ArticleSurgical endoscopy2025
Risk factors associated with inguinal hernia recurrence after single-incision laparoscopic totally extraperitoneal repair.
Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to identify risk factors contributing to recurrence after single-incision laparoscopic totally extraperitoneal (SILTEP) inguinal hernia repair.
methodsA retrospective analysis was performed on the medical records of patients who underwent SILTEP repair performed by a single surgeon between 2016 and 2021. The learning curve for the procedure was assessed using the moving average method and a cumulative sum (CUSUM) control chart based on operative times. Intraoperative complications were defined as events requiring additional port placement, peritoneal tears, conversion to open surgery, or visceral or vascular injuries.
resultsA total of 180 patients underwent SILTEP repair during the study period, of whom 172 met the inclusion criteria for analysis. Recurrence occurred in 12 patients (7.0%). The CUSUM analysis revealed an inflection point at 30 cases, indicating stabilization of operative times to under 57 min. The first 30 cases were categorized as the learning phase. Univariate analysis identified several factors associated with recurrence, including the learning period, recurrent hernia, operative time exceeding 57 min, intraoperative blood loss > 20 cc, and the presence of intraoperative complications. However, multivariate analysis revealed that intraoperative complications were the sole independent predictor of recurrence after SILTEP repair (hazard ratio, 13.38; p = 0.03).
conclusionsIntraoperative complications were identified as the only independent risk factor for recurrence after SILTEP repair. These findings highlight the need to minimizing intraoperative complications to improve outcomes and reduce recurrence rates in patients undergoing SILTEP repair.
Indexed as
Identifiers
40249549What OpenQuestion holds
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.