Evidence map›Paper›PMID 39508906›Full record

ArticlePediatric surgery international2024

Comparison of pain between laparoscopic percutaneous extraperitoneal closure (LPEC) and open procedure for inguinal hernias in children below 5 years of age.

Hideaki Sato, Sei Adachi, Miri Tominaga, Shunsuke Osawa, Ai Tayama, Noriyoshi Nakayama, Yu Watarai

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Pediatric surgery international, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Hideaki SatoDepartment of Pediatric Surgery, Showa University School of Medicine, 1-5-8, Hatanaodai, Shinagawa-Ku, Tokyo, 142-8555, Japan. shide2929@med.showa-u.ac.jp.
Sei AdachiDepartment of Pediatric Surgery, Showa University School of Medicine, 1-5-8, Hatanaodai, Shinagawa-Ku, Tokyo, 142-8555, Japan.
Miri TominagaDepartment of Pediatric Surgery, Showa University School of Medicine, 1-5-8, Hatanaodai, Shinagawa-Ku, Tokyo, 142-8555, Japan.
Shunsuke OsawaDepartment of Pediatric Surgery, Showa University School of Medicine, 1-5-8, Hatanaodai, Shinagawa-Ku, Tokyo, 142-8555, Japan.
Ai TayamaDepartment of Pediatric Surgery, Showa University School of Medicine, 1-5-8, Hatanaodai, Shinagawa-Ku, Tokyo, 142-8555, Japan.
Noriyoshi NakayamaDepartment of Pediatric Surgery, Showa University School of Medicine, 1-5-8, Hatanaodai, Shinagawa-Ku, Tokyo, 142-8555, Japan.
Yu WataraiDepartment of Pediatric Surgery, Showa University School of Medicine, 1-5-8, Hatanaodai, Shinagawa-Ku, Tokyo, 142-8555, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe laparoscopic approach (LA) for repairing inguinal hernias (IH), especially laparoscopic extraperitoneal percutaneous closure (LPEC) has become popular minimally invasive surgical technique. However, invasiveness is difficult to evaluate in children of < 5 years of age, as they cannot adequately express their pain. The current study utilized a pain scoring system compare pain in patients of < 5 years of age who were treated by LA or traditional open approach (OA).

methodsThe records of 74 IH patients of < 5 years of age who underwent surgery in our hospital between January 2022 and July 2023 were reviewed. Revised Face, Legs, Activity, Cry, and Consolability (FLACC) scores were used to quantitatively evaluate the degree of pain.

resultsForty-seven patients (mean age, 2.85 years) underwent treatment with an OA, and 27 patients (mean age, 2.37 years) underwent treatment with an LA. The FLACC scores in the OA and LA groups were 0.21 and 0.44, respectively. In a subanalysis by age groups, The FLACC scores in the OA and LA groups were 0.09 and 0.5 in patients of < 2 years of age, respectively,

conclusionThe reduced invasiveness of LA relative to OA did not minimize postoperative pain, especially in patients < 2 years of age.

Indexed as

Hernia, InguinalHerniorrhaphyLaparoscopyPain MeasurementPostoperative PainChild, PreschoolFemaleHumansInfantMaleRetrospective StudiesHerniorrhaphyInguinal herniaLaparoscopyPediatrics

Identifiers

PMID39508906

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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.