Evidence map›Paper›PMID 34661771›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2022

Laparoscopic transperitoneal hernia repair (TAPP) in emergency: long-term follow-up in a high volume centre.

A A G Zanoni, A Delcarro, F Ciccarese, R Villa, A Oldani, R Giorgi, C Rubicondo, M Bonaldi, G Cesana, M Uccelli and 4 more

Abstract read
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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 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 9% 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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Is TAPP the Right alternative for patients undergoing emergency surgery for incarcerated inguinal hernia?Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024
    Article
  6. Article
  7. TEP or TAPP: who, when, and how?Frontiers in surgery · 2024
    Review
  8. Article
  9. Article
  10. The Association of Polish Surgeons (APS) clinical guidelines for the use of laparoscopy in the management of abdominal emergencies. Part I.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    Article
  11. Review
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

14 authors at 1 institution in 1 country.

A A G ZanoniDepartment of General Surgery, Policlinico San Marco, Zingonia, Osio Sotto, BG, Italy. adelindazanoni@gmail.com.
A DelcarroDepartment of General Surgery, Policlinico San Marco, Zingonia, Osio Sotto, BG, Italy.
F CiccareseDepartment of General Surgery, Policlinico San Marco, Zingonia, Osio Sotto, BG, Italy.
R VillaDepartment of General Surgery, Policlinico San Marco, Zingonia, Osio Sotto, BG, Italy.
A OldaniDepartment of General Surgery, Policlinico San Marco, Zingonia, Osio Sotto, BG, Italy.
R GiorgiDepartment of General Surgery, Policlinico San Marco, Zingonia, Osio Sotto, BG, Italy.
C RubicondoDepartment of General Surgery, Policlinico San Marco, Zingonia, Osio Sotto, BG, Italy.
M BonaldiDepartment of General Surgery, Policlinico San Marco, Zingonia, Osio Sotto, BG, Italy.
G CesanaDepartment of General Surgery, Policlinico San Marco, Zingonia, Osio Sotto, BG, Italy.
M UccelliDepartment of General Surgery, Policlinico San Marco, Zingonia, Osio Sotto, BG, Italy.
S De CarliDepartment of General Surgery, Policlinico San Marco, Zingonia, Osio Sotto, BG, Italy.
A IsmailDepartment of General Surgery, Policlinico San Marco, Zingonia, Osio Sotto, BG, Italy.
D FerrariDepartment of General Surgery, Policlinico San Marco, Zingonia, Osio Sotto, BG, Italy.
S OlmiDepartment of General Surgery, Policlinico San Marco, Zingonia, Osio Sotto, BG, Italy.
Vita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAim of this study was to analyse feasibility, safety and effectiveness of laparoscopic transperitoneal hernia repair (TAPP) approach to inguinal hernias in the emergency setting, with a longer follow-up than the studies present in literature.

methodsWe retrospectively analysed all patients who underwent emergency TAPP hernia repair in San Marco Hospital (Zingonia, Italy), from September 2010 to June 2020. A prospectively collected database of 685 consecutive TAPP hernia repair was reviewed. Feasibility and safety were evaluated through operative time, conversion rate, perioperative mortality, morbidity and prosthesis infection rate. Effectiveness was assessed by recurrence and complication rate, acute (during admission) and chronic (during follow-up) pain by Visual Analogic Scale (VAS), and recovery to normal activity in a long-term follow-up (mean period 1718 days).

resultsThe final study group included 47 patients. The mean age was 59.6 years (range 22-89), 29 patients were male and 18 were female. The mean operation time was 64 min. Two cases were converted to open approach (4%). In four cases bowel resection became necessary (8.5%). Appendicectomy and omentectomy occurred once and twice, respectively (2% and 4%), and orchiectomy was required in two patients (4%). Seroma was the only postoperative complication that we registered in four patients. During a mean follow-up period of 1718 days, there was no recurrence of the hernia or other complications. Five patients referred mild occasional groin pain (VAS < 3), with quick relief without taking any pain killers.

conclusionTAPP approach is a safe, feasible and effective therapeutic option for groin hernias in emergency setting. No recurrence or severe complications were reported in over 4 years of follow-up.

Indexed as

Hernia, InguinalLaparoscopyAdultAgedAged, 80 and overFemaleFollow-Up StudiesHerniorrhaphyHumansMaleMiddle AgedPainRetrospective StudiesSurgical MeshTreatment OutcomeYoung AdultEmergencyIncarcerated and strangulated inguinal herniasLaparoscopyTAPP repair

Identifiers

PMID34661771
OpenAlexW3206192983

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.