Evidence map›Paper›PMID 40216639›Full record

Observational studyHernia : the journal of hernias and abdominal wall surgery2025

Risk factors for incarceration in groin hernia: a prospective observational study.

Hande Kandemir, Turgut Donmez, Ahmet Surek, Alpen Yahya Gumusoglu, Mehmet Karabulut, Ozden Canoz, Arif Kaya

Registry-linked trialAbstract readObservational Study
In one paragraph

Observational study 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. It is linked to trial NCT04785430 (Incarceration Risk Factors in Inguinal Hernia.Prospective Observational Clinical Trial.), which is not on this 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.

NCT04785430 unknown statusnot on this map

Incarceration Risk Factors in Inguinal Hernia.Prospective Observational Clinical Trial.

Typeobservational_patient_registrySponsorBakirkoy Dr. Sadi Konuk Research and Training HospitalRan2021 to 2023Enrolled100ConditionsIncarcerated Inguinal Hernia, Strangulated Inguinal Hernia, Inguinal Hernia
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

7 authors.

Hande KandemirDepartment of General Surgery, Adiyaman Kahta State Hospital, Adiyaman, Turkey. h.kandemir185@gmail.com.ORCID 0009-0005-5979-7557
Turgut DonmezDepartment of General Surgery, Bakirköy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey.
Ahmet SurekDepartment of General Surgery, Bakirköy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey.
Alpen Yahya GumusogluDepartment of General Surgery, Bakirköy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey.
Mehmet KarabulutDepartment of General Surgery, Medicana Ataköy Hospital, Istanbul, Turkey.
Ozden CanozDepartment of General Surgery, Bakirköy Dr. Sadi Konuk Research and Training Hospital, Istanbul, Turkey.
Arif KayaDepartment of General Surgery, Adiyaman Golbasi State Hospital, Adiyaman, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeGroin hernia is one of the most common benign pathologies requiring surgical intervention. Incarcerated groin hernia is a cause of serious morbidity and mortality. In our study, we aimed to identify the risk factors for incarceration in patients with groin hernia and to better understand the factors associated with incarceration, we studied patients who applied to our clinic for groin hernia and underwent surgery.

methodsA prospective observational study was performed, including all patients who applied to the general surgery out patient clinic or emergency department at Bakirköy Dr Sadi Konuk Training & Research Hospital and were diagnosed with groin or incarcerated groin hernia and underwent hernia repair surgery. Patients were divided into two groups; elective surgery and emergency surgery (incarcerated hernia). Multivariate logistic regression was performed to identify risk factors for incarceration.

resultsThe study was performed with a total of 654 cases between January 2021 and February 2023. Of these, 79.4% (n = 519) had elective surgery and 20.6% (n = 135) had emergency surgery. Increase in defect width, which was determined according to the EHS classification, was significantly associated with an incarcerated hernia (ODDS ratio 4.463 and 17.636, respectively). Additionally, female gender, femoral hernia type, chronic cough, and chronic constipation were found to be independent risk factors for incarceration.

conclusionFemale gender, chronic cough, chronic constipation, femoral hernia type, and increased defect diameter are independent risk factors for urgent surgery and therefore incarceration in groin. TRIAL REGISTRATION NUMBER: The ClinicalTrials.gov ID number of the study is NCT04785430.

Indexed as

Hernia, FemoralHernia, InguinalHerniorrhaphyAdultAgedCoughElective Surgical ProceduresFemaleHumansMaleMiddle AgedProspective StudiesRisk FactorsSex FactorsGroinHerniaIncarcerationInguinal

Identifiers

PMID40216639
PMCPMC11991942

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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.