Evidence map›Paper›PMID 31805137›Full record

Trial reportPloS one2019

Early recovery after endoscopic totally extraperitoneal (TEP) hernia repair in athletes with inguinal disruption: A prospective cohort study.

Erwin Brans, Inge H F Reininga, Hans Balink, Arvid V E Munzebrock, Bram Bessem, Joost S de Graaf

Open access · goldAbstract readClinical Trial
In one paragraph

Trial report in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 24% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Clinical examination findings were not associated with isometric strength or functional performance in adults with groin pain.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026
    Observational
  3. Article
  4. Review
  5. Review
  6. Article
  7. A proposed algorithm for the treatment of core muscle injuries.Journal of hip preservation surgery · 2021
    Review
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 at 2 institutions in 1 country.

Erwin BransDepartment of Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands.ORCID 0000-0002-6805-9530
Inge H F ReiningaUniversity of Groningen, University Medical Center Groningen, Department of Trauma Surgery, Groningen, The Netherlands.
Hans BalinkDepartment of Nuclear Medicine, Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Arvid V E MunzebrockDepartment of Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Bram BessemUniversity of Groningen, University Medical Center Groningen, Center for Sports Medicine, Groningen, The Netherlands.
Joost S de GraafDepartment of Surgery, Medical Center Leeuwarden, Leeuwarden, The Netherlands.
Medisch Centrum Leeuwarden · NLUniversity Medical Center Groningen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGroin pain is a common problem in athletes which results in loss of playing time. Moreover, it can be for the cause of athletic career termination. A common cause of groin pain in athletes is inguinal disruption; pain in the groin area near the pubic tubercle were no obvious other pathology exists to explain the symptoms. Aim of this study was to evaluate the effect of endoscopic totally extraperitoneal (TEP) hernia repair in athletes with inguinal disruption.

methodsThirty-one athletes with chronic groin pain due to inguinal disruption, who had undergone conservative therapy without any effect, were included in this prospective cohort study. Prior to surgery patients were assessed by clinical examination, ultrasound of the inguinal region, x-ray and a radionuclide bone scan with single photon-emission computed tomography and CT (SPECT-CT). TEP hernia repair was performed and a lightweight polypropylene mesh was placed pre-peritoneally. Additionally the athletes' perception about their groin disability was assessed preoperatively and 6 weeks postoperatively by means of the Hip and Groin Outcome Score (HAGOS). The HAGOS consists of six subscales: Pain, Symptoms, Physical function in daily living, Physical function in Sport and Recreation, Participation in Physical Activities, and hip and/or groin-related Quality of Life.

resultsNo complications occurred during and after surgery. After six weeks patients improved in all the separate subscales of the Hip and Groin Outcome Score (HAGOS). Within 6 weeks of surgery, 26 patients (84%) returned to sports activities with no or less groin pain.

conclusionsThis study showed that endoscopic totally extraperitoneal (TEP) hernia repair is an effective surgical treatment of inguinal disruption in athletes with chronic groin pain.

Indexed as

AthletesEndoscopyHerniorrhaphyRecovery of FunctionAdultCohort StudiesFollow-Up StudiesHernia, InguinalHumansMaleMiddle AgedProspective StudiesQuality of LifeYoung Adult

Identifiers

PMID31805137
PMCPMC6894863
OpenAlexW2992998741

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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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.