Evidence map›Paper›PMID 40789772›Full record

ArticleSurgical endoscopy2025

Quality of life outcomes of minimally invasive repair of occult contralateral inguinal hernias: an ACHQC analysis.

Shemiele A Lewis, Li Ching Huang, Mazen R Al-Mansour

Registry-linked trialAbstract read
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In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07461558 (WATCH IT TRIAL WAtchful Waiting Versus immediaTe Repair for Occult Contralateral Hernias Found During MIS Inguinal Hernia Repair Trial.), which is not on this map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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.

NCT07461558 narecruitingnot on this mapstarted 2026, after this paper: background citation

WATCH IT TRIAL WAtchful Waiting Versus immediaTe Repair for Occult Contralateral Hernias Found During MIS Inguinal Hernia Repair Trial.

TypeinterventionalSponsorNorthwestern UniversityRan2026 to 2029Enrolled380ConditionsInguinal Hernia Bilateral, Inguinal Hernia UnilateralArmssurgery (any volume) and / or pharmaceuticals treatment initiated or planned or only dynamic observation, in accordance with current clinical guidelines, Watchful waiting with supportive care
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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.

Shemiele A LewisUniversity of Florida College of Medicine, Gainesville, FL, 32610, USA. lewis.shemiele@ufl.edu.ORCID http://orcid.org/0009-0009-7355-7479
Li Ching HuangDepartment of Biostatistics, Vanderbilt University, 2525 West End Avenue, Suite 1020, Nashville, TN, 37203, USA.
Mazen R Al-MansourDepartment of Surgery, University of Florida College of Medicine, PO Box 100109, Gainesville, FL, 32610, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe optimal management of incidentally discovered contralateral occult inguinal hernias during minimally invasive repair remains unclear. This study examines the impact of contralateral occult hernia repair on postoperative quality of life (QoL).

methodsWe queried the Abdominal Core Health Quality Collaborative database for elective, clean, initial transabdominal preperitoneal (TAPP) inguinal hernia repairs in adults with a minimum 30-day follow-up. Patients were categorized into two groups: Occult repair and Unilateral repair. Propensity score matching (PSM) created comparable cohorts. The primary outcome was the 30-day change in EuraHS QoL scores. Wilcoxon, Chi-square, and Kaplan-Meier tests were used for statistical analysis.

resultsA total of 1810 inguinal hernia repairs were included (Occult = 62, Unilateral = 1748). After PSM 203 patients were analyzed (Occult = 54 and Unilateral = 49). The median age was 64 years, and the median BMI was 27 kg/m

conclusionOccult contralateral hernia repair during TAPP inguinal repair was associated with longer operative time, higher readmission rate, and smaller short-term QoL improvement. These findings can be used to guide preoperative patient counseling.

Indexed as

Hernia, InguinalHerniorrhaphyLaparoscopyMinimally Invasive Surgical ProceduresQuality of LifeAdultAgedFemaleHumansIncidental FindingsMaleMiddle AgedOperative TimePropensity ScoreRetrospective StudiesSurgical MeshACHQCAsymptomatic inguinal herniaContralateral inguinal herniaHernia repairIncidental inguinal herniaLaparoscopic hernia repairMinimally invasive surgeryQuality of lifeTransabdominal preperitoneal (TAPP)

Identifiers

PMID40789772

What OpenQuestion holds

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Registered trials

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.