{"id":"https://openalex.org/W4288063404","doi":"https://doi.org/10.1097/sla.0000000000004913","title":"Laparoscopic Paraesophageal Hernia Repair: To Mesh or not to Mesh. Systematic Review and Meta-analysis","display_name":"Laparoscopic Paraesophageal Hernia Repair: To Mesh or not to Mesh. Systematic Review and Meta-analysis","publication_year":2021,"publication_date":"2021-04-09","ids":{"openalex":"https://openalex.org/W4288063404","doi":"https://doi.org/10.1097/sla.0000000000004913"},"language":"en","primary_location":{"id":"doi:10.1097/sla.0000000000004913","doi":"https://doi.org/10.1097/sla.0000000000004913","is_oa":false,"landing_page_url":"https://doi.org/10.1097/sla.0000000000004913","pdf_url":null,"source":{"id":"https://openalex.org/S157664895","display_name":"Annals of Surgery","issn_l":"0003-4932","issn":["0003-4932","1528-1140"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Surgery","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5055354548","display_name":"Cristian Agust\u00edn Angeramo","orcid":"https://orcid.org/0000-0001-7833-9416","observed_orcids":["https://orcid.org/0000-0001-7833-9416"]},"institutions":[{"id":"https://openalex.org/I4210140850","display_name":"Hospital Alem\u00e1n","ror":"https://ror.org/03ydmxb41","country_code":"AR","type":"healthcare","lineage":["https://openalex.org/I4210140850"]}],"countries":["AR"],"is_corresponding":false,"raw_author_name":"Cristian A. Angeramo","raw_affiliation_strings":["Department of Surgery, Hospital Alem\u00e1n of Buenos Aires, Argentina","Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.annalsofsurgery.com)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Hospital Alem\u00e1n of Buenos Aires, Argentina","institution_ids":["https://openalex.org/I4210140850"]},{"raw_affiliation_string":"Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.annalsofsurgery.com)","institution_ids":[]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5068372792","display_name":"Francisco Schlottmann","orcid":"https://orcid.org/0000-0003-3565-0559","observed_orcids":["https://orcid.org/0000-0003-3565-0559"]},"institutions":[{"id":"https://openalex.org/I4210140850","display_name":"Hospital Alem\u00e1n","ror":"https://ror.org/03ydmxb41","country_code":"AR","type":"healthcare","lineage":["https://openalex.org/I4210140850"]}],"countries":["AR"],"is_corresponding":false,"raw_author_name":"Francisco Schlottmann","raw_affiliation_strings":["Department of Surgery, Hospital Alem\u00e1n of Buenos Aires, Argentina","Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.annalsofsurgery.com)"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Surgery, Hospital Alem\u00e1n of Buenos Aires, Argentina","institution_ids":["https://openalex.org/I4210140850"]},{"raw_affiliation_string":"Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal's Web site (www.annalsofsurgery.com)","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I4210140850"],"apc_list":null,"apc_paid":null,"fwci":1.4574,"has_fulltext":false,"cited_by_count":71,"citation_normalized_percentile":{"value":0.8295,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":92,"max":100},"biblio":{"volume":"275","issue":"1","first_page":"67","last_page":"72"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10671","display_name":"Gastroesophageal reflux and treatments","score":0.8389000296592712,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10671","display_name":"Gastroesophageal reflux and treatments","score":0.8389000296592712,"subfield":{"id":"https://openalex.org/subfields/2715","display_name":"Gastroenterology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10961","display_name":"Hernia repair and management","score":0.10920000076293945,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11658","display_name":"Esophageal and GI Pathology","score":0.017899999395012856,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/paraesophageal-hernia","display_name":"paraesophageal hernia","score":0.9139999747276306},{"id":"https://openalex.org/keywords/laparoscopic-hernia-repair","display_name":"laparoscopic hernia repair","score":0.9769999980926514},{"id":"https://openalex.org/keywords/mesh-repair","display_name":"mesh repair","score":0.7870000004768372},{"id":"https://openalex.org/keywords/primary-suture-repair","display_name":"primary suture repair","score":0.8980000019073486},{"id":"https://openalex.org/keywords/hernia-recurrence","display_name":"hernia recurrence","score":0.9419999718666077},{"id":"https://openalex.org/keywords/absorbable-mesh","display_name":"absorbable mesh","score":0.9539999961853027},{"id":"https://openalex.org/keywords/postoperative-morbidity","display_name":"postoperative morbidity","score":0.8500000238418579},{"id":"https://openalex.org/keywords/reoperation","display_name":"reoperation","score":0.9610000252723694}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.984657347202301},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7458227276802063},{"id":"https://openalex.org/C82789193","wikidata":"https://www.wikidata.org/wiki/Q2142611","display_name":"Relative risk","level":3,"score":0.6035959720611572},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.5535889267921448},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.5479587912559509},{"id":"https://openalex.org/C2776724281","wikidata":"https://www.wikidata.org/wiki/Q2531594","display_name":"Hernia repair","level":3,"score":0.5392955541610718},{"id":"https://openalex.org/C2777327002","wikidata":"https://www.wikidata.org/wiki/Q2865760","display_name":"Fibrous joint","level":2,"score":0.5385845899581909},{"id":"https://openalex.org/C2779096551","wikidata":"https://www.wikidata.org/wiki/Q133076","display_name":"Hernia","level":2,"score":0.5168612599372864},{"id":"https://openalex.org/C2779270285","wikidata":"https://www.wikidata.org/wiki/Q7646218","display_name":"Surgical mesh","level":3,"score":0.5092650651931763},{"id":"https://openalex.org/C203092338","wikidata":"https://www.wikidata.org/wiki/Q1340863","display_name":"Clinical endpoint","level":3,"score":0.4670411944389343},{"id":"https://openalex.org/C2780047204","wikidata":"https://www.wikidata.org/wiki/Q675754","display_name":"Laparoscopy","level":2,"score":0.4264596700668335},{"id":"https://openalex.org/C95190672","wikidata":"https://www.wikidata.org/wiki/Q815382","display_name":"Meta-analysis","level":2,"score":0.4173714518547058},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.17800557613372803}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1097/sla.0000000000004913","doi":"https://doi.org/10.1097/sla.0000000000004913","is_oa":false,"landing_page_url":"https://doi.org/10.1097/sla.0000000000004913","pdf_url":null,"source":{"id":"https://openalex.org/S157664895","display_name":"Annals of Surgery","issn_l":"0003-4932","issn":["0003-4932","1528-1140"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310315671","host_organization_name":"Lippincott Williams & Wilkins","host_organization_lineage":["https://openalex.org/P4310315671","https://openalex.org/P4310318547"],"host_organization_lineage_names":["Lippincott Williams & Wilkins","Wolters Kluwer"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Annals of Surgery","raw_type":"journal-article"}],"best_oa_location":null,"sustainable_development_goals":[{"score":1.0,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"},{"id":"https://openalex.org/study-designs/meta-analysis","display_name":"Meta-Analysis"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":38,"referenced_works":["https://openalex.org/W617132328","https://openalex.org/W1897718937","https://openalex.org/W1898013468","https://openalex.org/W1998334875","https://openalex.org/W2000589061","https://openalex.org/W2010887537","https://openalex.org/W2014398019","https://openalex.org/W2017734725","https://openalex.org/W2023980160","https://openalex.org/W2024530558","https://openalex.org/W2050651133","https://openalex.org/W2060243872","https://openalex.org/W2061907381","https://openalex.org/W2067314556","https://openalex.org/W2071002878","https://openalex.org/W2102596388","https://openalex.org/W2141949088","https://openalex.org/W2152456846","https://openalex.org/W2161851767","https://openalex.org/W2167153833","https://openalex.org/W2312399222","https://openalex.org/W2323450899","https://openalex.org/W2344921330","https://openalex.org/W2568472839","https://openalex.org/W2579914756","https://openalex.org/W2614764499","https://openalex.org/W2617586019","https://openalex.org/W2793508143","https://openalex.org/W2803672880","https://openalex.org/W2807429288","https://openalex.org/W2921208318","https://openalex.org/W2927089285","https://openalex.org/W2963128385","https://openalex.org/W2991973068","https://openalex.org/W3009273181","https://openalex.org/W3016760264","https://openalex.org/W3036892159","https://openalex.org/W4237437699"],"related_works":["https://openalex.org/W3153695949","https://openalex.org/W4312082160","https://openalex.org/W4383198631","https://openalex.org/W2317789852","https://openalex.org/W85167497","https://openalex.org/W2617586019","https://openalex.org/W4411634323","https://openalex.org/W2039510650","https://openalex.org/W1837630366","https://openalex.org/W2981541676"],"abstract_inverted_index":{"Objective:":[0],"This":[1],"study":[2],"aimed":[3],"to":[4,47,76,91,269],"compare":[5],"outcomes":[6,37],"after":[7,26,223],"laparoscopic":[8],"paraesophageal":[9],"hernia":[10],"repair":[11,17,57,60,125,225],"(LPEHR)":[12],"with":[13,55,102,133,165,226,250,275],"mesh":[14,35,56,115,134,182,224,228,252,263],"or":[15,254],"primary":[16,74,166],"alone.":[18,61],"Summary":[19],"of":[20,34,181,259,262],"Background":[21],"Data:":[22],"High":[23],"recurrence":[24,69,161,169,248],"rates":[25,70,85,162,170,201,249],"LPEHR":[27,54,132,242],"have":[28,243],"been":[29],"reported.":[30],"Whether":[31],"the":[32,108,176,179,260],"use":[33],"improves":[36],"remains":[38],"elusive.":[39],"Methods:":[40],"A":[41,94],"systematic":[42],"literature":[43],"search":[44],"was":[45,96,221],"performed":[46],"identify":[48],"randomized":[49],"controlled":[50],"trials":[51],"(RCTs)":[52],"comparing":[53,114],"versus":[58,119],"suture":[59,120,255],"Early":[62],"(\u22646":[63],"months)":[64,68],"and":[65,83,149,185,199,246],"late":[66,150,247],"(>6":[67],"were":[71,86,126,171,212],"used":[72,87],"as":[73,88,163],"endpoints":[75,90],"assess":[77,92],"efficacy.":[78],"Intraoperative":[79,187],"complications,":[80],"overall":[81],"morbidity,":[82,219,266],"reoperation":[84,200],"secondary":[89],"safety.":[93],"meta-analysis":[95],"conducted":[97],"using":[98],"relative":[99],"risks":[100],"(RR)":[101],"95%":[103,142,154,192,205,232],"confidence":[104],"intervals":[105],"(CI)":[106],"for":[107,128],"analyzed":[109],"outcomes.":[110],"Results:":[111],"Seven":[112],"RCTs":[113],"(n":[116,122],"=":[117,123,140,144,147,152,156,159,190,194,197,203,207,210,230,234],"383)":[118],"only":[121,256],"352)":[124],"included":[127],"analysis.":[129],"Patients":[130,240],"undergoing":[131,241],"reinforcement":[135,253],"had":[136],"similar":[137,214,244],"early":[138,245],"(RR":[139,151,189,202,229],"0.74,":[141],"CI":[143,155,193,206,233],"0.26\u20132.07,":[145],"P":[146,158,196,209,236],"0.46)":[148],"0.75,":[153,204],"0.27\u20132.08,":[157],"0.48)":[160],"those":[164],"repair.":[167],"Similar":[168],"also":[172,213],"found":[173],"when":[174],"stratifying":[175],"analysis":[177],"by":[178],"type":[180,261],"utilized":[183],"(absorbable":[184],"nonabsorbable).":[186],"complications":[188],"1.03,":[191],"0.33\u20133.28,":[195],"0.92)":[198],"0.29\u20131.92,":[208],"0.45)":[211],"in":[215,272],"both":[216],"groups.":[217],"Overall":[218,265],"however,":[220,267],"higher":[222,271],"nonabsorbable":[227,276],"1.45,":[231],"1.24\u20131.71,":[235],"<":[237],"0.01)":[238],"Conclusions:":[239],"either":[251],"repair,":[257],"regardless":[258],"utilized.":[264],"seems":[268],"be":[270],"patients":[273],"repaired":[274],"mesh.":[277]},"counts_by_year":[{"year":2026,"cited_by_count":23},{"year":2025,"cited_by_count":12},{"year":2024,"cited_by_count":14},{"year":2023,"cited_by_count":12},{"year":2022,"cited_by_count":8},{"year":2021,"cited_by_count":2}],"updated_date":"2026-11-12T12:28:57.059296","created_date":"2022-07-28T00:00:00"}
