Evidence map›Paper›PMID 40952613›Full record

ArticleUpdates in surgery2025

The effect of mesh type on pain, quality of life and postoperative complications in patients undergoing total extraperitoneal (TEP) technique for laparoscopic inguinal hernia repair.

Burak Sakar, Kemal Eyvaz, Arzu Karaveli, Omer Celik, Turan Can Yıldız, Ali Celik, Nedim Akgul

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Article in Updates in surgery, 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

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

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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

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Burak SakarDepartment of General Surgery, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey. drburaksakar@gmail.com.ORCID http://orcid.org/0000-0002-0079-2517
Kemal EyvazDepartment of General Surgery, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.ORCID http://orcid.org/0000-0002-7410-107X
Arzu KaraveliDepartment of Anesthesiology and Reanimation, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.ORCID http://orcid.org/0000-0002-7246-7182
Omer CelikDepartment of General Surgery, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.ORCID http://orcid.org/0000-0002-4006-2527
Turan Can YıldızDepartment of General Surgery, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.ORCID http://orcid.org/0000-0001-5605-2801
Ali CelikDepartment of General Surgery, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.ORCID http://orcid.org/0009-0005-2789-6091
Nedim AkgulDepartment of General Surgery, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.ORCID http://orcid.org/0000-0002-7003-7883

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to compare the effects of anatomical polypropylene mesh (APM) and non-anatomical polypropylene mesh (NAPM) on postoperative pain, quality of life, and complications in patients undergoing inguinal hernia repair using the laparoscopic total extraperitoneal (TEP) technique. In this single-center, retrospective study, data from 88 patients who underwent surgery using the TEP technique between January and November 2023 and met the eligibility criteria were analyzed (APM group: n = 44; NAPM group: n = 44). The primary endpoint of the study was to compare the effect of APM and NAPM mesh types on postoperative 6th-hour VAS scores. The comparison of SF-36 questionnaire results and VAS scores at other time points was defined as the secondary endpoints of the study. The mean (SD) postoperative 6th-hour VAS score was significantly lower in the APM group than in the NAPM group [2.20 (0.90) vs. 2.98 (1.19); p = 0.001]. In addition, the mean (SD) VAS scores at the 1st hour, 24th hour, and 10th day were significantly lower in favor of the APM group (p = 0.008, p = 0.001, and p = 0.030, respectively). However, the mean (SD) VAS scores at the 3rd postoperative month were similar between the groups (p = 0.909). No significant difference was observed between the two groups in the SF-36 questionnaire results (p > 0.05). The postoperative complication rates were similar between the groups (APM: 13.7%, NAPM: 11.4%; p = 0.603). The operation time was significantly shorter in the APM group (p = 0.018). The use of APM for laparoscopic inguinal hernia repair reduces early postoperative pain and shortens operation time. However, it offers similar results to NAPM in terms of quality of life and development of postoperative complications. These findings suggest that APM may be an effective alternative to laparoscopic inguinal hernia repair; however, we are of the opinion that larger-scale, prospective, and randomized-controlled studies are needed to better evaluate long-term outcomes.

Indexed as

Inguinal herniaLaparoscopyMeshPainQuality of life

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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.