Evidence map›Paper›PMID 36085145›Full record

ArticleBMC surgery2022

Comparison of laparoscope-assisted single-needle laparoscopic percutaneous extraperitoneal closure versus open repair for pediatric inguinal hernia.

Shaofeng Wu, Xiaoyu Xing, Rong He, Haiteng Zhao, Liang Zhong, Jie Sun

Abstract read
In one paragraph

Article in BMC surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

6 authors.

Shaofeng WuDepartment of Urology, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiaotong University, 1678 Dongfang Rd, Pudong District, Shanghai, 200127, China.
Xiaoyu XingDepartment of Urology, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiaotong University, 1678 Dongfang Rd, Pudong District, Shanghai, 200127, China.
Rong HeDepartment of Urology, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiaotong University, 1678 Dongfang Rd, Pudong District, Shanghai, 200127, China.
Haiteng ZhaoDepartment of Urology, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiaotong University, 1678 Dongfang Rd, Pudong District, Shanghai, 200127, China.
Liang ZhongDepartment of Urology, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiaotong University, 1678 Dongfang Rd, Pudong District, Shanghai, 200127, China.
Jie SunDepartment of Urology, Shanghai Children's Medical Center, School of Medicine, Shanghai Jiaotong University, 1678 Dongfang Rd, Pudong District, Shanghai, 200127, China. sunjie@scmc.com.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic-assisted repairs for pediatric inguinal hernia have gained gradual acceptance over the past decade. However, consensus about the optimal management is still lacking. The aim of this study is to compare outcomes of a modified laparoscope-assisted single-needle laparoscopic percutaneous extraperitoneal closure (LPEC) versus open repair of pediatric hernias/hydrocele in a single institution. MATERIALS AND

methodsWe retrospectively reviewed the medical data of children who underwent laparoscope-assisted single-needle LPEC and open repair (OR) for inguinal hernia from 2014 to 2019. Data collection included demographics, laterality of hernia, surgical time and time to follow-up. We also reviewed and analyzed the evidence of recurrence, the incidence of metachronous contralateral inguinal hernia (MCIH), and other complications.

resultsIn our cohort, 961 patients in the OR group and 1098 patients in the LPEC group were analyzed retrospectively. Mean operative time was significantly shorter in the LPEC group (22.3 ± 3.5 min) than in the OR group (27.8 ± 5.9 min) for bilateral hernia repair (p < 0.001). Postoperative recurrence was 1.3% (13/1035) in the OR group and 0.5% (6/1182) in the LPEC group (p = 0.056). Iatrogenic cryptorchidism occurred statistically more frequently in the OR group than in the LPEC group (0.4% vs. 0%, p = 0.013). In addition, the incidence of MCIH was 3.7% (33/887) in the OR group and 0.3% (3/1014) in the LPEC group (p < 0.01).

conclusionComparing to open technique, laparoscope-assisted single-needle LPEC provides a simple and effective option for pediatric inguinal hernia/hydrocele repair with excellent outcomes, a low incidence of recurrence, and reduced MCIH.

Indexed as

Hernia, InguinalLaparoscopyTesticular HydroceleChildHumansLaparoscopesMaleNeedlesRetrospective StudiesChildrenInguinal herniaLaparoscopic hernia repairMinimally invasive surgeryPatent processus vaginalis

Identifiers

PMID36085145
PMCPMC9461258

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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.