Evidence map›Paper›PMID 33246576›Full record

ArticleJournal of pediatric surgery2021

Long-term outcomes of pediatric laparoscopic needled-assisted inguinal hernia repair: A 10-year experience.

Denise I Garcia, Charles Baker, Sahil Patel, Andre V Hebra, Robert A Cina, Christian J Streck, Aaron P Lesher

Abstract read
In one paragraph

Article in Journal of pediatric surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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.

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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  5. Review
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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

7 authors.

Denise I GarciaMedical University of South Carolina, Charleston, SC.
Charles BakerMedical University of South Carolina, Charleston, SC.
Sahil PatelMedical University of South Carolina, Charleston, SC.
Andre V HebraNemours Children's Hospital, Orlando, FL.
Robert A CinaMedical University of South Carolina, Charleston, SC; MUSC Health Shawn Jenkins Children's Hospital, Charleston, SC.
Christian J StreckMedical University of South Carolina, Charleston, SC; MUSC Health Shawn Jenkins Children's Hospital, Charleston, SC.
Aaron P LesherMedical University of South Carolina, Charleston, SC; MUSC Health Shawn Jenkins Children's Hospital, Charleston, SC. Electronic address: leshera@musc.edu.

Funding

Integrative Training in Oncogenic SignalingT32CA193201 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI HOWE, PHILIP H, LONG, DAVID THOMAS · 2016 to 2025
$3.7M
A novel telemedicine optimized burn intervention (TOBI) for pediatric burn-injured patients and their caregiversK23HD098328 · NICHD · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI LESHER, AARON P. · 2020 to 2023
$681k
NCI NIH HHS T32 CA193201NICHD NIH HHS K23 HD098328
6 · The paper itself

Abstract

purposeLaparoscopic inguinal hernia repair (LIHR) has gained wide acceptance over the past decade, although studies with longer term follow-up are lacking. We present one of the largest cohorts of children undergoing laparoscopic needle-assisted repair (LNAR) with long-term follow-up.

methodsA clinical quality database was maintained for children ≤14 years of age who underwent laparoscopic needle-assisted repair between 2009 and 2017 with review of follow-up through 2019. De-identified data was reviewed.

results1023 patients with 1457 LNAR were included during the 10-year period. Mean age at surgery was 2.56 years (2 days to14 years). The overall hernia recurrence rate was 0.75% (11/1457). A total of four postoperative hydroceles required intervention. Preterm infant repair done <60w post conceptional age had a significantly lower recurrence rate (0.63%) than other patients (0.82%) (p < 0.01). 64.2% of patients had clinical follow-up over a period of 11 years with a mean follow-up of 5.97 years.

conclusionWe present a large cohort study of consecutive pediatric laparoscopic hernia repairs followed over an 11-year period. LNAR is safe and effective for term and preterm patients with similar complication rates to other techniques, including open repair. Additionally, our results suggest that preterm infants may have superior outcomes with this method. LEVEL OF EVIDENCE: Level III - Retrospective Comparative Study.

Indexed as

Hernia, InguinalLaparoscopyChildCohort StudiesFollow-Up StudiesHerniorrhaphyHumansInfantInfant, NewbornInfant, PrematureMaleRecurrenceRetrospective StudiesTreatment OutcomeLaparoscopic hernia repairLaparoscopic needle-assisted repairPrematurity

Identifiers

PMID33246576
PMCPMC7818020

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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.