ArticleHernia : the journal of hernias and abdominal wall surgery2020
Effect of direct defect closure during laparoscopic inguinal hernia repair ("TEP/TAPP plus" technique) on post-operative outcomes.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06389331 (A Comparative Study on Effects of Defect Closure Versus Non-Closure in Laparoscopic Totally Extraperitoneal Repair of Direct Inguinal Hernia), which is not on this map. Cited by 19 papers, 2 of them syntheses that pooled it.
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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.
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.
A Comparative Study on Effects of Defect Closure Versus Non-Closure in Laparoscopic Totally Extraperitoneal Repair of Direct Inguinal Hernia
Who cites it
19 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Fascia defect closure versus non-closure in minimal invasive direct inguinal hernia mesh repair: a systematic review and meta-analysis of real-world evidence.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- Does closure of the direct hernia defect in laparoscopic inguinal herniotomy reduce the risk of recurrence and seroma formation?: a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2023Pooled it
- Primary defect closure in minimally invasive direct inguinal hernia repair: a propensity-weighted analysis.Surgical endoscopy · 2026Article
- Mesh-fixation combinations and chronic postoperative inguinal pain after laparoscopic groin hernia repair: nationwide cohort study.BJS open · 2026Article
- 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 · 2026Article
- A retrospective study of defect closure and hernia belt compression for seroma prevention in laparoscopic inguinal hernia repair.Scientific reports · 2026Article
- Severity classification and risk factors of seroma after transabdominal preperitoneal hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2025Article
- Percutaneous inguinal canal semi-closure during laparoscopic repair for large indirect inguinal hernia.Surgical endoscopy · 2025Article
- Comment to: Fascia defect closure versus non-closure in minimal invasive direct inguinal hernia mesh repair: a systematic review and meta-analysis of real-world evidence.Hernia : the journal of hernias and abdominal wall surgery · 2024Article
- To close, not to close, or to act bigger? Managing the defect of large direct inguinal hernia to reduce the risk of recurrence during laparoscopic TAPP repair: a retrospective cohort study.Updates in surgery · 2024Article
- A comparative study on effects of defect closure versus non-closure in laparoscopic totally extraperitoneal repair of direct inguinal hernia.Annals of medicine and surgery (2012) · 2024Article
- The impact of value-driven outcomes initiative on endo-laparoscopic groin hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2023Article
- Is mesh fixation necessary in laparoendoscopic techniques for M3 inguinal defects? An experimental study.Surgical endoscopy · 2023Article
- Clinical efficacy of laparoscopic closed hernia ring combined with a patch repair for Gilbert type III indirect inguinal hernia.Frontiers in surgery · 2023Article
- Laparoscopic transabdominal preperitoneal herniorrhaphy performed using an articulating laparoscopic instrument is feasible and more efficient.Frontiers in surgery · 2023Article
- Investigation of risk factors for postoperative seroma/hematoma after TAPP.Surgical endoscopy · 2022Article
- Feasibility of modified-TEP technique for large inguinoscrotal and large femoral hernia and its advantages.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Does primary closure of direct inguinal hernia defect during laparoscopic mesh repair reduce the risk of early recurrence?Hernia : the journal of hernias and abdominal wall surgery · 2020Article
- Comment on "Effect of direct defect closure during laparoscopic inguinal hernia repair ("TEP/TAPP plus" technique) on post-operative outcomes".Hernia : the journal of hernias and abdominal wall surgery · 2020Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeSeroma formation and recurrence in large inguinal hernia still remain an important clinical complication despite decades since the advent of mesh repair.
methodsIn our prospective comparative analysis, we want to evaluate the effect of direct hernia defect closure on surgical outcomes in patients undergoing laparoscopic inguinal hernia repair in two tertiary care institutions in Singapore. The direct hernia defects were closed with non-absorbable sutures incorporating the pseudosac.
resultsA group of 241 patients underwent laparoscopic inguinal hernia mesh repair for a total of 378 direct defects from April 2014 to July 2018. Of these patients, 98 (40.6%) patients underwent hernia repair without closure of their direct defect while 143 (59.4%) patients underwent direct defect closure. No significant differences were observed between the two patient populations' demographic information and the mean operative time. A total of 219 direct defects were closed and 159 direct defects were not repaired. Compared to the group that did not undergo direct defect closure, the group that had closure of the direct defects demonstrated a statistically significant reduction in recurrence (4.4% versus 0.9%, p = 0.036) and seroma formation (12.6% versus 6.4%, p = 0.045).
conclusionDirect defect closure has proven to be effective in reducing recurrence and seroma formation post-operatively in patients undergoing laparoscopic inguinal hernia repair. Randomized controlled trials will be required to further evaluate these outcomes.
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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.