{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T19:07:29Z","timestamp":1777921649888,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"published-print":{"date-parts":[[2023,10,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The type of mesh used in inguinal hernia repairs remains controversial. There are limited data looking at specific mesh-related complications. The objective of this study is to assess postoperative 90-day outcomes in lightweight (LW) and heavyweight (HW) anatomical mesh in minimally invasive inguinal hernia repairs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective single-center database was queried for all adult minimally invasive inguinal hernia repairs with anatomical mesh from July 2016 to March 2021. Demographics and surgical outcomes were analyzed. Univariate analysis and multivariate logistic regression were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Six hundred forty-seven minimally invasive inguinal hernia repairs were performed with 423 (65.3%) using HW and 224 (24.7%) using LW mesh. There was no difference in mean body mass index between the groups (26.9\u2009\u00b1\u20094.2\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      in the LW group and 27.1\u2009\u00b1\u20094.2\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      in the HW group;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.69). There was no difference in type of mesh fixation used in either group, with tacker being the most common. There was no difference in postoperative emergency department (ED) visit (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.625), readmission rates (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.562), or postoperative complications between the two groups. Fifty patients presented with seroma within 90 days. There were five recurrences in each group and only one surgical site infection in the LW within 90 days. Multivariate logistic regression was performed, and predictors of seroma formation included age (odds ratio [OR] 1.02; confidence interval [CI] 1\u20131.04;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.02) and hypertension (HTN) (OR 1.8; CI 1.03\u20133.4;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.039). HW mesh was not associated with seroma formation (OR 1.04; CI 0.5\u20131.9;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.895). Similarly, HW mesh was not associated with surgical site occurrences (SSO) (OR 1.04; CI 0.5\u20131.8;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.872). HTN was associated with SSO (OR 1.74; CI 1\u20133.05;\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u2009.048).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Our study did not favor the use of LW or HW mesh when comparing postoperative complications or clinical outcomes. HW mesh was not associated with either seroma formation or SSO.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/lap.2023.0185","type":"journal-article","created":{"date-parts":[[2023,9,18]],"date-time":"2023-09-18T15:03:59Z","timestamp":1695049439000},"page":"944-948","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Does the Weight Matter? Short-Term Outcomes of Lightweight Versus Heavyweight Three-Dimensional Anatomical Mesh in Minimally Invasive Inguinal Hernia Repair"],"prefix":"10.1177","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7383-1284","authenticated-orcid":false,"given":"Diego L.","family":"Lima","sequence":"first","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center, Bronx, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Valentina","family":"Viscarret","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center, Bronx, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Raquel","family":"Nogueira","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center, Bronx, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o P.G.","family":"Kasakewitch","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center, Bronx, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-6028-0923","authenticated-orcid":false,"given":"Robin","family":"Berk","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center, Bronx, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prashanth","family":"Sreeramoju","sequence":"additional","affiliation":[{"name":"Department of Surgery, Montefiore Medical Center, Bronx, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Flavio","family":"Malcher","sequence":"additional","affiliation":[{"name":"Division of General Surgery, New York University Langone Health, New York, New York, USA."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,10,4]]},"reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039-6109(03)00132-4"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-022-01494-7"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-017-1668-x"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5627"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000218081.53940.01"},{"issue":"9","key":"e_1_3_4_7_2","first-page":"CD011517","article-title":"Mesh versus non-mesh for inguinal and femoral hernia repair","volume":"9","author":"Lockhart K","year":"2018","unstructured":"Lockhart K, , Dunn D, , Teo S, et al. Mesh versus non-mesh for inguinal and femoral hernia repair. Cochrane Database Syst Rev, 2018; 9(9):CD011517.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2007.02.012"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2018.10.016"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-011-0810-4"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268-006-0123-4"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4833"},{"issue":"2","key":"e_1_3_4_13_2","doi-asserted-by":"crossref","first-page":"154","DOI":"10.4103\/0972-9941.170018","article-title":"A prospective randomised controlled trial comparing chronic groin pain and quality of life in lightweight versus heavyweight polypropylene mesh in laparoscopic inguinal hernia repair","volume":"12","author":"Prakash P","year":"2016","unstructured":"Prakash P, , Bansal VK, , Misra MC, et al. A prospective randomised controlled trial comparing chronic groin pain and quality of life in lightweight versus heavyweight polypropylene mesh in laparoscopic inguinal hernia repair. J Minim Access Surg, 2016; 12,(2):154\u2013161.","journal-title":"J Minim Access Surg"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1177\/155335060501200109"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-007-0236-1"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.5403"},{"key":"e_1_3_4_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-005-0026-6"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.6325"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10029-012-0900-y"},{"issue":"4","key":"e_1_3_4_20_2","doi-asserted-by":"crossref","first-page":"474","DOI":"10.1002\/bjs.9006","article-title":"Randomized clinical trial of self-gripping mesh versus sutured mesh for Lichtenstein hernia repair","volume":"100","author":"Jorgensen LN","year":"2013","unstructured":"Jorgensen LN, , Sommer T, , Assaadzadeh S, et al. Randomized clinical trial of self-gripping mesh versus sutured mesh for Lichtenstein hernia repair. Br J Surg, 2013; 100,(4):474\u2013481.","journal-title":"Br J Surg"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-018-6178-0"}],"container-title":["Journal of Laparoendoscopic &amp; Advanced Surgical Techniques"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1089\/lap.2023.0185","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2023.0185","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1089\/lap.2023.0185","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T19:58:32Z","timestamp":1777665512000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1089\/lap.2023.0185"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10,1]]},"references-count":20,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2023,10,1]]}},"alternative-id":["10.1089\/lap.2023.0185"],"URL":"https:\/\/doi.org\/10.1089\/lap.2023.0185","relation":{},"ISSN":["1092-6429","1557-9034"],"issn-type":[{"value":"1092-6429","type":"print"},{"value":"1557-9034","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,10,1]]}}}