Evidence map›Paper›PMID 32166710›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2021

Magnetic resonance visualization of iron-loaded meshes in patients with pain after inguinal hernia repair.

E Özveri, D E T Şanlı, D Yıldırım, H Gök, M Ertem

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Article in Hernia : the journal of hernias and abdominal wall surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 32% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

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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

5 authors at 1 institution in 1 country.

E ÖzveriDepartment of Surgery, Acıbadem Hospital, Kozyatağı, Istanbul, Turkey. emel.ozveri@acibadem.com.ORCID http://orcid.org/0000-0003-2628-5553
D E T ŞanlıDepartment of Radiology, Acıbadem Hospital, Kozyatağı, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-6545-5757
D YıldırımDepartment of Radiology, Acıbadem Hospital, Kozyatağı, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-5411-229X
H GökDepartment of Surgery, Acıbadem Hospital, Kozyatağı, Istanbul, Turkey.ORCID http://orcid.org/0000-0002-2925-8326
M ErtemDepartment of Surgery, Acıbadem Hospital, Kozyatağı, Istanbul, Turkey.ORCID http://orcid.org/0000-0001-8406-1211
Acıbadem University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic post-operative inguinal pain (CPIP) is defined as pain lasting more than 3 months and the incidence is less than 4% after laparoscopic hernia repair. CPIP can have several causes. In this study, we aimed to show that 3D-iron loaded mesh preparations are useful in radiological evaluation of post-operative complications, especially patients with chronic pain and the mesh status of operated inguinal hernia cases.

methodsA total of 450 cases who had been operated for inguinal hernia with 3D-iron loaded mesh and who had ongoing pain at the post-operative period were included in this study. MRI (Magnetic Resonance Imaging) was performed at the post-operative 90th day of the seven symptomatic (groin pain, limitation of movement) cases which were operated using a 3D-iron loaded mesh, 10 × 15 cm in size, (DynaMeshEndolap visible with 25% MRI-visible filaments, FEG TextiltechnikmbH, Aachen, Germany) for inguinal hernia repair to evaluate mesh status, localization, and local complications. Gradient echo sequences in the sagittal, axial, and coronal sections on MRI were discussed by two radiologists. Mesh localizations, their relationship with surrounding structures and their complications related with mesh were evaluated by two radiologists (D.Y, D.E.T.Ş).

resultsNo significant radiological findings related to defined anatomical structures were found in the MRI images of the study group. The dimensions measured on the sagittal, axial and coronal images were correlated with original mesh sizes and no significant shrinkage was detected.

conclusionMesh position and deformation as shrinkage can be the mesh-related cause of pain. The incidence of CPIP in our patients is less than 2%. 3D-iron loaded meshes were monitored with MRI in CPIP patients and there was no mesh-related changes found in our study. The use of MRI-visible meshes will most likely help us to monitor mesh preparations and show potential time-dependent changes in mesh characteristics and consequent complications. In case of doubtful clinical postoperative hernia recurrence or chronic groin pain, mesh position can be identified by MRI and unnecessary surgical intervention can be avoided.

Indexed as

Chronic PainHernia, InguinalHerniorrhaphyHumansIronMagnetic Resonance SpectroscopyPostoperative PainSurgical MeshIronChronic painHernia repairInguinal herniaIron-loaded meshLaparoscopicMRI-visible mesh

Identifiers

PMID32166710
OpenAlexW3012244527

What OpenQuestion holds

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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.