Evidence map›Paper›PMID 40442358›Full record

ArticleSurgical endoscopy2025

Efficacy of the caudal view technique in mesh placement during laparoscopic inguinal hernia repair, with propensity score matching.

Wataru Miyoshino, Takahiro Hiratsuka, Akio Shiromizu, Yohei Kono, Tomonori Akagi, Shigeo Ninomiya, Hidefumi Shiroshita, Masafumi Inomata

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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.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Wataru MiyoshinoDepartment of Gastroenterological and Pediatric Surgery, Oita University Hospital, Oita, Japan. miyowata3440@oita-u.ac.jp.
Takahiro HiratsukaDepartment of Gastroenterological and Pediatric Surgery, Oita University Hospital, Oita, Japan.
Akio ShiromizuDepartment of Surgery, Arita Gastrointestinal Hospital, Oita, Japan.
Yohei KonoDepartment of Gastroenterological and Pediatric Surgery, Oita University Hospital, Oita, Japan.
Tomonori AkagiDepartment of Gastroenterological and Pediatric Surgery, Oita University Hospital, Oita, Japan.
Shigeo NinomiyaDepartment of Gastroenterological and Pediatric Surgery, Oita University Hospital, Oita, Japan.
Hidefumi ShiroshitaDepartment of Gastroenterological and Pediatric Surgery, Oita University Hospital, Oita, Japan.
Masafumi InomataDepartment of Gastroenterological and Pediatric Surgery, Oita University Hospital, Oita, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo prevent recurrence after inguinal hernia surgery, placing a large mesh that ensures adequate overlap of the hernial orifice is crucial. However, using totally extraperitoneal (TEP) approach, the arcuate line can obstruct the creation of sufficient space for large meshes, making the application challenging. To solve this problem, we introduced a caudal view technique (CVT), inserting a 5-mm scope from a cordal port, to assist in making sufficient space for mesh placement, and dissecting the arcuate line as needed. This study aimed to evaluate the effectiveness of the CVT method in facilitating appropriate large mesh placement.

methodsIn this retrospective study, data of 58 patients diagnosed with inguinal hernia and treated with TEP between April 2020 and March 2024 were analyzed. The patients were divided into the conventional three-port TEP and CVT groups. We compared the rate of proper 15.7 × 10.3-cm mesh placement, mesh placement time, and operative time between the two groups. Secondary outcomes included the recurrence rate, incidence of intraoperative, and postoperative complications. Propensity score matching was performed to adjust for potential confounders.

resultsThe rate of proper mesh placement was 48.4% and 92.6% in the conventional and CVT groups. The average mesh attachment time was shorter in the CVT group. The average operative time was similar between the two groups. Recurrence occurred in one patient in the conventional group, whereas no recurrence was found in the CVT group. No significant differences were observed regarding intraoperative and postoperative complications.

conclusionThe CVT method could allow for sufficient dissection of the myopectineal orifice and facilitate large mesh placement within shorter time.

Indexed as

Hernia, InguinalHerniorrhaphyLaparoscopySurgical MeshAdultAgedFemaleHumansMaleMiddle AgedOperative TimePostoperative ComplicationsPropensity ScoreRecurrenceRetrospective StudiesTreatment OutcomeCaudal view techniqueGroin herniaMesh attachmentTotally extraperitoneal approach

Identifiers

PMID40442358

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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.