Evidence map›Paper›PMID 40725568›Full record

ReviewJournal of clinical medicine2025

Modern Perspectives on Inguinal Hernia Repair: A Narrative Review on Surgical Techniques, Mesh Selection and Fixation Strategies.

Anca Tigora, Petru Adrian Radu, Dragos Nicolae Garofil, Mircea Nicolae Bratucu, Mihai Zurzu, Vlad Paic, Raluca Gabriela Ioan, Valeriu Surlin, Dragos Margaritescu, Silviu Constantin Badoiu and 3 more

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
–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

15 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
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  14. Review
  15. Outcomes of Bilateral Inguinal Hernia Repair: A Dual-Mesh Laparoscopic TEP Technique.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    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

13 authors.

Anca TigoraTenth Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania.ORCID 0000-0001-5761-0617
Petru Adrian RaduTenth Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania.
Dragos Nicolae GarofilTenth Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania.
Mircea Nicolae BratucuTenth Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania.
Mihai ZurzuTenth Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania.ORCID 0000-0003-2376-521X
Vlad PaicTenth Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania.
Raluca Gabriela IoanDepartment of Gynecology, Faculty of Midwifery and Nursing, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania.
Valeriu SurlinSixth Department of Surgery, General Surgery Clinic I, Craiova Emergency Clinical Hospital, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania.ORCID 0000-0003-2648-5408
Dragos MargaritescuSixth Department of Surgery, General Surgery Clinic I, Craiova Emergency Clinical Hospital, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania.
Silviu Constantin BadoiuSecond Department of Morphological Science, Discipline Antomy, Faculty of Medicine, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania.ORCID 0000-0002-6572-9244
Florian PopaTenth Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania.
Victor StrambuTenth Department of Surgery, Faculty of Medicine, University of Medicine and Pharmacy "Carol Davila", 050474 Bucharest, Romania.
Sandu RamboiuSixth Department of Surgery, General Surgery Clinic I, Craiova Emergency Clinical Hospital, University of Medicine and Pharmacy of Craiova, 200642 Craiova, Romania.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Inguinal hernia repair is one of the most commonly performed surgical procedures worldwide, with over 20 million cases annually. The evolution of hernia surgery has transitioned from tension-based techniques to tension-free approaches, significantly reducing recurrence rates. This review explores the history, advancements, and current trends in minimally invasive inguinal hernia repair, focusing on laparoscopic techniques such as transabdominal preperitoneal (TAPP), totally extraperitoneal (TEP), single-incision laparoscopic surgery (SILS), and robotic-assisted repair. The importance of prosthetic meshes is emphasized, detailing their mechanical properties, pore size, weight classifications, and biocompatibility. Additionally, various mesh fixation methods-including tacks, sutures, and glues-are analyzed, with a discussion on their impact on postoperative complications such as chronic pain, adhesions, and infection risk. The debate between TAPP and TEP techniques is examined, highlighting the ongoing quest to determine the most effective approach. Emerging advancements, including drug-loaded meshes and dual-layered prosthetics, aim to improve integration and reduce complications. Despite significant progress, no universally superior technique or mesh exists, underscoring the need for individualized surgical approaches. Future research should focus on optimizing materials, refining fixation strategies, and enhancing patient outcomes in minimally invasive hernia repair.

Indexed as

inguinal hernia repairmesh fixation methodsminimally invasive surgeryprosthetic meshTAPPTEP

Identifiers

PMID40725568
PMCPMC12295799

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.