Evidence map›Paper›PMID 35286511›Full record

Trial reportHernia : the journal of hernias and abdominal wall surgery2023

The effect of mesh fixation on migration and postoperative pain in laparoscopic TEP repair: prospective randomized double-blinded controlled study.

M B Yıldırım, I T Sahiner

4 registry-linked trialsAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Hernia : the journal of hernias and abdominal wall surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 11 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 3 pooled it
2.6field-weighted citation impact, top 10% 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.

NCT05152654 nacompletednot on this map

Is it Necessary to Fix Mesh in Laparoscopic Hernia Repair; Prospective Randomized Double-blinded Controlled Study

TypeinterventionalSponsorHitit UniversityRan2019 to 2021Enrolled100ConditionsInguinal Hernia, Pain, Acute, Pain, ChronicArmsTacker
NCT06070142 nacompletednot on this map

Prospective Randomized Study of Comparison Mesh Displacement in Laparoscopic İnguinal Hernia Repair With No Fixation: eTEP Versus TEP

TypeinterventionalSponsorMehmet Eşref UlutaşRan2022 to 2024Enrolled60ConditionsMigration of Implant, Pain, Postoperative Complications, RelapseArmsTEP Group, eTEP Group
NCT06070207 nacompletednot on this map

Prospective Randomized Study of Comparison Mesh Displacement in Bilateral Laparoscopic İnguinal Hernia Repair With No Fixation: eTEP Versus TEP

TypeinterventionalSponsorMehmet Eşref UlutaşRan2023 to 2024Enrolled40ConditionsMigration of Implant, Pain, Postoperative Complications, RelapseArmsTEP group, eTEP group
NCT06417359 naunknown statusnot on this map

Comparison of Mesh Fixation and Non-Fixation in Laparoscopic eTEP Inguinal Hernia Repair

TypeinterventionalSponsorMehmet Eşref UlutaşRan2023 to 2024Enrolled60ConditionsMigration of Implant, Pain, Postoperative Complications, RelapseArmsMesh Fixation, No Mesh Fixation
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 3 syntheses or guidelines pooled it, 12 citations in OpenAlex.

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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

2 authors at 1 institution in 1 country.

M B YıldırımFaculty of Medicine, Department of Surgery, Hitit University, Çorum, Turkey. dr.mbyildirim@gmail.com.ORCID 0000-0001-9176-1160
I T SahinerFaculty of Medicine, Department of Surgery, Hitit University, Çorum, Turkey.
Hitit Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe development of chronic pain is one of the major post-surgery problems after inguinal hernia repair. Although the possibility of chronic pain formation decreases with laparoscopic methods, pain may develop due to the staples used. It is thought that absence of mesh fixation in total extra-peritoneal (TEP) repair does not increase the recurrence rate. This study aims to investigate the absence of mesh fixation in the TEP on the development of postoperative pain, mesh displacement, and recurrence rate.

methodsBetween December 2019 and December 2020, 100 patients who underwent TEP repair due to unilateral inguinal hernia in the General Surgery Clinic of Hitit University were included in the study. Study was registered at http://Clinicaltrials.gov (NCT05152654). Patients were divided into two groups as repairs in which the mesh was fixed with a tacker and no-fixation (NF) was used. The mesh is marked with radiopaque clips. Patients were compared in terms of postoperative pain, mobilization time, hospital stay, return to work, chronic pain, early-late mesh displacement, and recurrence.

resultsWhile there was no significant difference between the groups in terms of mesh displacement and recurrence, it was observed that the NF group developed significantly less pain in the early and late postoperative period compared to the other group. The time-dependent reduction rate of postoperative pain was higher in NF group than in other group. In addition, operation time was shorter in the NF group.

conclusionWhile the absence of mesh fixation in TEP hernia repair does not increase the recurrence rate, it can be used safely, because it causes less acute and chronic pain. TRAIL REGISTRATION: Clinicaltrials number: NCT05152654.

Indexed as

Chronic PainHernia, InguinalLaparoscopyHerniorrhaphyHumansPostoperative PainProspective StudiesRecurrenceSurgical MeshTreatment OutcomeChronic painFixationHerniaMesh displacementNo-fixation

Identifiers

PMID35286511
OpenAlexW4220705740

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.