidelberg, Germany) · 2023
    Review
  12. Review
  13. Review
  14. Is the nerve in the inguinal canal really protected by an investing fascia? Is it a real entity?Hernia : the journal of hernias and abdominal wall surgery · 2021
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  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

2 authors.

D C ChenLichtenstein Amid Hernia Clinic at UCLA, Santa Monica, CA, USA. dcchen@mednet.ucla.edu.ORCID http://orcid.org/0000-0002-0517-9973
J MorrisonChatham Kent Health Alliance, Chatham, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Open inguinal hernia repair remains the most universal, ubiquitous, reliable, and cost-effective method of addressing the global burden of groin hernias. Advances in anatomic understanding and technique have refined a few well-established techniques that can address the majority of the burden of disease with low rates of morbidity, recurrence, and chronic pain. Prosthetic reinforcement has become routine because of the clear reduction in recurrence rates in general practice conferred by mesh and the less-appreciated consideration of simplification of the repair whereby operator variability, hernia type, anatomic variation, patient habitus, tissue deficiencies, and surgical technique are homogenized by reproducible standard techniques. While minimally invasive laparoscopic and robotic approaches have increased in popularity, availability, and reliability, open inguinal-repair techniques continue to provide durability, low risk, minimal cost, ease of training and dissemination, and excellent outcomes and remain a fundamental foundation for the practice and art of hernia surgery. Additionally, as chronic pain and quality of life metrics supersede recurrence as the primary clinical outcome of inguinal hernia repair, the ability to offer a "tailored approach" with several options ranging from tissue- and mesh-based open repairs to minimally invasive prosthetic reinforcement has become an important consideration in providing each patient with different options and the best possibility of a favorable outcome. Paramount to this is a solid understanding of the anatomy and standardization of proper technique for each operation to minimize complications and maximize patient outcomes.

Indexed as

Hernia, InguinalHerniorrhaphyHumansPractice Guidelines as TopicSurgical MeshGuidelinesInguinal hernia repairLichtensteinMeshStandardization

Identifiers

PMID31165300

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.