Evidence map›Paper›PMID 40773057›Full record

SynthesisHernia : the journal of hernias and abdominal wall surgery2025

Comparison of short- and long-term efficacy and economic indicators between transabdominal preperitoneal and open tension-free repair for inguinal hernia in adults: a meta-analysis of randomized controlled trials.

Jianxin Chen, Yuanbiao Zheng, Chaoyang Lin

Abstract readMeta-AnalysisComparative Study
PubMed Publisher
In one paragraph

Synthesis 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. 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

3 authors.

Jianxin ChenThe First Department of Gastrointestinal Surgery, The Affiliated Hospital of Putian University, 999 Dongzhen Road, Putian, 351100, Fujian, P.R. China. 28752338@qq.com.ORCID 0000-0001-7850-4071
Yuanbiao ZhengThe First Department of Gastrointestinal Surgery, The Affiliated Hospital of Putian University, 999 Dongzhen Road, Putian, 351100, Fujian, P.R. China.
Chaoyang LinThe First Department of Gastrointestinal Surgery, The Affiliated Hospital of Putian University, 999 Dongzhen Road, Putian, 351100, Fujian, P.R. China.

Funding

Natural Science Foundation of Fujian Province no. 2022J011436
6 · The paper itself

Abstract

purposeThe study aimed to compare the short- and long-term effects as well as economic indicators of transabdominal preperitoneal (TAPP) and open tension-free repair in the treatment of adult primary inguinal hernia.

methodsThe study collected a database of clinical randomized controlled trials (RCTs), and was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

resultsThe operation time of TAPP in the treatment of unilateral inguinal hernia was higher than that in the open group, but there was no significant difference in the treatment time of bilateral inguinal hernia. There were significant differences between the two groups in acute visual analgesic scale (VAS) pain (1 day 2.35 ± 1.02 vs. 3.98 ± 1.43, 1 week 1.19 ± 1.1 vs. 2.41 ± 1.23, both p < 0.05) or chronic VAS pain (2% VS. 7%, p < 0.05), length of hospital stay (2.1 ± 1.6 vs. 2.4 ± 1.7 days, p < 0.05), wound infection (1% vs. 4%, p < 0.05), and time to return to work (12.58 ± 5.88 vs. 16.91 ± 5.46 days, p < 0.05). There was a difference in hospitalization cost between the two groups (1471.78 ± 236.57 vs. 986.55 ± 224.19 Euros, p < 0.05).

conclusionCompared with open tension-free repair, TAPP has the advantages of less pain, quicker recovery, shorter hospital stays, and lower incidence of wound infection. TAPP also has the drawback of longer surgical time and higher costs of hospitalization. Therefore, TAPP may be a preferable choice for privately insured patients with primary inguinal hernia.

Indexed as

Hernia, InguinalHerniorrhaphyAdultHumansLength of StayOperative TimePostoperative PainRandomized Controlled Trials as TopicSurgical MeshSurgical Wound InfectionTreatment OutcomeInguinal herniaMeta-analysisOpen tension-free repairTransabdominal preperitoneal (TAPP) repair

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.