Evidence map›Paper›PMID 36445507›Full record

Observational studyHernia : the journal of hernias and abdominal wall surgery2023

Laparoscopic mesh removal for chronic postoperative inguinal pain following endoscopic hernia repair: a cohort study on the effect on pain.

C D Slooter, C W Perquin, W A Zwaans, R M Roumen, M R Scheltinga, G D Slooter

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study 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. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.3field-weighted citation impact, top 19% 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, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Observational
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 at 1 institution in 1 country.

C D SlooterDepartment of Surgery, Máxima Medical Center, Dominee Theodor Fliednerstraat 1, 5631 BM, Eindhoven, The Netherlands. g.slooter@mmc.nl.ORCID 0000-0003-3227-9846
C W Perquin *Department of Anesthesiology & Pain and Palliative Care, Máxima Medical Center, Eindhoven, The Netherlands.ORCID 0000-0002-8838-9983
W A ZwaansDepartment of Surgery, Máxima Medical Center, Dominee Theodor Fliednerstraat 1, 5631 BM, Eindhoven, The Netherlands.ORCID 0000-0003-2700-5621
R M RoumenDepartment of Surgery, Máxima Medical Center, Dominee Theodor Fliednerstraat 1, 5631 BM, Eindhoven, The Netherlands.ORCID 0000-0003-0521-1985
M R ScheltingaDepartment of Surgery, Máxima Medical Center, Dominee Theodor Fliednerstraat 1, 5631 BM, Eindhoven, The Netherlands.ORCID 0000-0003-4924-6194
G D SlooterDepartment of Surgery, Máxima Medical Center, Dominee Theodor Fliednerstraat 1, 5631 BM, Eindhoven, The Netherlands.ORCID 0000-0001-6910-9512
Radboud University Nijmegen · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChronic postoperative inguinal pain (CPIP) after pre-peritoneal hernia repair is rare but may be severely invalidating. Mesh may be a contributing factor to the development of CPIP. International guidelines acknowledge mesh removal as a treatment option for CPIP after open repair, but experience in laparoscopic mesh removal is limited. Surgeons are hesitant to remove pre-peritoneal meshes because of fear of operative complications. This observational study describes risks and effectiveness of laparoscopic mesh removal in patients with CPIP after endoscopic inguinal hernia repair.

methodsQuestionnaires and operative findings of consecutive patients undergoing a laparoscopic mesh removal for CPIP between August 2014 and February 2019 in the center for groin pain were prospectively recorded. Long-term efficacy was determined using pre and postoperative questionnaires on pain and quality of life.

resultsForty-four patients were included (37 males, median age 51 years). Complete or sufficient pain relief was reported in every two out of three patients (68%) and quality of life improved significantly. Intraoperative findings included wrinkled mesh (n = 19), meshoma (n = 14) and infected mesh (n = 1). Surprisingly, over half of the meshes (n = 23) did not fully cover the groin, with three clear recurrent hernias. Intraoperative complications included two bladder injuries. One patient undergoing removal of 3 meshes on one side developed a necrotic testicle. During follow-up, three patients developed a recurrent hernia requiring open surgery.

conclusionLaparoscopic mesh removal is safe and effective in selected patients with CPIP after endoscopic hernia repair. We believe that this technique should be adopted by dedicated hernia surgeons.

Indexed as

Chronic PainHernia, InguinalLaparoscopyCohort StudiesGroinHerniorrhaphyHumansInositol PhosphatesMaleMiddle AgedPostoperative PainProstaglandins EQuality of LifeSurgical MeshInositol Phosphatesprostaglandin-inositol cyclic phosphateProstaglandins EChronic painInguinal herniaLaparoscopyMesh removalPostoperative painSurgical mesh

Identifiers

PMID36445507
OpenAlexW4310363336

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.