Evidence map›Paper›PMID 40576787›Full record

ArticleHernia : the journal of hernias and abdominal wall surgery2025

Do we have to rethink slit-mesh technique in endoscopic inguinal hernia repair? - A matched pair analysis.

Konstantinos Zarras, Jens Plambeck, Joseph Kankam, Martin Hukauf, Ferdinand Köckerling

Abstract read
In one paragraph

Article 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Konstantinos ZarrasMarien Hospital Düsseldorf, Academic Teaching Hospital of the Heinrich-Heine-University of Düsseldorf, Rochusstrasse 2, DE, 40479, Düsseldorf, Germany. info@zarrasmed.com.ORCID 0009-0009-7334-7922
Jens PlambeckMarien Hospital Düsseldorf, Academic Teaching Hospital of the Heinrich-Heine-University of Düsseldorf, Rochusstrasse 2, DE, 40479, Düsseldorf, Germany.
Joseph KankamMarien Hospital Düsseldorf, Academic Teaching Hospital of the Heinrich-Heine-University of Düsseldorf, Rochusstrasse 2, DE, 40479, Düsseldorf, Germany.
Martin HukaufStatConsult GmbH, Am Fuchsberg 11, DE-39112s, Magdeburg, Germany.
Ferdinand KöckerlingVivantes Humboldt Hospital, Academic Teaching Hospital of Charité, University Medicine, Am Nordgraben 2, DE-13509, Berlin, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDue to a lack of evidence, the use of slit meshes in laparo-endoscopic hernia repair is a topic of controversial debate. Therefore, further studies are needed on this key question.

methodsThis retrospective analysis of prospectively recorded data from the Herniamed Registry compared the perioperative and 1-year follow-up outcomes after laparo-endoscopic inguinal hernia repair with slit mesh versus non-slit mesh. Matching was performed for 1,028 pairs.

resultsA significant difference was identified in the recurrence rate on 1-year follow-up in favor of the slit mesh (0.6% vs 1.8%; p = 0.023). No such systematic difference was found for any of the other outcome variables (intraoperative complications, general complications, postoperative complications, complication-related reoperations, pain at rest, pain on exertion, and pain requiring treatment on 1-year follow-up).

conclusionThe use of a slit mesh versus a non-slit mesh in laparo-endoscopic inguinal hernia repair is associated with a significantly lower recurrence rate. There is no relation with any other outcome criteria. Since the use of a slit mesh in laparo-endoscopic inguinal hernia repair seems to influence the outcome, this topic should be further investigated.

Indexed as

Hernia, InguinalHerniorrhaphyLaparoscopySurgical MeshAdultAgedFemaleHumansMaleMatched-Pair AnalysisMiddle AgedRecurrenceRetrospective StudiesTreatment OutcomeInguinal herniaNon-slit meshRecurrenceSlit meshTAPPTEP

Identifiers

PMID40576787
PMCPMC12204938

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.