Evidence map›Paper›PMID 39546163›Full record

SynthesisHernia : the journal of hernias and abdominal wall surgery2024

Exploring low-cost mesh alternatives for groin hernia repair: a systematic review and meta-analysis of randomized controlled trials.

Carlos A Balthazar da Silveira, João P G Kasakewitch, Patrícia Marcolin, Sergio Mazzola Poli de Figueiredo, Diego L Lima, Flavio Malcher

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis 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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Carlos A Balthazar da SilveiraBahiana School of Medicine and Public Health, Salvador, BA, Brazil.
João P G KasakewitchDepartment of Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Patrícia MarcolinDepartment of Surgery, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Sergio Mazzola Poli de FigueiredoDepartment of Surgery, University of North Carolina, Chapel Hill, NC, USA.
Diego L LimaDepartment of Surgery, Montefiore Medical Center, New York, NY, USA. dilaurentino@gmail.com.ORCID 0000-0001-7383-1284
Flavio MalcherDivision of General Surgery, NYU Langone Health, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveWe aim to perform a systematic review and meta-analysis to analyze the efficacy and safety of low-cost meshes compared to polypropylene meshes for IHR.

methodsWe searched Pubmed, Embase, Cochrane, and Web of Science for randomized controlled trials (RCTs) comparing low-cost and standard meshes for IHR. Low-cost mesh was defined as a material non-designed for medical use. The primary outcomes analyzed were postoperative pain, recurrence, surgical site infection (SSI), seroma, and hematoma rates. Statistical analysis was done using R software.

results8 RCTs were ultimately included in our study with 788 patients, of which 394 (50%) underwent IHR repair with low-cost mesh. Surgical techniques employed were Lichtenstein repair in 7 studies, and laparoscopic totally extraperitoneal (TEP) repair in 1 RCT. No statistically significant differences for both superficial (2.8% vs. 2.8%; RR 0.98; 95%CI 0.4-2.43; P = 0.97; I

conclusionThis meta-analysis found similar postoperative complication rates for both low-cost and standard polypropylene meshes following IHR. PROSPERO REGISTRATION: ID CRD42024555273.

Indexed as

Hernia, InguinalHerniorrhaphyRandomized Controlled Trials as TopicSurgical MeshHumansPolypropylenesPostoperative ComplicationsRecurrenceSurgical Wound InfectionPolypropylenesFemoral herniaInguinal herniaLow costMesh

Identifiers

PMID39546163

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.