Evidence map›Paper›PMID 39601913›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2024

Reduced risk of recurrence following robotic-assisted TAPP for inguinal hernia repair compared to laparoscopic TAPP: a cohort study of 395 cases.

Alexandros Valorenzos, Kristian Als Nielsen, Ihsan Inan, Andreas Kristian Pedersen, Sofie Ronja Petersen, Mark Bremholm Ellebaek, Ayat Allah Alnabhan, Per Helligsø, Allan Dorfelt, Michael Festersen Nielsen

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 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing 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.

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

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

  1. Pooled it
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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

10 authors.

Alexandros ValorenzosDepartment of Surgery, University Hospital of Southern Denmark, Aabenraa, Denmark.ORCID 0000-0002-0249-3406
Kristian Als NielsenDepartment of Surgery, University Hospital of Southern Denmark, Aabenraa, Denmark.ORCID 0000-0002-7409-6506
Ihsan InanDeparment of Surgery, Clinique Generale-Beaulieu, Geneva, Switzerland.ORCID 0000-0002-6765-7344
Andreas Kristian PedersenInstitute of Regional Health Research, University of Southern Denmark, Aabenraa, Denmark.ORCID 0000-0001-5406-1675
Sofie Ronja PetersenInstitute of Regional Health Research, University of Southern Denmark, Aabenraa, Denmark.
Mark Bremholm EllebaekResearch Unit of Surgery, Odense University Hospital, Odense, Denmark.ORCID 0000-0001-6550-7505
Ayat Allah AlnabhanDepartment of Surgery, University Hospital of Southern Denmark, Aabenraa, Denmark.
Per HelligsøDepartment of Surgery, University Hospital of Southern Denmark, Aabenraa, Denmark.
Allan DorfeltDepartment of Surgery, Odense University Hospital, Odense, Denmark.
Michael Festersen NielsenDepartment of Surgery, University Hospital of Southern Denmark, Aabenraa, Denmark. michael.festersen.nielsen@rsyd.dk.ORCID 0000-0003-0948-1202

Funding

Syddansk Universitet Syddansk Universitet
6 · The paper itself

Abstract

backgroundMinimal invasive inguinal hernia repair is conducted using among others the laparoscopic transabdominal preperitoneal (TAPP) procedure or the extended totally extraperitoneal (eTEP) approach. Robotic-assisted TAPP (R-TAPP) has recently been introduced as an alternative to laparoscopic TAPP and TEP, and a growing number of robotic-assisted procedures are performed worldwide. The present study was conducted to determine the risk of chronic pain and recurrence associated with the two methods.

methodsThree hundred ninety-five patients were retrospectively included in the study and underwent either laparoscopic TAPP (n = 177) or R-TAPP (n = 218). Data on patient demographics, hernia characteristics, and postoperative outcomes were retrieved from medical records. Kaplan-Meier curves and Cox proportional hazards regression were used to assess hernia recurrence. Logistic regression was used to analyze secondary outcomes such as inpatient status, hematoma, and chronic pain.

resultsThe Kaplan-Meier curves indicated a consistently higher cumulative incidence of recurrence in the TAPP group compared to the R-TAPP. Consistent with this finding, the Cox regression showed a higher risk of recurrence in patients undergoing TAPP, with a hazard ratio (HR) of 3.489 (95% CI: 1.232 to 9.880, p = 0.019). The E-value for this HR was 6.44, suggesting robustness to unmeasured confounding. There was no difference in the rates of chronic pain between the groups (OR: 1.233, 95% CI: 0.430 to 3.533, p = 0.696). A logistic regression analysis for other postoperative complications revealed no significant differences.

conclusionThis study provides evidence that robotic-assisted TAPP is associated with a lower risk of recurrence than laparoscopic TAPP.

Indexed as

Hernia, InguinalHerniorrhaphyLaparoscopyRecurrenceRobotic Surgical ProceduresAdultAgedChronic PainFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPostoperative PainRetrospective StudiesInguinal hernia repairRecurrenceRisk factorsRobotic surgeryTAPP

Identifiers

PMID39601913

What OpenQuestion holds

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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.