Evidence map›Paper›PMID 34540948›Full record

ArticleVisceral medicine2021

Safety of Inguinal Hernia Repair in the Elderly with Perioperative Continuation of Antithrombotic Therapy.

Gonish Hada, Sen Zhang, Yinghan Song, Mukesh Jaiswar, Yanyan Xie, Fushan Jian, Wenzhang Lei

Open access · bronzeAbstract read
In one paragraph

Article in Visceral medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 35% 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

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

  1. Continuous use of anticoagulants in inguinal hernia repair - a systematic review and meta-analysis.Hernia : the journal of hernias and abdominal wall surgery · 2025
    Pooled it
  2. Article
  3. Article
  4. 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

7 authors at 2 institutions in 1 country.

Gonish HadaDepartment of Gastrointestinal Surgery, Hernia Center, West China Hospital, Sichuan University, Chengdu, China.
Sen ZhangDepartment of Gastrointestinal Surgery, Hernia Center, West China Hospital, Sichuan University, Chengdu, China.
Yinghan SongDepartment of Day Care Surgery, West China Hospital, Sichuan University, Chengdu, China.
Mukesh JaiswarDepartment of Gastrointestinal Surgery, Hernia Center, West China Hospital, Sichuan University, Chengdu, China.
Yanyan XieDepartment of Gastrointestinal Surgery, Hernia Center, West China Hospital, Sichuan University, Chengdu, China.
Fushan JianDepartment of Gastrointestinal Surgery, Hernia Center, West China Hospital, Sichuan University, Chengdu, China.
Wenzhang LeiDepartment of Gastrointestinal Surgery, Hernia Center, West China Hospital, Sichuan University, Chengdu, China.
West China Hospital of Sichuan University · CNSichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to evaluate the safety of an inguinal hernia repair (IHR) under local anesthesia (LA) in the elderly with a perioperative continuation of antithrombotic therapy (AT).

methodsA total of 120 patients undergoing elective primary IHR between August 2018 and August 2019 at the West China Hospital of China were prospectively studied, among which 60 patients also had coexisting cardiovascular diseases and had a continuation of AT perioperatively (antithrombotic group); the other 60 patients were not on any prior AT (control group). The primary endpoints were intra- and postoperative hemorrhagic complications, the required interventions for complications based on the Clavien-Dindo classification, and postoperative thromboembolic complications. The secondary endpoints were nonhemorrhagic complications, intraoperative duration, and postoperative length of stay (LOS).

resultsNone of the patients in both groups had significant intraoperative bleeding >10 mL, and there were no significant differences between the 2 groups in terms of the postoperative hemorrhagic complications: bruising (2 vs. 0%,

conclusionsThe perioperative continuation of AT did not increase the risk of intra- and postoperative hemorrhagic complications following IHR in the elderly. Thus, IHR under LA seems to be safe and feasible in this setting.

Indexed as

Antithrombotic therapyBleedingElderlyInguinal herniaThromboembolism

Identifiers

PMID34540948
PMCPMC8406357
OpenAlexW3097227253

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.