Evidence map›Paper›PMID 38054158›Full record

ArticleCureus2023

Laparoscopic Inguinal Hernia Repair in the Obese Patient Population: A Single-Center Five-Year Experience.

Nikolaos Pararas, Anastasia Pikouli, Messaoud Bounnah, Yousef Zenah, Abdulkarim M Alkadrou, Dimitrios Papakonstantinou, Dionysios Dellaportas, Emmanouil Pikoulis

Abstract read
In one paragraph

Article in Cureus, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Is the recurrence rate higher in obese patients undergoing inguinal hernia surgery?Hernia : the journal of hernias and abdominal wall surgery · 2025
    Pooled it
  2. Expanding minimally invasive horizons for pubic symphysis diastasis: The laparoscopic total extraperitoneal approach in orthopedic surgery (O-TEP).Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
    Article
  3. Article
  4. Effects of obesity on outcomes of laparoscopic transabdominal preperitoneal inguinal hernia repair: a retrospective analysis.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024
    Article
  5. 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.

Nikolaos PararasGeneral Surgery, Dr Sulaiman Al Habib Hospital, Alfaisal University, Riyadh, SAU.
Anastasia Pikouli3rd Surgical Department, Attikon University Hospital, National and Kapodistrian University of Athens School of Medicine, Athens, GRC.
Messaoud BounnahGeneral Surgery, Dr. Sulaiman Al Habib Hospital, Riyadh, SAU.
Yousef ZenahGeneral Surgery, Dr. Sulaiman Al Habib Hospital, Riyadh, SAU.
Abdulkarim M AlkadrouGeneral Surgery, Dr. Sulaiman Al Habib Hospital, Riyadh, SAU.
Dimitrios Papakonstantinou3rd Surgical Department, Attikon University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, GRC.
Dionysios Dellaportas3rd Surgical Department, Attikon University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, GRC.
Emmanouil Pikoulis3rd Surgical Department, Attikon University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, GRC.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose The objective of the present study is to evaluate the distribution of the transabdominal preperitoneal (TAPP) and the totally extraperitoneal repair (TEP) procedures among the obese and non-obese patient populations, to show how obesity impacts daily practice by reviewing the experience of a single center, and finally, to assess the outcomes of the operations. Methods All patients who underwent elective, minimally invasive inguinal hernia repair in our hospital from January 2017 to January 2022 were included in the present study. The data that were analyzed were patient demographics, each individual patient's American Society of Anesthesiology (ASA) score, the minimally invasive technique (TAPP or TEP) utilized, the body mass index (BMI), and other comorbidities such as underlying diabetes, hypertension, and smoking status. Results A total of 109 patients were included in the present analysis, of which 81 (74.3%) underwent elective TEP repairs while 28 (25.7%) underwent elective TAPP repairs. Overall, 39 (35.7%) patients were included in the obesity subgroup with an average BMI of 35.4 ± 4.9, with a range from 30.1 to 52.7, and 70 (64.3%) were included in the non-obese subgroup, with an average BMI of 23.2 ± 3.3 and a range from 16.2 to 29.7. Conclusions The laparoscopic approach to the inguinal hernia repair in obese patients has similar outcomes as an open approach regarding the 30-day events, in the hands of experienced surgeons with the advantages of the laparoscopic approach vs. the open one.

Indexed as

inguinal hernialaparoscopic inguinal hernia repairobesitytotally extraperitoneal repair (tep)transabdominal preperitoneal repair (tapp)

Identifiers

PMID38054158
PMCPMC10695410

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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.