Evidence map›Paper›PMID 33566268›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2021

Endoscopic retromuscular technique (eTEP) vs conventional laparoscopic ventral or incisional hernia repair with defect closure (IPOM +) for midline hernias. A case-control study.

J Bellido Luque, J C Gomez Rosado, A Bellido Luque, J Gomez Menchero, J M Suarez Grau, I Sanchez Matamoros, A Nogales Muñoz, F Oliva Mompeán, S Morales Conde

Abstract read
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In one paragraph

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 39 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 4 pooled it
9.6field-weighted citation impact, top 1% 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

39 citing papers in PubMed, 4 syntheses or guidelines pooled it, 64 citations in OpenAlex.

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  15. Evaluating the impact of diastasis recti on ipom plus ventral hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2025
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  16. Umbilical hernia repair by the eTEP, a reproducible and valuable technique.Hernia : the journal of hernias and abdominal wall surgery · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

J Bellido LuqueMinimally Invasive Gastrointestinal Surgery, General and Digestive Surgical Department, Virgen Macarena Hospital, Seville, Spain. j_bellido_l@hotmail.com.ORCID 0000-0002-6134-3782
J C Gomez RosadoGeneral and Digestive Surgical Department, Virgen Macarena Hospital, Seville, Spain.
A Bellido LuqueGastrointestinal Surgical Department, QuirónSalud Sagrado Corazón Hospital, Seville, Spain.
J Gomez MencheroQuirónSalud Sagrado Corazón Hospital, Seville, Spain.
J M Suarez GrauGastrointestinal Surgical Department, QuirónSalud Sagrado Corazón Hospital, Seville, Spain.
I Sanchez MatamorosMinimally Invasive Gastrointestinal Surgery, General and Digestive Surgical Department, Virgen Macarena Hospital, Seville, Spain.
A Nogales MuñozMinimally Invasive Gastrointestinal Surgery, General and Digestive Surgical Department, Virgen Macarena Hospital, Seville, Spain.
F Oliva MompeánHead of General and Digestive Surgical Department, Virgen Macarena Hospital, Seville, Spain.
S Morales CondeHead of Gastrointestinal Surgical Department, QuirónSalud Sagrado Corazón Hospital, Seville, Spain.
Hospital Universitario Virgen Macarena · ESHospital Quirónsalud Sagrado Corazón · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed at clinical results in terms of postoperative pain and functional recovery of new technique (eTEP) compared to IPOM + for ventral/incisional midline hernias. Recurrence rate, intra/postoperative complications and aesthetic results are secondary aims.

methodsData from consecutive patients requiring minimally invasive hernia repair were collected. From January 2015 to September 2018, patients with midline ventral/incisional hernias underwent IPOM + were compared to patients underwent eTEP procedure from October 2018 to December 2019 in a case/control study.

resultsThirty-nine patients in IPOM + group and 40 in eTEP group were included. No significant differences were identified when hernias types, mean defect area, mean mesh area and intraoperative/postoperative complications (except seroma rate in favor of eTEP group) were compared. Operative time and hospital stay were significantly higher in eTEP group and IPOM + group, respectively. eTEP group showed significantly less pain on 1st, 7th and 30th postoperative days than IPOM + group. Restriction of activities was significantly decreased in eTEP group on the 30th and 180th day after surgery. Significant differences were observed in terms of cosmetic results 30th and 180th days after surgery in favor of eTEP group. Average follow-up was 15 months in eTEP group and 28 months in IPOM + group. No recurrences were identified in eTEP group and one recurrence in IPOM + group with no significant differences.

conclusionEndoscopic retromuscular technique shows significant lower postoperative pain, better functional recovery and cosmesis than IPOM + without differences in intra/postoperative complications (except seroma rate) or recurrences during the follow-up. eTEP requires longer operative time.

Indexed as

Hernia, VentralIncisional HerniaLaparoscopyCase-Control StudiesHerniorrhaphyHumansSurgical MesheTEPExtraperitoneal ventral herniaMinimally invasive ventral herniasTotally endoscopic retromuscular repair

Identifiers

PMID33566268
OpenAlexW3128009646

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.