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Trial reportHernia : the journal of hernias and abdominal wall surgery2024

Prospective randomized study comparing mesh displacement in enhanced-view totally extraperitoneal versus totally extraperitoneal laparoscopic inguinal hernia repair without mesh fixation.

Abdullah Hilmi Yilmaz, Mehmet Esref Ulutas, Saim Turkoglu

Registry-linked trialAbstract readRandomized Controlled TrialComparative Study
PubMed Publisher
In one paragraph

Trial report 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. It is linked to trial NCT06070142 (Prospective Randomized Study of Comparison Mesh Displacement in Laparoscopic İnguinal Hernia Repair With No Fixation), which is not on this 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.

NCT06070142 nacompletednot on this map

Prospective Randomized Study of Comparison Mesh Displacement in Laparoscopic İnguinal Hernia Repair With No Fixation: eTEP Versus TEP

TypeinterventionalSponsorMehmet Eşref UlutaşRan2022 to 2024Enrolled60ConditionsMigration of Implant, Pain, Postoperative Complications, RelapseArmsTEP Group, eTEP Group
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Article
  4. 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

3 authors.

Abdullah Hilmi YilmazDepartment of Surgery, University of Health Science, Van Training and Research Hospital, Süphan Mahallesi Hava Yolu Kavşağı 1. Kilometre EDREMİT/VAN, Van, Turkey. drabdullahhilmi@gmail.com.ORCID 0000-0002-9920-3902
Mehmet Esref UlutasDepartment of Surgery, Derecik State Hospital, Hakkari, Turkey.ORCID 0000-0002-9206-4348
Saim TurkogluDepartment of Radiology, Faculty of Medicine, University of Yuzuncu Yil, Van, Turkey.ORCID 0000-0001-8247-2009

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIn laparoscopic inguinal hernia repair, it is thought that the mesh can be displaced more in the enhanced-view totally extraperitoneal (eTEP) technique. The aim of this study was to compare eTEP and totally extraperitoneal (TEP) techniques without mesh fixation in terms of mesh displacement and hernia recurrence.

methodsBetween December 2022 and April 2023, 60 consecutive patients with unilateral inguinal hernia were randomized into two groups; eTEP group (n = 30) and TEP group (n = 30). There was without mesh fixation in both groups. Study was registered at http://Clinicaltrials.gov (NCT06070142). The mesh was marked with three radiopaque clips. Pelvic radiographs were performed to evaluate the displacement of the mesh. The primary outcome of this study was mesh displacement. In addition, this is the first study in the literature to compare eTEP and TEP techniques in terms of mesh displacement without fixation in laparoscopic inguinal hernia.

resultsThere was no significant difference between the groups in terms of mesh displacement, recurrence, postoperative VAS scores, length of hospital stay, hematoma, and seroma formation. The operation time was higher in the eTEP group and was statistically significant.

conclusionWithout mesh fixation, the eTEP technique does not increase the risk of mesh displacement and recurrence. The eTEP technique can be safely applied without mesh fixation in laparoscopic inguinal hernia repairs.

trial registrationClinicalTrials number: NCT06070142.

Indexed as

Hernia, InguinalHerniorrhaphyLaparoscopySurgical MeshAdultAgedFemaleHumansLength of StayMaleMiddle AgedOperative TimePostoperative ComplicationsProspective StudiesRecurrenceEnhanced-view totally extraperitonealLaparoscopic inguinal hernia repairMesh displacementWithout mesh fixation

Identifiers

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Registered trials

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.