Evidence map›Paper›PMID 35674797›Full record

ArticleSurgical endoscopy2022

Safety of laparoscopic inguinal hernia repair in the setting of antithrombotic therapy.

Jeremy A Balch, Dan Neal, Cristina Crippen, Crystal N Johnson-Mann, Thomas E Read, Tyler J Loftus, Mazen R Al-Mansour

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.1field-weighted citation impact, top 8% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. TEP or TAPP: who, when, and how?Frontiers in surgery · 2024
    Review
  6. Article
  7. [Inguinal hernia operations-Always outpatient?]Chirurgie (Heidelberg, Germany) · 2023
    Review
  8. Article
  9. 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 1 institution in 1 country.

Jeremy A BalchDepartment of Surgery, University of Florida, PO Box 100108, Gainesville, FL, 32610-0108, USA.
Dan NealDepartment of Surgery, University of Florida, PO Box 100108, Gainesville, FL, 32610-0108, USA.
Cristina CrippenDepartment of Surgery, University of Florida, PO Box 100108, Gainesville, FL, 32610-0108, USA.
Crystal N Johnson-MannDepartment of Surgery, University of Florida, PO Box 100108, Gainesville, FL, 32610-0108, USA.
Thomas E ReadDepartment of Surgery, University of Florida, PO Box 100108, Gainesville, FL, 32610-0108, USA.
Tyler J LoftusDepartment of Surgery, University of Florida, PO Box 100108, Gainesville, FL, 32610-0108, USA.
Mazen R Al-MansourDepartment of Surgery, University of Florida, PO Box 100108, Gainesville, FL, 32610-0108, USA. mazen.al-mansour@surgery.ufl.edu.ORCID http://orcid.org/0000-0003-3485-2263
University of Florida · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere are a paucity of data regarding the safety of laparoscopic inguinal hernia repair in patients on antiplatelet and anticoagulant therapy (APT/ACT). We aim to compare the postoperative outcomes of laparoscopic (LIHR) vs. open repair of inguinal hernias (OIHR) in patients on APT/ACT.

methodWe conducted a retrospective cohort study using the Vizient Clinical DataBase. We included adults receiving APT/ACT who underwent outpatient, elective, and primary inguinal hernia repair between 2017 and 2019. Subgroup analysis was performed on patients receiving aspirin, non-aspirin antiplatelet, and anticoagulant therapy. Mixed-effects logistic regression was used to assess both the effect of APT/ACT on the probability of receiving LIHR vs OIHR and their respective outcomes.

resultA total of 142,052 repairs were included, of which 21,441 (15%) were performed on patients receiving APT/ACT. Mean age was 69 years (± 10.5) and 93% were male. 19% of hernias were bilateral. 40% of operations were performed at teaching hospitals. On multivariable analysis, patients on non-aspirin antiplatelet or anticoagulant therapy were more likely to receive an open procedure (Odds Ratio (OR) = 1.2; 95% Confidence Intervals (CI) [1.1, 1.4] and OR = 1.4; CI [1.3, 1.5], respectively). LIHR was associated with a lower rate of length of stay > 1 day (OR = 0.65; CI [0.5, 0.9]). Rates of 30-day postoperative hematoma, transfusions, stroke, myocardial infarction, deep venous thrombosis, pulmonary embolism, readmission, and emergency department visits were similar between the two operative approaches.

conclusionPatients on APT/ACT represent a substantial proportion of those undergoing inguinal hernia repair. Non-aspirin antiplatelet or anticoagulant therapy are independent predictors of choosing an open repair. Laparoscopic repair appears to be safe in patients receiving APT/ACT under current perioperative management patterns.

Indexed as

Hernia, InguinalLaparoscopyAdultAgedAnticoagulantsAspirinDimapritFemaleFibrinolytic AgentsHerniorrhaphyHumansMaleRetrospective StudiesAnticoagulantsAPTAspirinDimapritFibrinolytic AgentsAnticoagulationAntiplateletAntithrombicInguinal hernia repairLaparoscopic hernia repair

Identifiers

PMID35674797
OpenAlexW4282945386

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.