Evidence map›Paper›PMID 40434603›Full record

Trial reportUpdates in surgery2026

Assessment of mesh displacement following laparoscopic enhanced view totally extraperitoneal technique: comparing mesh fixation and non-fixation in difficult inguinal hernias.

Abdullah Hilmi Yilmaz, Mehmet Esref Ulutas

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Updates in surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06417359 (Comparison of Mesh Fixation and Non-Fixation in Laparoscopic eTEP Inguinal Hernia Repair), which is not on this map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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NCT06417359 naunknown statusnot on this map

Comparison of Mesh Fixation and Non-Fixation in Laparoscopic eTEP Inguinal Hernia Repair

TypeinterventionalSponsorMehmet Eşref UlutaşRan2023 to 2024Enrolled60ConditionsMigration of Implant, Pain, Postoperative Complications, RelapseArmsMesh Fixation, No Mesh Fixation
3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

2 authors.

Abdullah Hilmi YilmazDepartment of Surgery, Van Training and Research Hospital, University of Health Sciences, Süphan Mahallesi Hava Yolu Kavşağı 1. Kilometre EDREMIT/Van, Van, Türkiye. drabdullahhilmi@gmail.com.ORCID http://orcid.org/0000-0002-9920-3902
Mehmet Esref UlutasDepartment of Surgery, Gaziantep City Hospital, University of Health Sciences, Gaziantep, Türkiye.ORCID http://orcid.org/0000-0002-9206-4348

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMesh fixation, one of the controversial issues of laparoscopic surgery, has not been investigated in the enhanced view-totally extraperitoneal (eTEP) technique. This study aimed to compare mesh fixation (FX) and non-fixation (NFX) in difficult cases in the eTEP technique.

methodsA total of 61 consecutive patients diagnosed with inguinal hernias who underwent the eTEP procedure were randomized for the study. The groups were FX and NFX. The primary outcome was mesh displacement; secondary outcomes were recurrence, return to normal life, pain, and postoperative findings.

resultsMesh displacement, recurrence, mean operative time, length of stay, pneumoperitoneum, and postoperative complications were similar. VAS scores were higher in the FX group (p = 0.017, p < 0.001, p < 0.001, respectively). Return to normal life was more days in the FX group (p = 0.02). The mesh displacement at 6 months was higher than at 1 month in both groups (p < 0.001).

conclusionsThere is no increased risk of mesh displacement and recurrence in difficult cases, such as scrotal and recurrent hernias, without mesh fixation. With the eTEP technique, mesh fixation can be safely avoided for less pain and a faster return to normal life.

trial registrationClinicaltrials number: NCT06417359.

Indexed as

Hernia, InguinalHerniorrhaphyLaparoscopyPostoperative ComplicationsSurgical MeshAdultAgedFemaleHumansMaleMiddle AgedRecurrenceTreatment OutcomeDifficult casesETEPMesh displacementMesh fixation

Identifiers

PMID40434603
PMCPMC13212621

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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.