Evidence map›Paper›PMID 37798529›Full record

ArticleSurgical endoscopy2023

Cyanoacrylate mesh fixation for laparoscopic inguinal hernia repair: a prospective, multicenter, single-arm study.

Anne Dams, Joost Vankeirsbilck, Stephan Poelmans, Ivan Kerschaever, Philippe Borreman, Luc Berwouts, Wim De Mulder, Julien Colle, Anthony Beunis, Vicky Dhooghe and 5 more

Erratum issuedAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

Anne DamsDepartment of Abdominal Surgery, Ziekenhuis Oost-Limburg, Genk, Belgium.
Joost VankeirsbilckDepartment of General and Abdominal Surgery, Regional Hospital Heilig Hart, Tienen, Belgium.
Stephan PoelmansDepartment of General and Abdominal Surgery, Regional Hospital Heilig Hart, Tienen, Belgium.
Ivan KerschaeverDepartment of General and Abdominal Surgery, Regional Hospital Heilig Hart, Tienen, Belgium.
Philippe BorremanDepartment of General and Abdominal Surgery, Regional Hospital Heilig Hart, Tienen, Belgium.
Luc BerwoutsDepartment of General Surgery, Hospital Sint-Vincentius, Deinze, Belgium.
Wim De MulderDepartment of General Surgery, Hospital Sint-Vincentius, Deinze, Belgium.
Julien ColleDepartment of General Surgery, Hospital Sint-Vincentius, Deinze, Belgium.
Anthony BeunisDepartment of Abdominal Surgery, Antwerp University Hospital, Edegem, Belgium.
Vicky DhoogheDepartment of Abdominal Surgery, Antwerp University Hospital, Edegem, Belgium.
Nele Van De WinkelDepartment of Abdominal Surgery, UZ Brussel, Brussels, Belgium.
Mathias AllaeysDepartment of Abdominal Surgery, UZ Brussel, Brussels, Belgium.
Michael RuyssersDepartment of Abdominal Surgery, UZ Brussel, Brussels, Belgium.
Dorien HaesenArcher Research CRO, Diepenbeek, Belgium.
Kurt Van der SpeetenDepartment of Abdominal Surgery, Ziekenhuis Oost-Limburg, Genk, Belgium. kurt.vanderspeeten@zol.be.ORCID 0000-0001-8899-7834

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInguinal hernia repair is among the most frequently performed surgical procedures. Alternatives to penetrating mesh fixation, such as surgical glue, are being investigated for their potential benefit in reducing chronic pain. The aim of this study was to assess the efficacy of the n-hexyl cyanoacrylate glue Ifabond™ for mesh fixation in laparoscopic inguinal hernia repair.

methodsThis prospective, multicenter, single-arm study collected data from laparoscopic inguinal hernia repairs using Ifabond™ (Peters Surgical, Boulogne-Billancourt Cedex, France) and a standard [Promesh® SURG ST (Peters Surgical)/Biomesh® P1 (Cousin Biotech, Wervicq-Sud, France)] or lightweight [Promesh® SURG LI (Peters Surgical)/Premium® Implant (Cousin Biotech)] polypropylene mesh. The primary endpoint was postoperative pain [100-scale Visual Analog Scale (VAS)]. Secondary endpoints were complications, hernia recurrences, and quality of life (QoL) (EQ-5D-3L health index and EQ-VAS). Patients were followed up at 5 weeks and 12 months after surgery.

resultsSix-hundred and thirteen patients underwent laparoscopic inguinal hernia repair. Postoperative pain decreased at 5-week (3.97 ± 10.04; p < 0.0001) and 12-month (3.83 ± 11.26; p < 0.0001) follow-up compared with before surgery (26.96 ± 19.42). One hundred and fifteen patients (13.74%) experienced chronic pain in the groin at 12-month follow-up, of whom 14 (2.67%) required analgesics. There were 6 patients with major morbidities and one patient died of an unrelated cause. Two hernia recurrences occurred within 12-month follow-up. Patients' QoL increased from an EQ-5D-3L index score of 0.82 ± 0.19 preoperatively to 0.90 ± 0.15 at 5 weeks (p < 0.0001) and 0.92 ± 0.15 at 12 months after surgery (p < 0.0001). The EQ-VAS general health scoring increased from 79.03 ± 12.69 preoperatively to 84.31 ± 9.97 at 5-week (p < 0.0001) and 84.16 ± 14.48 at 12-month follow-up (p < 0.0001).

conclusionsIfabond™ (Peters Surgical) is a safe, reliable, and feasible fixation method for laparoscopic inguinal hernia repair with a very high surgeon satisfaction score, improved patients' QoL, and comparable risk of developing chronic pain and postoperative complications as described in the literature.

Indexed as

Chronic PainHernia, InguinalLaparoscopyCyanoacrylatesHerniorrhaphyHumansPostoperative PainProspective StudiesQuality of LifeRecurrenceSurgical MeshCyanoacrylatesInguinal hernia repairLaparoscopyn-hexyl cyanoacrylate glue fixationPainPolypropylene mesh

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Registered trials

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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.