Evidence map›Paper›PMID 34337299›Full record

ArticleAnnals of gastroenterological surgery2021

Surgical outcomes of totally extraperitoneal repair for inguinal hernia: A retrospective multicenter propensity score-matched study.

Yu Takeuchi, Tsuyoshi Etoh, Kosuke Suzuki, Tetsuji Ohyama, Takahiro Hiratsuka, Tetsuya Ishio, Mutsuhiro Kugimiya, Toshifumi Matsumoto, Seiichiro Kai, Toshio Bandoh and 6 more

Abstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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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

16 authors.

Yu TakeuchiDepartment of Surgery JCHO Nankai Medical Center Oita Japan.ORCID https://orcid.org/0000-0002-2953-3965
Tsuyoshi EtohDepartment of Gastroenterological and Pediatric Surgery Oita University Faculty of Medicine Oita Japan.
Kosuke SuzukiDepartment of Gastroenterological and Pediatric Surgery Oita University Faculty of Medicine Oita Japan.ORCID https://orcid.org/0000-0002-3590-7468
Tetsuji OhyamaBiostatistics Center Kurume University Fukuoka Japan.
Takahiro HiratsukaDepartment of Surgery Arita Gastrointestinal Hospital Oita Japan.
Tetsuya IshioDepartment of Surgery Kitsuki City Yamaga Hospital Oita Japan.
Mutsuhiro KugimiyaDepartment of Surgery Almeida Memorial Hospital Oita Japan.
Toshifumi MatsumotoDepartment of Surgery National Hospital Organization Beppu Medical Center Oita Japan.
Seiichiro KaiDepartment of Surgery Nakatsu Municipal Hospital Oita Japan.
Toshio BandohDepartment of Surgery Oita Prefectural Hospital Oita Japan.
Kohei ShibataDepartment of Gastrointestinal Surgery Oitaken Kouseiren Tsurumi Hospital Oita Japan.
Kentaro IwakiDepartment of Surgery Oita Red Cross Hospital Oita Japan.
Kouichirou TaharaDepartment of Surgery Oita Medical Center Oita Japan.
Yuji ShigemitsuDepartment of Surgery Zeze Hospital Oita Japan.
Masafumi InomataDepartment of Gastroenterological and Pediatric Surgery Oita University Faculty of Medicine Oita Japan.
OITA Trial Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic surgical approaches, including total extraperitoneal repair (TEP), have been widely accepted for inguinal hernia repair in Japan. However, there are limited data regarding recurrence after TEP in Japan, given the limited versatility of this procedure. This study retrospectively evaluated the rates of hernia recurrence after TEP and open mesh repair at multiple Japanese centers.

methodsThis retrospective study evaluated 1917 patients who underwent inguinal hernia repair at 32 institutions in the Oita prefecture between January 2014 and December 2015. Eligible patients were grouped according to whether they underwent TEP (1011 patients) or open mesh repair (636 patients). Propensity score matching was performed 1:1 (total: 1076 patients, 538 patients from each group). The outcomes of interest were recurrence, morbidity, and postoperative recovery.

resultsThe TEP and open mesh repair groups had similar baseline characteristics. After propensity score matching, there was no significant difference between the two groups in terms of recurrence rate (TEP: 0.5% vs open mesh repair: 1.0%, P = .375). However, the TEP group had significantly longer operating times (median: 70.2 min vs 65.0 min, P < .001), significantly less blood loss (0-5.1 mL vs 0-20.4 mL, P < .001), and significantly shorter postoperative hospital stays (median: 5.0 days vs 6.4 days, P < .001). The overall incidences of morbidity were 6.2% in the TEP group and 7.2% in the open mesh repair group (P = .535).

conclusionThis multicenter retrospective study with propensity score matching revealed that the recurrence rates were similarly low for TEP and open mesh repair of inguinal hernia. Thus, a well-trained surgical team could use TEP as a standard procedure.

Indexed as

inguinal herniaopen mesh repairrecurrence rateTEP

Identifiers

PMID34337299
PMCPMC8316736

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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.