Evidence map›Paper›PMID 40000506›Full record

SynthesisHernia : the journal of hernias and abdominal wall surgery2025

Is the recurrence rate higher in obese patients undergoing inguinal hernia surgery?

Zi-Wei Li, Ming Song, Jun Liu, Bin Jiang, Wei Hu, Xin Zheng

Abstract readComparative StudyMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Hernia : the journal of hernias and abdominal wall surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

6 authors.

Zi-Wei Li *Department of Hernia and Abdominal Wall Surgery & Pediatric Surgery, Wuhan Third Hospital, Tongren Hospital Affiliated to Wuhan University, Wuhan, 430000, China.ORCID 0000-0001-9759-4535
Ming SongDepartment of Hernia and Abdominal Wall Surgery & Pediatric Surgery, Wuhan Third Hospital, Tongren Hospital Affiliated to Wuhan University, Wuhan, 430000, China.
Jun LiuDepartment of Hernia and Abdominal Wall Surgery & Pediatric Surgery, Wuhan Third Hospital, Tongren Hospital Affiliated to Wuhan University, Wuhan, 430000, China.
Bin JiangDepartment of Hernia and Abdominal Wall Surgery & Pediatric Surgery, Wuhan Third Hospital, Tongren Hospital Affiliated to Wuhan University, Wuhan, 430000, China.
Wei HuDepartment of Hernia and Abdominal Wall Surgery & Pediatric Surgery, Wuhan Third Hospital, Tongren Hospital Affiliated to Wuhan University, Wuhan, 430000, China.
Xin ZhengDepartment of Hernia and Abdominal Wall Surgery & Pediatric Surgery, Wuhan Third Hospital, Tongren Hospital Affiliated to Wuhan University, Wuhan, 430000, China. Zhengxinzx123@126.com.ORCID 0009-0006-1936-2767

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study aimed to evaluate whether obese patients undergoing inguinal hernia repair surgery have a higher recurrence rate and compare the clinical outcomes of obese and non-obese patients. MATERIALS AND

methodsThe databases of PubMed, EMBASE, and Cochrane Library were used to search for eligible studies from inception to November 1, 2024. Mean difference (MD), Odds ratios (OR) and 95% confidence intervals (Cl) were pooled up to analyze. The Newcastle-Ottawa Scale (NOS) scores were used to evaluate the quality of the included studies. This study was performed with Stata (V.16.0) software.

resultsA total of nine studies involving 56,833 patients were included in this study. By comparing the baseline information, we found that the obese group had Fewer older (MD=-0.08, I²=62.41%, 95%CI=-0.16 to -0.00, P = 0.04), higher BMI (MD = 2.45, I²=93.67%, 95%CI = 2.08 to 2.81, P < 0.01), more hypertension patients (OR = 1.32, I²=32.96%, 95%CI = 1.02 to 1.67, P = 0.04), more BPH (OR = 0.68, I²=0.00%, 95%CI = 0.49 to 0.94, P = 0.02) and more local anesthesia (OR = 0.82, I²=14.73%, 95%CI = 0.79 to 0.86, P < 0.01) than the none-obese group. In terms of postoperative outcomes, We found that the obese group had higher recurrence rate (OR = 1.27, I²=21.89%, 95%CI = 1.10 to 1.47, P < 0.01), more wound infection (OR = 1.43, I²=0.00%, 95%CI = 1.20 to 1.69, P < 0.01), and more overall complications (OR = 1.12, I²=28.20%, 95%CI = 1.05 to 1.20, P < 0.01).

conclusionCompared with the non-obese group, the obese group has a higher recurrence rate, more wound infections, and overall more complications.

Indexed as

Hernia, InguinalHerniorrhaphyObesityBody Mass IndexHumansPostoperative ComplicationsRecurrenceComplicationsInguinal hernia repair surgeryObeseRecurrence

Identifiers

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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.