Evidence map›Paper›PMID 39994048›Full record

ArticleSurgical endoscopy2025

Recurrence and complications after laparoscopic inguinal hernia repair using a self-adherent mesh: a patient-reported follow-up study.

Helle Lund, Lene Spanager, Azalie Caroline Riberholdt Winther, Mathias Gierløff, Katharina Sunekær, Jakob Kleif, Claus Anders Bertelsen

Registry-linked trialAbstract read
In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04311099 (Laparoscopic vs Ultrasound-Guided Transversus Abdominis Plane Block in Minimally Invasive Colon Surgery), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

NCT04311099 phase4completednot on this map

Laparoscopic vs Ultrasound-Guided Transversus Abdominis Plane Block in Minimally Invasive Colon Surgery: A Randomized Controlled Multicentre Clinical Trial

TypeinterventionalSponsorClaus Anders Bertelsen, PhD, MDRan2021 to 2024Enrolled360ConditionsPain, Postoperative, Pain, Abdominal, Analgesia, SurgeryArmsActive drug, Placebo, Injection of Ropivacaine - Ultrasound-guided transverse abdominal plane block, Injection of Ropivacaine - Laparoscopic assisted transverse abdominal plane block, Injection of placebo - Ultrasound-guided transverse abdominal plane block
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline 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

7 authors.

Helle LundDepartment of Surgery, Copenhagen University Hospital - North Zealand, Dyrehavevej 29, 3400, Hillerød, Denmark. helle.lund.01@regionh.dk.ORCID 0009-0002-8601-3947
Lene SpanagerDepartment of Surgery, Copenhagen University Hospital - North Zealand, Dyrehavevej 29, 3400, Hillerød, Denmark.
Azalie Caroline Riberholdt WintherDepartment of Surgery, Copenhagen University Hospital - North Zealand, Dyrehavevej 29, 3400, Hillerød, Denmark.
Mathias GierløffDepartment of Surgery, Copenhagen University Hospital - North Zealand, Dyrehavevej 29, 3400, Hillerød, Denmark.
Katharina SunekærDepartment of Surgery, Copenhagen University Hospital - North Zealand, Dyrehavevej 29, 3400, Hillerød, Denmark.
Jakob KleifDepartment of Surgery, Copenhagen University Hospital - North Zealand, Dyrehavevej 29, 3400, Hillerød, Denmark.
Claus Anders BertelsenDepartment of Surgery, Copenhagen University Hospital - North Zealand, Dyrehavevej 29, 3400, Hillerød, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecurrence and postoperative pain are major concerns after laparoscopic surgery for inguinal hernia. Follow-up on all patients is difficult and time consuming for both the hospital and the patient. We conducted a patient-reported follow-up study to estimate the rate of recurrence and postoperative pain in our department.

methodPatients undergoing the TAPP (TransAbdominal PrePeritoneal) procedure with a self-adherent mesh at Copenhagen University Hospital - North Zealand from 2016 to 2019 received an online survey about signs of recurrence, postoperative pain, and complications. Patients reporting signs of recurrence or pain were contacted and invited for a clinical examination if relevant. Forty-five randomly selected patients who did not report any symptoms of recurrence or pain were contacted by phone for validation.

results871 patients received a questionnaire, and 546 responded, leaving a response rate of 62.7%. Median follow-up time was 34 months (IQR 23-47). The self-reported recurrence rate was 8.1% (95% CI: 6.0-11.0%). On examination, recurrence was diagnosed in 2.4% (95% CI: 1.4-4.1%) of the patients. When including the patients with self-reported recurrence who did not accept the offer of clinical examination, the recurrence rate was 3.8% (95% CI: 2.5-5.8%). Four patients (0.7%, 95% CI: 0.2-2.0%) underwent herniotomy for recurrence. The rate of chronic postoperative pain impairing daily activity was 0.5%.

conclusionWe found an acceptable low rate of recurrence and postoperative pain compared to other studies. The patient-reported recurrence rate was significantly higher than the clinical recurrence rate after the examination, indicating that patient-reported recurrence seems to overestimate true recurrence after TAPP.

Indexed as

Hernia, InguinalHerniorrhaphyLaparoscopyPostoperative PainSurgical MeshAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPatient Reported Outcome MeasuresPostoperative ComplicationsRecurrenceFixationPainRecurrenceSelf-adherent meshSurveyTAPP

Identifiers

PMID39994048
PMCPMC11933137

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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.