Evidence map›Paper›PMID 39283406›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Comparison of eTEP and IPOM for ventral hernia surgery in the early postoperative period: a retrospective cohort study of a tertiary university centre.

Lukas Wieland, Fadl Alfarawan, Maximilian Bockhorn, Nader El-Sourani

Abstract readComparative Study
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 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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

16 citing papers in PubMed.

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  8. Robot-Assisted Tailored Neurectomy in Chronic Postherniorrhaphic Inguinal Neuralgia: A Retrospective Analysis.Annals of surgery open : perspectives of surgical history, education, and clinical approaches · 2025
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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

4 authors.

Lukas Wieland *Department for General and Visceral Surgery, University Hospital Oldenburg Klinikum Oldenburg AöR, Rahel-Straus-Straße 10, Oldenburg, 26133, Germany. lukas.j.wieland@gmail.com.ORCID 0009-0002-0694-9850
Fadl Alfarawan *Department for General and Visceral Surgery, University Hospital Oldenburg Klinikum Oldenburg AöR, Rahel-Straus-Straße 10, Oldenburg, 26133, Germany.ORCID 0000-0002-9116-5016
Maximilian BockhornDepartment for General and Visceral Surgery, University Hospital Oldenburg Klinikum Oldenburg AöR, Rahel-Straus-Straße 10, Oldenburg, 26133, Germany.ORCID 0000-0002-7027-6606
Nader El-SouraniDepartment for General and Visceral Surgery, University Hospital Oldenburg Klinikum Oldenburg AöR, Rahel-Straus-Straße 10, Oldenburg, 26133, Germany.ORCID 0000-0002-6146-7785

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe extended totally extraperitoneal technique (eTEP) is a relatively new laparoscopic approach to address ventral hernias. Since this technique is not widely used yet, the literature regarding its efficacy and safety is limited, especially when compared to more established surgical techniques like intraperitoneal onlay mesh (IPOM). This study aimed at contributing to the expanding body of evidence for eTEP, by comparing the early outcomes of eTEP and IPOM surgeries for ventral hernias.

methodsThis monocentric, retrospective cohort study compared patients with ventral hernias that were treated with eTEP or IPOM from 2019 to 2023.

resultsA total of 123 patients were analysed. 92 underwent eTEP and 31 IPOM respectively. Both groups were overall comparable. The IPOM group had a higher proportion of incisional hernias (61,29% vs. 21,74%, p < 0,001). This was taken into account for in a subgroup analysis of only primary hernias. The IPOM group had a significantly longer admission time (eTEP: 3 days, IPOM: 4 days, p < 0,001). The subgroup analysis revealed a statistically significant shorter surgery time in IPOM (median of 66,5 min vs. 106,5 min; p = 0,043) and a lower rate of postoperative complications in eTEP (eTEP: 4,17%, IPOM: 25%. p = 0,009). The eTEP group reported lower postoperative pain, yet without statistical significance.

conclusioneTEP for ventral hernia repair appears to be non-inferior to IPOM. Compared to IPOM it leads to shorter postoperative hospital stay and a potentially lower complication rate, despite a longer operation time.

Indexed as

Hernia, VentralHerniorrhaphyLaparoscopySurgical MeshAdultAgedFemaleHumansLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsRetrospective StudiesTertiary Care CenterseTEPExtraperitonealIPOMVentral hernias

Identifiers

PMID39283406
PMCPMC11530486

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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.