Evidence map›Paper›PMID 38900355›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Lichtenstein technique for inguinal hernia repair: ten recommendations to optimize surgical outcomes.

Bruno Amantini Messias, Rafael Gonçalves Nicastro, Erica Rossi Mocchetti, Jaques Waisberg, Sergio Roll, Marcelo Augusto Fontenelle Ribeiro Junior

Abstract read
In one paragraph

Article in Hernia : the journal of hernias and abdominal wall surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

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

24 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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.

Bruno Amantini MessiasDepartment of Surgery, General Hospital of Carapicuiba, 95 Pedreira Street, Carapicuiba, SP, 06321-665, Brazil. bruno22med@hotmail.com.ORCID 0000-0003-4426-5150
Rafael Gonçalves NicastroDepartment of Surgery, State Public Servant Hospital (IAMSPE), São Paulo, SP, Brazil.
Erica Rossi MocchettiDepartment of Surgery, General Hospital of Carapicuiba, 95 Pedreira Street, Carapicuiba, SP, 06321-665, Brazil.ORCID 0009-0009-6268-4296
Jaques WaisbergDepartment of Surgery, State Public Servant Hospital (IAMSPE), São Paulo, SP, Brazil.ORCID 0000-0003-2775-8068
Sergio RollAbdominal Wall Surgery Unit, Santa Casa de São Paulo, São Paulo, SP, Brazil.ORCID 0000-0002-4381-5969
Marcelo Augusto Fontenelle Ribeiro JuniorDivision Chair Trauma, Critical Care and Acute Care Surgery, Sheikh Shakhbout Medical City, Mayo Clinic, Abu Dhabi, United Arab Emirates.ORCID 0000-0001-9826-4722

Funding

Coordination for the Improvement of Higher Education Personnel - Brazil (CAPES) 001
6 · The paper itself

Abstract

purposeApproximately 20 million individuals worldwide undergo inguinal hernia surgery annually. The Lichtenstein technique is the most commonly used surgical procedure in this setting. The objective of this study was to revisit this technique and present ten recommendations based on the best practices.

methodsPubMed and Scientific Electronic Library Online were used to systematically search for articles about the Lichtenstein technique and its modifications. Literature regarding this technique and surgical strategies to prevent chronic pain were the basis for formulating ten recommendations for best practices during Lichtenstein surgery.

resultsTen recommendations were proposed based on best practices in the Lichtenstein technique: neuroanatomical assessment, chronic pain prevention, pragmatic neurectomy, spermatic cord structure management, femoral canal assessment, hernia sac management, mesh characteristics, fixation, recurrence prevention, and surgical convalescence.

conclusionThe ten recommendations are practical ways to achieve a safe and successful procedure. We fell that following these recommendations can improve surgical outcomes using the Lichtenstein technique.

Indexed as

Hernia, InguinalHerniorrhaphySurgical MeshChronic PainHumansRecurrenceSpermatic CordTreatment OutcomeHerniaInguinalLichtensteinSurgery

Identifiers

PMID38900355
PMCPMC11297121

What OpenQuestion holds

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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.