Evidence map›Paper›PMID 36645563›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2023

Differences in in-hospital outcomes and healthcare utilization for laparoscopic versus open approach for emergency inguinal hernia repair: a nationwide analysis.

Y Lee, L Tessier, A Jong, D Zhao, Y Samarasinghe, A Doumouras, F Saleh, D Hong

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Article 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, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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, 2 syntheses or guidelines pooled it.

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4 · The record

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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

8 authors.

Y LeeDivision of General Surgery, McMaster University, Hamilton, ON, Canada.
L TessierDivision of General Surgery, McMaster University, Hamilton, ON, Canada.
A JongTemerty Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
D ZhaoDivision of General Surgery, McMaster University, Hamilton, ON, Canada.
Y SamarasingheDivision of General Surgery, McMaster University, Hamilton, ON, Canada.
A DoumourasDivision of General Surgery, McMaster University, Hamilton, ON, Canada.
F SalehDivision of General Surgery, McMaster University, Hamilton, ON, Canada.
D HongDivision of General Surgery, McMaster University, Hamilton, ON, Canada. dennishong70@gmail.com.ORCID 0000-0002-6257-4400

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere has been a growing debate of whether laparoscopic or open surgical techniques are superior for inguinal hernia repair. For incarcerated and strangulated inguinal hernias, the laparoscopic approach remains controversial. This study aims to be the first nationwide analysis to compare clinical and healthcare utilization outcomes between laparoscopic and open inguinal hernia repair in an emergency setting.

methodsA retrospective analysis of the National Inpatient Sample was performed. All patients who underwent laparoscopic inguinal hernia repair (LIHR) and open inguinal hernia repair (OIHR) between October 2015 and December 2019 were included. The primary outcome was mortality, and secondary outcomes include post-operative complications, ICU admission, length of stay (LOS), and total admission cost. Two approaches were compared using univariate and multivariate logistic and linear regression.

resultsBetween the years 2015 and 2019, 17,205 patients were included. Among these, 213 patients underwent LIHR and 16,992 underwent OIHR. No difference was observed between laparoscopic and open repair for mortality (odds ratio [OR] 0.80, 95% CI [0.25, 2.61], p = 0.714). Additionally, there was no significant difference between groups for post-operative ICU admission (OR 1.11, 95% CI [0.74, 1.67], p = 0.614), post-operative complications (OR 1.09, 95% CI [0.76, 1.56], p = 0.647), LOS (mean difference [MD]: -0.02 days, 95% CI [- 0.56, 0.52], p = 0.934), or total admission cost (MD: $3,028.29, 95% CI [$- 110.94, $6167.53], p = 0.059).

conclusionLaparoscopic inguinal hernia repair is comparable to the open inguinal hernia repair with respect to low rates of morbidity, mortality as well as healthcare resource utilization.

Indexed as

Hernia, InguinalLaparoscopyHerniorrhaphyHospitalsHumansPatient Acceptance of Health CarePostoperative ComplicationsRetrospective StudiesIncarceratedInguinal herniaLaparoscopicOpen surgeryStrangulated

Identifiers

PMID36645563

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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.