Laparoscopic inguinal hernia repair without mesh fixation, early results of a large randomised clinical trial View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2008-03

AUTHORS

Craig Taylor, Laurent Layani, Victor Liew, Michael Ghusn, Nic Crampton, Stephen White

ABSTRACT

BACKGROUND: A new persistent groin pain is reported by a significant number of patients following laparoscopic totally extraperitoneal hernia repair (TEP). Mesh fixation has been implicated as a possible cause, but is widely considered essential for mesh stabilization and early recurrence prevention. This study investigates whether any association exists between mesh fixation by metal tacks and the incidence of new groin pain or early hernia recurrence. METHODS: A prospective multicenter double-blinded randomised trial was conducted between December 2004 and January 2006. Standardized TEP repair was performed with a rectangular 10 x 15cm polypropylene mesh. Hernia were randomized to either mesh fixation by metal tacks or left entirely unfixated. Clinical review by physical examination was performed by a separate blinded surgeon after a minimum of six months, with another review planned after two years. The incidence of new groin pain and recurrence were compared. RESULTS: Five hundred herniae in 360 patients were entered into the study. At the first wave of clinical follow-up (median eight, range 6-13 postoperative months) a new pain was reported by 38 versus 23% (p = 0.003), occurring at least once a week in 22 versus 15% (p = 0.049), or several times per week in 16 versus 8% (p = 0.009) for fixated versus unfixated repairs, respectively. Patients with bilateral repairs were five times more likely to report the unfixated side being more comfortable (p = 0.006). There was one recurrence in the fixated group (1/247) whilst none have yet occurred in the unfixated group. Fixation increased operative costs by approximately 375 AUD. CONCLUSION: Mesh fixation in TEP is associated with increased operative cost and chronic pain but no difference in the risk of hernia recurrence at six months was observed. More... »

PAGES

757-762

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00464-007-9510-7

DOI

http://dx.doi.org/10.1007/s00464-007-9510-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1049396092

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/17885789


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adolescent", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adult", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Aged, 80 and over", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Double-Blind Method", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Follow-Up Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Hernia, Inguinal", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Laparoscopy", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Middle Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Pain Measurement", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Pain, Postoperative", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Postoperative Complications", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Probability", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Prospective Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Risk Assessment", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Secondary Prevention", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Sensitivity and Specificity", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Severity of Illness Index", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Surgical Mesh", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Wound Healing", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Gold Coast Hospital", 
          "id": "https://www.grid.ac/institutes/grid.413154.6", 
          "name": [
            "Laparoscopic Surgery, John Flynn Gold Coast Hospital, Gold Coast, QLD, Australia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Taylor", 
        "givenName": "Craig", 
        "id": "sg:person.0631406407.53", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0631406407.53"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "The Department of General Surgery, The Tweed Hospital, Powel street, 2485, Tweed Heads, NSW, Australia", 
            "The Department of General Surgery, John Flynn Private Hospital, Inland drive, 4224, Tugun, QLD, Australia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Layani", 
        "givenName": "Laurent", 
        "id": "sg:person.0677521607.45", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0677521607.45"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "The Department of General Surgery, The Tweed Hospital, Powel street, 2485, Tweed Heads, NSW, Australia", 
            "The Department of General Surgery, John Flynn Private Hospital, Inland drive, 4224, Tugun, QLD, Australia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Liew", 
        "givenName": "Victor", 
        "id": "sg:person.0745635007.52", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0745635007.52"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "The Department of General Surgery, The Tweed Hospital, Powel street, 2485, Tweed Heads, NSW, Australia", 
            "The Department of General Surgery, John Flynn Private Hospital, Inland drive, 4224, Tugun, QLD, Australia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Ghusn", 
        "givenName": "Michael", 
        "id": "sg:person.01013750207.65", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01013750207.65"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "The Department of General Surgery, The Tweed Hospital, Powel street, 2485, Tweed Heads, NSW, Australia", 
            "The Department of General Surgery, John Flynn Private Hospital, Inland drive, 4224, Tugun, QLD, Australia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Crampton", 
        "givenName": "Nic", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "name": [
            "The Department of General Surgery, The Tweed Hospital, Powel street, 2485, Tweed Heads, NSW, Australia", 
            "The Department of General Surgery, John Flynn Private Hospital, Inland drive, 4224, Tugun, QLD, Australia"
          ], 
          "type": "Organization"
        }, 
        "familyName": "White", 
        "givenName": "Stephen", 
        "id": "sg:person.01130176607.69", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01130176607.69"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1007/bf00188292", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1004953658", 
          "https://doi.org/10.1007/bf00188292"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-003-8183-0", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1005369663", 
          "https://doi.org/10.1007/s00464-003-8183-0"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s004640080088", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1008579291", 
          "https://doi.org/10.1007/s004640080088"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-005-0391-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011538498", 
          "https://doi.org/10.1007/s00464-005-0391-3"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-005-0391-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1011538498", 
          "https://doi.org/10.1007/s00464-005-0391-3"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-002-8798-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1012108956", 
          "https://doi.org/10.1007/s00464-002-8798-6"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10029-006-0080-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021016250", 
          "https://doi.org/10.1007/s10029-006-0080-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10029-006-0080-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021016250", 
          "https://doi.org/10.1007/s10029-006-0080-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s1479-666x(04)80095-7", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1021904594"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-002-8905-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1022319109", 
          "https://doi.org/10.1007/s00464-002-8905-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00129689-200104000-00018", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024057973"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00129689-200104000-00018", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024057973"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00129689-200104000-00018", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1024057973"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1001/archsurg.139.12.1376", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025599053"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.4301", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1025858356"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1002/bjs.4213", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1030353456"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1445-2197.2005.03487.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033292197"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1111/j.1445-2197.2005.03487.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033292197"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10029-003-0173-6", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1033526288", 
          "https://doi.org/10.1007/s10029-003-0173-6"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1046/j.1365-2168.2002.02260.x", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1041834759"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1016/s1072-7515(99)00039-3", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1044236143"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-004-8812-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045063692", 
          "https://doi.org/10.1007/s00464-004-8812-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00464-004-8812-2", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1045063692", 
          "https://doi.org/10.1007/s00464-004-8812-2"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.sla.0000186440.02977.de", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046397601"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.sla.0000186440.02977.de", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046397601"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/01.sla.0000186440.02977.de", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1046397601"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1089/lap.2000.10.71", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1059292618"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00000658-199611000-00003", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060134381"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00019509-199808000-00011", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060293246"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00129689-200002000-00006", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060306301"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00129689-200002000-00006", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060306301"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://doi.org/10.1097/00129689-200002000-00006", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1060306301"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "https://app.dimensions.ai/details/publication/pub.1080239695", 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2008-03", 
    "datePublishedReg": "2008-03-01", 
    "description": "BACKGROUND: A new persistent groin pain is reported by a significant number of patients following laparoscopic totally extraperitoneal hernia repair (TEP). Mesh fixation has been implicated as a possible cause, but is widely considered essential for mesh stabilization and early recurrence prevention. This study investigates whether any association exists between mesh fixation by metal tacks and the incidence of new groin pain or early hernia recurrence.\nMETHODS: A prospective multicenter double-blinded randomised trial was conducted between December 2004 and January 2006. Standardized TEP repair was performed with a rectangular 10 x 15cm polypropylene mesh. Hernia were randomized to either mesh fixation by metal tacks or left entirely unfixated. Clinical review by physical examination was performed by a separate blinded surgeon after a minimum of six months, with another review planned after two years. The incidence of new groin pain and recurrence were compared.\nRESULTS: Five hundred herniae in 360 patients were entered into the study. At the first wave of clinical follow-up (median eight, range 6-13 postoperative months) a new pain was reported by 38 versus 23% (p = 0.003), occurring at least once a week in 22 versus 15% (p = 0.049), or several times per week in 16 versus 8% (p = 0.009) for fixated versus unfixated repairs, respectively. Patients with bilateral repairs were five times more likely to report the unfixated side being more comfortable (p = 0.006). There was one recurrence in the fixated group (1/247) whilst none have yet occurred in the unfixated group. Fixation increased operative costs by approximately 375 AUD.\nCONCLUSION: Mesh fixation in TEP is associated with increased operative cost and chronic pain but no difference in the risk of hernia recurrence at six months was observed.", 
    "genre": "research_article", 
    "id": "sg:pub.10.1007/s00464-007-9510-7", 
    "inLanguage": [
      "en"
    ], 
    "isAccessibleForFree": false, 
    "isPartOf": [
      {
        "id": "sg:journal.1098220", 
        "issn": [
          "0930-2794", 
          "1432-2218"
        ], 
        "name": "Surgical Endoscopy", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "3", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "22"
      }
    ], 
    "name": "Laparoscopic inguinal hernia repair without mesh fixation, early results of a large randomised clinical trial", 
    "pagination": "757-762", 
    "productId": [
      {
        "name": "readcube_id", 
        "type": "PropertyValue", 
        "value": [
          "eb500a209bd5ab8fd30480d4051ed9a177a47e606c0363cf8d5b9a5b788dec92"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "17885789"
        ]
      }, 
      {
        "name": "nlm_unique_id", 
        "type": "PropertyValue", 
        "value": [
          "8806653"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s00464-007-9510-7"
        ]
      }, 
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1049396092"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s00464-007-9510-7", 
      "https://app.dimensions.ai/details/publication/pub.1049396092"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2019-04-11T14:28", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-uberresearch-data-dimensions-target-20181106-alternative/cleanup/v134/2549eaecd7973599484d7c17b260dba0a4ecb94b/merge/v9/a6c9fde33151104705d4d7ff012ea9563521a3ce/jats-lookup/v90/0000000373_0000000373/records_13078_00000001.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "http://link.springer.com/10.1007/s00464-007-9510-7"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00464-007-9510-7'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00464-007-9510-7'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00464-007-9510-7'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00464-007-9510-7'


 

This table displays all metadata directly associated to this object as RDF triples.

287 TRIPLES      21 PREDICATES      75 URIs      44 LITERALS      32 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s00464-007-9510-7 schema:about N1d1d6dac33e04e61969b15bef7e9a92e
2 N270f28de4b3047b8ae6967c83fa8e6ee
3 N2859870c3f5545cd8499babcae9f083f
4 N2c4695eb20534d3db6b3984d69616402
5 N2f29c6c018744ba4ab8f78331a9ba5f5
6 N32a43c1284d94311a4db13040258856f
7 N395100cd52574d1191054848a872fec7
8 N4c67750954a546c49a63558eb9f149b8
9 N4fc320e75f2f4ecc913823fae8873e11
10 N750ad10ef26e4c85a1cf755b5d1fa2ce
11 N753023d4bbfe44cba0f87629903cc8d5
12 N78ac42401f5b4fc385e9e487ffbf07d3
13 N8dc7e656f6ea4aaead09075c0c5e27b8
14 N92abbbe6d8b547d292183548ca5a4dda
15 N9364e5ba24494a8eae0373889d7fee08
16 N93b74609d9cc433084224d0251e58b28
17 Na012b51be84e45b8ae2a94da39d2dd7d
18 Na69e65b8740a4ba3af06937baf62fa11
19 Nc9180d8c6e67472cab9dd1c2458199b2
20 Ncec4407981cf4ce9812890b95816cd6a
21 Ne38a9e9a5aa14b1c834717c3211071d6
22 Ne6bd8a22dc904ea5909a363c9ba0c364
23 Nfeb32b3ca18848e7a3fe7eb1a5eeb5b6
24 anzsrc-for:11
25 anzsrc-for:1103
26 schema:author N5dc0e18b09294cec8a9e26e056c099b5
27 schema:citation sg:pub.10.1007/bf00188292
28 sg:pub.10.1007/s00464-002-8798-6
29 sg:pub.10.1007/s00464-002-8905-8
30 sg:pub.10.1007/s00464-003-8183-0
31 sg:pub.10.1007/s00464-004-8812-2
32 sg:pub.10.1007/s00464-005-0391-3
33 sg:pub.10.1007/s004640080088
34 sg:pub.10.1007/s10029-003-0173-6
35 sg:pub.10.1007/s10029-006-0080-8
36 https://app.dimensions.ai/details/publication/pub.1080239695
37 https://doi.org/10.1001/archsurg.139.12.1376
38 https://doi.org/10.1002/bjs.4213
39 https://doi.org/10.1002/bjs.4301
40 https://doi.org/10.1016/s1072-7515(99)00039-3
41 https://doi.org/10.1016/s1479-666x(04)80095-7
42 https://doi.org/10.1046/j.1365-2168.2002.02260.x
43 https://doi.org/10.1089/lap.2000.10.71
44 https://doi.org/10.1097/00000658-199611000-00003
45 https://doi.org/10.1097/00019509-199808000-00011
46 https://doi.org/10.1097/00129689-200002000-00006
47 https://doi.org/10.1097/00129689-200104000-00018
48 https://doi.org/10.1097/01.sla.0000186440.02977.de
49 https://doi.org/10.1111/j.1445-2197.2005.03487.x
50 schema:datePublished 2008-03
51 schema:datePublishedReg 2008-03-01
52 schema:description BACKGROUND: A new persistent groin pain is reported by a significant number of patients following laparoscopic totally extraperitoneal hernia repair (TEP). Mesh fixation has been implicated as a possible cause, but is widely considered essential for mesh stabilization and early recurrence prevention. This study investigates whether any association exists between mesh fixation by metal tacks and the incidence of new groin pain or early hernia recurrence. METHODS: A prospective multicenter double-blinded randomised trial was conducted between December 2004 and January 2006. Standardized TEP repair was performed with a rectangular 10 x 15cm polypropylene mesh. Hernia were randomized to either mesh fixation by metal tacks or left entirely unfixated. Clinical review by physical examination was performed by a separate blinded surgeon after a minimum of six months, with another review planned after two years. The incidence of new groin pain and recurrence were compared. RESULTS: Five hundred herniae in 360 patients were entered into the study. At the first wave of clinical follow-up (median eight, range 6-13 postoperative months) a new pain was reported by 38 versus 23% (p = 0.003), occurring at least once a week in 22 versus 15% (p = 0.049), or several times per week in 16 versus 8% (p = 0.009) for fixated versus unfixated repairs, respectively. Patients with bilateral repairs were five times more likely to report the unfixated side being more comfortable (p = 0.006). There was one recurrence in the fixated group (1/247) whilst none have yet occurred in the unfixated group. Fixation increased operative costs by approximately 375 AUD. CONCLUSION: Mesh fixation in TEP is associated with increased operative cost and chronic pain but no difference in the risk of hernia recurrence at six months was observed.
53 schema:genre research_article
54 schema:inLanguage en
55 schema:isAccessibleForFree false
56 schema:isPartOf N4ddac27b55d545889abe940e9306c527
57 N521426dc45f54fd99a35be04dc25a850
58 sg:journal.1098220
59 schema:name Laparoscopic inguinal hernia repair without mesh fixation, early results of a large randomised clinical trial
60 schema:pagination 757-762
61 schema:productId N3cb5aa0fa27947da81e5c1b22e9bf63e
62 N9f1757642e3e45f19171d8ee56eed598
63 Nad117ecba26f4911b475e36cf6216f42
64 Nd5ebf9e9f95748a3affbf2a370a0335a
65 Nf8a28d0397f84296bd3837c8cca364bc
66 schema:sameAs https://app.dimensions.ai/details/publication/pub.1049396092
67 https://doi.org/10.1007/s00464-007-9510-7
68 schema:sdDatePublished 2019-04-11T14:28
69 schema:sdLicense https://scigraph.springernature.com/explorer/license/
70 schema:sdPublisher N75064c89bbba4fe784ed664eeebf3b1c
71 schema:url http://link.springer.com/10.1007/s00464-007-9510-7
72 sgo:license sg:explorer/license/
73 sgo:sdDataset articles
74 rdf:type schema:ScholarlyArticle
75 N012f6649e85d4e8cbb86c91823932c97 rdf:first sg:person.01013750207.65
76 rdf:rest N0ecd5ca3775147819b346569c557ecd8
77 N0ecd5ca3775147819b346569c557ecd8 rdf:first N45aff72510cc4c96b572e833d8a05fef
78 rdf:rest Nfdbedabefdc1406fb8f0708037412be3
79 N1d1d6dac33e04e61969b15bef7e9a92e schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
80 schema:name Surgical Mesh
81 rdf:type schema:DefinedTerm
82 N270f28de4b3047b8ae6967c83fa8e6ee schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
83 schema:name Wound Healing
84 rdf:type schema:DefinedTerm
85 N2859870c3f5545cd8499babcae9f083f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
86 schema:name Secondary Prevention
87 rdf:type schema:DefinedTerm
88 N2c4695eb20534d3db6b3984d69616402 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
89 schema:name Hernia, Inguinal
90 rdf:type schema:DefinedTerm
91 N2f29c6c018744ba4ab8f78331a9ba5f5 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
92 schema:name Aged
93 rdf:type schema:DefinedTerm
94 N32a43c1284d94311a4db13040258856f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
95 schema:name Female
96 rdf:type schema:DefinedTerm
97 N395100cd52574d1191054848a872fec7 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
98 schema:name Postoperative Complications
99 rdf:type schema:DefinedTerm
100 N3cb5aa0fa27947da81e5c1b22e9bf63e schema:name pubmed_id
101 schema:value 17885789
102 rdf:type schema:PropertyValue
103 N45aff72510cc4c96b572e833d8a05fef schema:affiliation Nd61d3081225842079f3d4546753868d9
104 schema:familyName Crampton
105 schema:givenName Nic
106 rdf:type schema:Person
107 N476538658913413e8cb9d2506e0a6d3e schema:name The Department of General Surgery, John Flynn Private Hospital, Inland drive, 4224, Tugun, QLD, Australia
108 The Department of General Surgery, The Tweed Hospital, Powel street, 2485, Tweed Heads, NSW, Australia
109 rdf:type schema:Organization
110 N4c67750954a546c49a63558eb9f149b8 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
111 schema:name Prospective Studies
112 rdf:type schema:DefinedTerm
113 N4ddac27b55d545889abe940e9306c527 schema:volumeNumber 22
114 rdf:type schema:PublicationVolume
115 N4fc320e75f2f4ecc913823fae8873e11 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
116 schema:name Follow-Up Studies
117 rdf:type schema:DefinedTerm
118 N521426dc45f54fd99a35be04dc25a850 schema:issueNumber 3
119 rdf:type schema:PublicationIssue
120 N5b30919d66b94786972fbdaf95df4bb0 rdf:first sg:person.0677521607.45
121 rdf:rest Na8137164495a4600bae66fdc721deb1f
122 N5dc0e18b09294cec8a9e26e056c099b5 rdf:first sg:person.0631406407.53
123 rdf:rest N5b30919d66b94786972fbdaf95df4bb0
124 N688b8d830db141d5ae99a3e07c732851 schema:name The Department of General Surgery, John Flynn Private Hospital, Inland drive, 4224, Tugun, QLD, Australia
125 The Department of General Surgery, The Tweed Hospital, Powel street, 2485, Tweed Heads, NSW, Australia
126 rdf:type schema:Organization
127 N75064c89bbba4fe784ed664eeebf3b1c schema:name Springer Nature - SN SciGraph project
128 rdf:type schema:Organization
129 N750ad10ef26e4c85a1cf755b5d1fa2ce schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
130 schema:name Probability
131 rdf:type schema:DefinedTerm
132 N753023d4bbfe44cba0f87629903cc8d5 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
133 schema:name Male
134 rdf:type schema:DefinedTerm
135 N78ac42401f5b4fc385e9e487ffbf07d3 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
136 schema:name Severity of Illness Index
137 rdf:type schema:DefinedTerm
138 N7d554dd7d64c454d83674ddd844aafe4 schema:name The Department of General Surgery, John Flynn Private Hospital, Inland drive, 4224, Tugun, QLD, Australia
139 The Department of General Surgery, The Tweed Hospital, Powel street, 2485, Tweed Heads, NSW, Australia
140 rdf:type schema:Organization
141 N8dc7e656f6ea4aaead09075c0c5e27b8 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
142 schema:name Aged, 80 and over
143 rdf:type schema:DefinedTerm
144 N92abbbe6d8b547d292183548ca5a4dda schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
145 schema:name Adolescent
146 rdf:type schema:DefinedTerm
147 N9364e5ba24494a8eae0373889d7fee08 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
148 schema:name Pain Measurement
149 rdf:type schema:DefinedTerm
150 N93b74609d9cc433084224d0251e58b28 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
151 schema:name Humans
152 rdf:type schema:DefinedTerm
153 N9f1757642e3e45f19171d8ee56eed598 schema:name doi
154 schema:value 10.1007/s00464-007-9510-7
155 rdf:type schema:PropertyValue
156 Na012b51be84e45b8ae2a94da39d2dd7d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
157 schema:name Risk Assessment
158 rdf:type schema:DefinedTerm
159 Na69e65b8740a4ba3af06937baf62fa11 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
160 schema:name Pain, Postoperative
161 rdf:type schema:DefinedTerm
162 Na8137164495a4600bae66fdc721deb1f rdf:first sg:person.0745635007.52
163 rdf:rest N012f6649e85d4e8cbb86c91823932c97
164 Nad117ecba26f4911b475e36cf6216f42 schema:name dimensions_id
165 schema:value pub.1049396092
166 rdf:type schema:PropertyValue
167 Nc9180d8c6e67472cab9dd1c2458199b2 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
168 schema:name Adult
169 rdf:type schema:DefinedTerm
170 Ncc890f455ea04cb3a4dc8055017f5909 schema:name The Department of General Surgery, John Flynn Private Hospital, Inland drive, 4224, Tugun, QLD, Australia
171 The Department of General Surgery, The Tweed Hospital, Powel street, 2485, Tweed Heads, NSW, Australia
172 rdf:type schema:Organization
173 Ncec4407981cf4ce9812890b95816cd6a schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
174 schema:name Laparoscopy
175 rdf:type schema:DefinedTerm
176 Nd5ebf9e9f95748a3affbf2a370a0335a schema:name nlm_unique_id
177 schema:value 8806653
178 rdf:type schema:PropertyValue
179 Nd61d3081225842079f3d4546753868d9 schema:name The Department of General Surgery, John Flynn Private Hospital, Inland drive, 4224, Tugun, QLD, Australia
180 The Department of General Surgery, The Tweed Hospital, Powel street, 2485, Tweed Heads, NSW, Australia
181 rdf:type schema:Organization
182 Ne38a9e9a5aa14b1c834717c3211071d6 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
183 schema:name Double-Blind Method
184 rdf:type schema:DefinedTerm
185 Ne6bd8a22dc904ea5909a363c9ba0c364 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
186 schema:name Sensitivity and Specificity
187 rdf:type schema:DefinedTerm
188 Nf8a28d0397f84296bd3837c8cca364bc schema:name readcube_id
189 schema:value eb500a209bd5ab8fd30480d4051ed9a177a47e606c0363cf8d5b9a5b788dec92
190 rdf:type schema:PropertyValue
191 Nfdbedabefdc1406fb8f0708037412be3 rdf:first sg:person.01130176607.69
192 rdf:rest rdf:nil
193 Nfeb32b3ca18848e7a3fe7eb1a5eeb5b6 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
194 schema:name Middle Aged
195 rdf:type schema:DefinedTerm
196 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
197 schema:name Medical and Health Sciences
198 rdf:type schema:DefinedTerm
199 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
200 schema:name Clinical Sciences
201 rdf:type schema:DefinedTerm
202 sg:journal.1098220 schema:issn 0930-2794
203 1432-2218
204 schema:name Surgical Endoscopy
205 rdf:type schema:Periodical
206 sg:person.01013750207.65 schema:affiliation N476538658913413e8cb9d2506e0a6d3e
207 schema:familyName Ghusn
208 schema:givenName Michael
209 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01013750207.65
210 rdf:type schema:Person
211 sg:person.01130176607.69 schema:affiliation N7d554dd7d64c454d83674ddd844aafe4
212 schema:familyName White
213 schema:givenName Stephen
214 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01130176607.69
215 rdf:type schema:Person
216 sg:person.0631406407.53 schema:affiliation https://www.grid.ac/institutes/grid.413154.6
217 schema:familyName Taylor
218 schema:givenName Craig
219 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0631406407.53
220 rdf:type schema:Person
221 sg:person.0677521607.45 schema:affiliation Ncc890f455ea04cb3a4dc8055017f5909
222 schema:familyName Layani
223 schema:givenName Laurent
224 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0677521607.45
225 rdf:type schema:Person
226 sg:person.0745635007.52 schema:affiliation N688b8d830db141d5ae99a3e07c732851
227 schema:familyName Liew
228 schema:givenName Victor
229 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0745635007.52
230 rdf:type schema:Person
231 sg:pub.10.1007/bf00188292 schema:sameAs https://app.dimensions.ai/details/publication/pub.1004953658
232 https://doi.org/10.1007/bf00188292
233 rdf:type schema:CreativeWork
234 sg:pub.10.1007/s00464-002-8798-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1012108956
235 https://doi.org/10.1007/s00464-002-8798-6
236 rdf:type schema:CreativeWork
237 sg:pub.10.1007/s00464-002-8905-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1022319109
238 https://doi.org/10.1007/s00464-002-8905-8
239 rdf:type schema:CreativeWork
240 sg:pub.10.1007/s00464-003-8183-0 schema:sameAs https://app.dimensions.ai/details/publication/pub.1005369663
241 https://doi.org/10.1007/s00464-003-8183-0
242 rdf:type schema:CreativeWork
243 sg:pub.10.1007/s00464-004-8812-2 schema:sameAs https://app.dimensions.ai/details/publication/pub.1045063692
244 https://doi.org/10.1007/s00464-004-8812-2
245 rdf:type schema:CreativeWork
246 sg:pub.10.1007/s00464-005-0391-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1011538498
247 https://doi.org/10.1007/s00464-005-0391-3
248 rdf:type schema:CreativeWork
249 sg:pub.10.1007/s004640080088 schema:sameAs https://app.dimensions.ai/details/publication/pub.1008579291
250 https://doi.org/10.1007/s004640080088
251 rdf:type schema:CreativeWork
252 sg:pub.10.1007/s10029-003-0173-6 schema:sameAs https://app.dimensions.ai/details/publication/pub.1033526288
253 https://doi.org/10.1007/s10029-003-0173-6
254 rdf:type schema:CreativeWork
255 sg:pub.10.1007/s10029-006-0080-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021016250
256 https://doi.org/10.1007/s10029-006-0080-8
257 rdf:type schema:CreativeWork
258 https://app.dimensions.ai/details/publication/pub.1080239695 schema:CreativeWork
259 https://doi.org/10.1001/archsurg.139.12.1376 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025599053
260 rdf:type schema:CreativeWork
261 https://doi.org/10.1002/bjs.4213 schema:sameAs https://app.dimensions.ai/details/publication/pub.1030353456
262 rdf:type schema:CreativeWork
263 https://doi.org/10.1002/bjs.4301 schema:sameAs https://app.dimensions.ai/details/publication/pub.1025858356
264 rdf:type schema:CreativeWork
265 https://doi.org/10.1016/s1072-7515(99)00039-3 schema:sameAs https://app.dimensions.ai/details/publication/pub.1044236143
266 rdf:type schema:CreativeWork
267 https://doi.org/10.1016/s1479-666x(04)80095-7 schema:sameAs https://app.dimensions.ai/details/publication/pub.1021904594
268 rdf:type schema:CreativeWork
269 https://doi.org/10.1046/j.1365-2168.2002.02260.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1041834759
270 rdf:type schema:CreativeWork
271 https://doi.org/10.1089/lap.2000.10.71 schema:sameAs https://app.dimensions.ai/details/publication/pub.1059292618
272 rdf:type schema:CreativeWork
273 https://doi.org/10.1097/00000658-199611000-00003 schema:sameAs https://app.dimensions.ai/details/publication/pub.1060134381
274 rdf:type schema:CreativeWork
275 https://doi.org/10.1097/00019509-199808000-00011 schema:sameAs https://app.dimensions.ai/details/publication/pub.1060293246
276 rdf:type schema:CreativeWork
277 https://doi.org/10.1097/00129689-200002000-00006 schema:sameAs https://app.dimensions.ai/details/publication/pub.1060306301
278 rdf:type schema:CreativeWork
279 https://doi.org/10.1097/00129689-200104000-00018 schema:sameAs https://app.dimensions.ai/details/publication/pub.1024057973
280 rdf:type schema:CreativeWork
281 https://doi.org/10.1097/01.sla.0000186440.02977.de schema:sameAs https://app.dimensions.ai/details/publication/pub.1046397601
282 rdf:type schema:CreativeWork
283 https://doi.org/10.1111/j.1445-2197.2005.03487.x schema:sameAs https://app.dimensions.ai/details/publication/pub.1033292197
284 rdf:type schema:CreativeWork
285 https://www.grid.ac/institutes/grid.413154.6 schema:alternateName Gold Coast Hospital
286 schema:name Laparoscopic Surgery, John Flynn Gold Coast Hospital, Gold Coast, QLD, Australia
287 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...