Evidence map›Paper›PMID 37957296›Full record

ArticleSurgical endoscopy2024

The clinical implications of occult inguinal hernia identified during laparoscopic peritoneal dialysis catheter insertion.

Masashi Tsunematsu, Keigo Nakashima, Junji Takahashi, Takashi Aida, Teppei Kamada, Toru Ikegami, Naoki Washida, Yutaka Suzuki

Abstract read
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In one paragraph

Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Masashi TsunematsuDepartment of Surgery, The International University of Health and Welfare, 537-3, Iguchi, Nasushiobara, Tochigi, 329-2763, Japan. tsunematsu@jikei.ac.jp.ORCID 0000-0001-6953-1801
Keigo NakashimaDepartment of Surgery, The International University of Health and Welfare, 537-3, Iguchi, Nasushiobara, Tochigi, 329-2763, Japan.
Junji TakahashiDepartment of Surgery, The International University of Health and Welfare, 537-3, Iguchi, Nasushiobara, Tochigi, 329-2763, Japan.
Takashi AidaDepartment of Surgery, The International University of Health and Welfare, 537-3, Iguchi, Nasushiobara, Tochigi, 329-2763, Japan.
Teppei KamadaDepartment of Surgery, The International University of Health and Welfare, 537-3, Iguchi, Nasushiobara, Tochigi, 329-2763, Japan.
Toru IkegamiDivision of Hepatobiliary and Pancreatic Surgery, Department of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi-Shinbashi, Minato-ku, Tokyo, 105-8461, Japan.
Naoki WashidaDepartment of Nephrology, The International University of Health and Welfare, 537-3, Iguchi, Nasushiobara, Tochigi, 329-2763, Japan.
Yutaka SuzukiDepartment of Surgery, The International University of Health and Welfare, 537-3, Iguchi, Nasushiobara, Tochigi, 329-2763, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOccult inguinal hernias predispose patients undergoing peritoneal dialysis (PD) to symptomatic inguinal hernia formation causing complications. We conducted a retrospective study to assess the usefulness of routine laparoscopic examination for occult inguinal hernia during PD catheter insertion and the risk profile of occult inguinal hernia according to hernia classification in patients with PD.

methodsThis study included 79 patients who underwent initial laparoscopic PD catheter insertion between 2021 and 2022. An occult hernia was defined as an internal hernial sac of all sizes that was not detectable on physical examination. The European Hernia Society groin hernia classification was used to describe the hernia type. We investigated the association between event-free survival and occult inguinal hernias in patients undergoing PD.

resultsOccult inguinal hernias were diagnosed in 24 (32%) patients. Among these patients, 5 (21%) patients underwent metachronous repair. In patients with L2 occult hernias, the cumulative incidence rates of right and left symptomatic hernias within one year were 100% and 50%, respectively. Multivariate analysis revealed that L2 occult hernias were associated with metachronous hernia repair.

conclusionThe L2 occult inguinal hernia during PD was associated with metachronous repair, suggesting the importance of routine examination of inguinal hernias during laparoscopic PD catheter insertion.

Indexed as

Hernia, InguinalLaparoscopyPeritoneal DialysisCathetersHerniorrhaphyHumansRetrospective StudiesLaparoscopic examinationOccult inguinal herniasPeritoneal dialysis

Identifiers

PMID37957296

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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.