Evidence map›Paper›PMID 39352572›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Ergonomic differences in mesh placement and mesh fixation between laparoscopic and robotic inguinal hernia repair with mesh.

Kelsey R Tieken, Ka-Chun Siu, Jihyun Ma, Anthony Murante, Tiffany N Tanner, Vishal M Kothari, Ivy N Haskins

Abstract readComparative Study
PubMed Publisher
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 2 papers.

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0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Kelsey R TiekenDepartment of Surgery, University of Nebraska Medical Center, Omaha, NE, 68198-6880, USA. kelsey.tieken@unmc.edu.ORCID 0009-0001-8260-2704
Ka-Chun SiuDepartment of Health & Rehabilitation Sciences, University of Nebraska Medical Center, Omaha, NE, USA.
Jihyun MaDepartment of Biostatistics, University of Nebraska Medical Center, Omaha, NE, USA.
Anthony MuranteDepartment of Surgery, University of Nebraska Medical Center, Omaha, NE, 68198-6880, USA.
Tiffany N TannerDepartment of Surgery, University of Nebraska Medical Center, Omaha, NE, 68198-6880, USA.
Vishal M KothariDepartment of Surgery, University of Nebraska Medical Center, Omaha, NE, 68198-6880, USA.
Ivy N HaskinsDepartment of Surgery, University of Nebraska Medical Center, Omaha, NE, 68198-6880, USA.

Funding

Americas Hernia Society Foundation Americas Hernia Society Foundation
6 · The paper itself

Abstract

purposeGeneral differences in surgeon ergonomics between laparoscopic and robotic-assisted inguinal hernia repairs (LIHR vs. RIHR) have been previously studied. However, specific differences in the ergonomics of mesh placement (MP) and mesh fixation (MF) are undetermined. Our aim was to determine if there are differences in the ergonomics of MP and MF between the surgical approaches. We hypothesize that we will identify differences, with the potential for worse ergonomics during LIHR.

methodsData was collected from fifteen LIHR and fifteen RIHR. All cases were elective, primary inguinal hernias completed by a fellowship-trained minimally invasive surgeon. Surface electromyography (EMG) of four upper extremity muscle groups, including the upper trapezius (UT), anterior deltoid (AD), flexor carpi radialis (FCR) and extensor digitorum (ED), was recorded bilaterally during MP and MF. Muscle activation as a percent of maximum voluntary contraction (%MVC

resultsEMG analysis showed increased %MVC

conclusionDespite greater muscle activations during LIHR, RIHR had greater muscle fatigue. It is possible that short periods of high muscle activation are ergonomically protective during minimally invasive inguinal hernia repair. Identifying these differences may aid in development of procedure-specific interventions to improve ergonomics.

Indexed as

ElectromyographyErgonomicsHernia, InguinalHerniorrhaphyLaparoscopyRobotic Surgical ProceduresSurgical MeshAdultFemaleHumansMaleMiddle AgedMuscle FatigueMuscle, SkeletalEMG analysisErgonomicsInguinal herniaMesh placementMinimally invasive surgery

Identifiers

PMID39352572

What OpenQuestion holds

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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.