Evidence map›Paper›PMID 33895891›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2022

Perioperative outcome in groin hernia repair: what are the most important influencing factors?

F Köckerling, D Adolf, R Lorenz, B Stechemesser, A Kuthe, J Conze, B Lammers, R Fortelny, F Mayer, K Zarras and 3 more

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In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

10 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Temporal patterns for inguinal hernia recurrence operations after Shouldice Repair.Hernia : the journal of hernias and abdominal wall surgery · 2024
    Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. [Inguinal hernia operations-Always outpatient?]Chirurgie (Heidelberg, Germany) · 2023
    Review
  10. Article
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

13 authors at 6 institutions in 2 countries.

F KöckerlingDepartment of Surgery and Center for Minimally Invasive Surgery, Academic Teaching Hospital of Charité Medical School, Vivantes Hospital, Neue Bergstrasse 6, 13585, Berlin, Germany. ferdinand.koeckerling@vivantes.de.
D AdolfStatConsult GmbH, Halberstädter Strasse 40 a, 39112, Magdeburg, Germany.
R Lorenz3+Chirurgen, Klosterstrasse 34/35, 13581, Berlin, Germany.
B StechemesserPan Hospital, Hernia Center, Zeppelinstrasse 1, 50667, Cologne, Germany.
A KutheDRK-Hospital Clementinenhaus, Lützerodestr. 1, 30161, Hannover, Germany.
J ConzeUM Hernia Center, Arabellastr. 17, 81925, Munich, Germany.
B LammersSection Coloproctology and Hernia Surgery, Department of Surgery I, Lukas Hospital, Preussenstr. 84, 41464, Neuss, Germany.
R FortelnyDepartment of General Surgery, Medical Faculty, Wilhelminenhospital, Sigmund Freud University Vienna, Freudplatz 3, 1020, Vienna, Austria.
F MayerDepartment of Surgery, Paracelsus Medical University Salzburg, University Hospital of Salzburg, Müllner Hauptstrasse 48, 5020, Salzburg, Austria.
K ZarrasDepartment of Visceral, Minimally Invasive and Oncologic Surgery, Academic Teaching Hospital of University of Düsseldorf, Marien Hospital, Rochusstrasse 2, 40479, Düsseldorf, Germany.
W ReinpoldDepartment of Surgery, Wilhelmsburger Hospital Gross Sand, Academic Teaching Hospital of University Hamburg, Gross Sand, 321107, Hamburg, Germany.
H HoffmannZweiChirurgen GmbHCenter for Hernia Surgery and Proctology, St. Johanns-Vorstadt 44, 4056, Basel, Switzerland.
D WeyheDepartment of General and Visceral Surgery, University Hospital of Visceral Surgery, Georgstrasse 12, 26121, Oldenburg, Germany.
Charité - Universitätsmedizin Berlin · DEInfoConsult (Germany) · DELukaskrankenhaus · DEMarien Hospital Düsseldorf · DEParacelsus Medical University · ATSigmund Freud University Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionUsing registry analyses, a large number of influencing factors on the perioperative outcome of groin hernia repair has been identified. The interactions between several influencing factors and differences in the influencing value have to date been inadequately investigated.

methodsThis retrospective analysis of prospectively collected data from the Herniamed Registry included all fully documented cases with minimum age of 16 years and groin hernia repair. Patients were assigned to the risk groups unilateral, bilateral, recurrent and emergency groin hernia repair. Multivariable analysis was performed to investigate the influence of confirmatory defined patient- and procedure-related characteristics on the outcome parameters intraoperative, postoperative general and postoperative surgical complications, complication-related reoperation and total perioperative complications.

resultsA highly significantly unfavorable association with the total perioperative complication rate was identified for emergency groin hernia repair, scrotal hernia, anticoagulant medication and coagulopathy. A significantly unfavorable relation with the total perioperative complication rate was found for recurrence procedure, bilateral repair, high age, ASA score III/IV, femoral hernia, antithrombotic medication, smoking, COPD and corticosteroid medication. A significantly favorable correlation with the total perioperative complication rate was observed for the laparo-endoscopic techniques, smaller defects, female gender, normal weight and medial hernia.

conclusionBoth the number of potential influencing factors and their influencing value on the perioperative outcome should be considered when estimating the individual risk of a patient with groin hernia repair.

Indexed as

Hernia, InguinalLaparoscopyAdolescentFemaleGroinHerniorrhaphyHumansPostoperative ComplicationsRecurrenceRetrospective StudiesRisk FactorsComplication-related reoperationsGeneral complicationsGroin herniaPerioperative complicationsPostoperative surgical complications

Identifiers

PMID33895891
OpenAlexW3158002480

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.