Get quick answers to your questions about the article from our AI researcher chatbot
{'id': 'https://openalex.org/W155264843', 'doi': None, 'title': 'Management of asymptomatic inguinal hernias', 'display_name': 'Management of asymptomatic inguinal hernias', 'publication_year': 2008, 'publication_date': '2008-12-01', 'ids': {'openalex': 'https://openalex.org/W155264843', 'mag': '155264843'}, 'language': 'en', 'primary_location': {'is_oa': False, 'landing_page_url': 'http://europepmc.org/theses/ETH/495246', 'pdf_url': None, 'source': None, 'license': None, 'license_id': None, 'version': None, 'is_accepted': False, 'is_published': False}, 'type': 'dissertation', 'type_crossref': 'dissertation', 'indexed_in': [], 'open_access': {'is_oa': False, 'oa_status': 'closed', 'oa_url': None, 'any_repository_has_fulltext': False}, 'authorships': [{'author_position': 'first', 'author': {'id': 'https://openalex.org/A5103504052', 'display_name': 'Ahmed Alani', 'orcid': None}, 'institutions': [], 'countries': [], 'is_corresponding': True, 'raw_author_name': 'Ahmed M. Alani', 'raw_affiliation_strings': [], 'affiliations': []}], 'institution_assertions': [], 'countries_distinct_count': 0, 'institutions_distinct_count': 0, 'corresponding_author_ids': ['https://openalex.org/A5103504052'], 'corresponding_institution_ids': [], 'apc_list': None, 'apc_paid': None, 'fwci': None, 'has_fulltext': False, 'cited_by_count': 1, 'citation_normalized_percentile': {'value': 0.87527, 'is_in_top_1_percent': False, 'is_in_top_10_percent': False}, 'cited_by_percentile_year': {'min': 63, 'max': 70}, 'biblio': {'volume': None, 'issue': None, 'first_page': None, 'last_page': None}, 'is_retracted': False, 'is_paratext': False, 'primary_topic': {'id': 'https://openalex.org/T10961', 'display_name': 'Hernia repair and management', 'score': 0.9998, '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'}}, 'topics': [{'id': 'https://openalex.org/T10961', 'display_name': 'Hernia repair and management', 'score': 0.9998, '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/T11218', 'display_name': 'Hip disorders and treatments', 'score': 0.9717, '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/T12463', 'display_name': 'Amoebic Infections and Treatments', 'score': 0.9537, 'subfield': {'id': 'https://openalex.org/subfields/2725', 'display_name': 'Infectious Diseases'}, '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/groin', 'display_name': 'Groin', 'score': 0.65523607}, {'id': 'https://openalex.org/keywords/hernia-repair', 'display_name': 'Hernia Repair', 'score': 0.63876003}, {'id': 'https://openalex.org/keywords/presentation', 'display_name': 'Presentation (obstetrics)', 'score': 0.59241587}], 'concepts': [{'id': 'https://openalex.org/C71924100', 'wikidata': 'https://www.wikidata.org/wiki/Q11190', 'display_name': 'Medicine', 'level': 0, 'score': 0.9096029}, {'id': 'https://openalex.org/C2781132756', 'wikidata': 'https://www.wikidata.org/wiki/Q1144039', 'display_name': 'Inguinal hernia', 'level': 3, 'score': 0.7790328}, {'id': 'https://openalex.org/C2777910003', 'wikidata': 'https://www.wikidata.org/wiki/Q1707292', 'display_name': 'Asymptomatic', 'level': 2, 'score': 0.7520008}, {'id': 'https://openalex.org/C2779096551', 'wikidata': 'https://www.wikidata.org/wiki/Q133076', 'display_name': 'Hernia', 'level': 2, 'score': 0.741693}, {'id': 'https://openalex.org/C61434518', 'wikidata': 'https://www.wikidata.org/wiki/Q932510', 'display_name': 'General surgery', 'level': 1, 'score': 0.68133473}, {'id': 'https://openalex.org/C2779967601', 'wikidata': 'https://www.wikidata.org/wiki/Q211159', 'display_name': 'Groin', 'level': 2, 'score': 0.65523607}, {'id': 'https://openalex.org/C2776724281', 'wikidata': 'https://www.wikidata.org/wiki/Q2531594', 'display_name': 'Hernia repair', 'level': 3, 'score': 0.63876003}, {'id': 'https://openalex.org/C2777601897', 'wikidata': 'https://www.wikidata.org/wiki/Q3409113', 'display_name': 'Presentation (obstetrics)', 'level': 2, 'score': 0.59241587}, {'id': 'https://openalex.org/C141071460', 'wikidata': 'https://www.wikidata.org/wiki/Q40821', 'display_name': 'Surgery', 'level': 1, 'score': 0.48427266}, {'id': 'https://openalex.org/C188816634', 'wikidata': 'https://www.wikidata.org/wiki/Q2113324', 'display_name': 'Prospective cohort study', 'level': 2, 'score': 0.4221084}, {'id': 'https://openalex.org/C23131810', 'wikidata': 'https://www.wikidata.org/wiki/Q818574', 'display_name': 'Observational study', 'level': 2, 'score': 0.41036904}, {'id': 'https://openalex.org/C126322002', 'wikidata': 'https://www.wikidata.org/wiki/Q11180', 'display_name': 'Internal medicine', 'level': 1, 'score': 0.0814971}], 'mesh': [], 'locations_count': 1, 'locations': [{'is_oa': False, 'landing_page_url': 'http://europepmc.org/theses/ETH/495246', 'pdf_url': None, 'source': None, 'license': None, 'license_id': None, 'version': None, 'is_accepted': False, 'is_published': False}], 'best_oa_location': None, 'sustainable_development_goals': [{'display_name': 'Good health and well-being', 'score': 0.67, 'id': 'https://metadata.un.org/sdg/3'}], 'grants': [], 'datasets': [], 'versions': [], 'referenced_works_count': 0, 'referenced_works': [], 'related_works': ['https://openalex.org/W3123752461', 'https://openalex.org/W2992027041', 'https://openalex.org/W2947433165', 'https://openalex.org/W2463662678', 'https://openalex.org/W2410537493', 'https://openalex.org/W2410507424', 'https://openalex.org/W2408519449', 'https://openalex.org/W2314235651', 'https://openalex.org/W2157624429', 'https://openalex.org/W2139690191', 'https://openalex.org/W2132660566', 'https://openalex.org/W2121781857', 'https://openalex.org/W2089885457', 'https://openalex.org/W2078055890', 'https://openalex.org/W2067031580', 'https://openalex.org/W1988103730', 'https://openalex.org/W1966445258', 'https://openalex.org/W1930711156', 'https://openalex.org/W1911801431', 'https://openalex.org/W1589401639'], 'abstract_inverted_index': {'Hernia': [0], 'surgery': [1, 378, 589, 854, 860], 'remains': [2, 61], 'one': [3, 419, 449, 545, 549], 'of': [4, 69, 79, 104, 109, 134, 149, 183, 194, 199, 289, 347, 359, 361, 410, 428, 438, 458, 478, 505, 563, 577, 599, 671, 693, 720, 753, 756, 786, 799, 849, 857, 896, 900, 915, 925], 'the': [5, 22, 46, 51, 56, 102, 132, 144, 147, 181, 184, 190, 222, 283, 305, 314, 367, 429, 434, 447, 539, 559, 573, 600, 665, 669, 690, 718, 732, 754, 757, 760, 768, 771, 773, 824, 833, 838, 847, 880, 894, 923], 'most': [6, 435, 560, 574, 752], 'common': [7, 561], 'operations': [8, 364], 'carried': [9, 159], 'out': [10], 'by': [11, 117, 120, 254], 'general': [12, 122, 653], 'surgeons': [13], 'worldwide': [14], 'with': [15, 38, 64, 95, 151, 177, 210, 231, 392, 414, 443, 454, 467, 508, 512, 606, 614], 'more': [16], 'than': [17, 43, 805], '800,000': [18], 'repairs': [19], 'performed': [20, 499], 'in': [21, 25, 28, 54, 71, 101, 197, 202, 376, 418, 440, 482, 486, 492, 524, 612, 697, 751, 780, 823, 855, 879, 935], 'USA': [23], 'alone': [24], '2003.': [26], 'Advancement': [27], 'surgical': [29, 250], 'technique': [30], 'has': [31], 'meant': [32], 'fewer': [33], 'recurrences': [34], 'are': [35, 111, 558], 'now': [36], 'encountered': [37], 'figures': [39, 68], 'dropping': [40], 'to': [41, 125, 174, 187, 356, 385, 432, 518, 603, 628, 664, 790, 821, 845, 904, 933], 'less': [42], '2%': [44], 'using': [45], 'laparoscopic': [47], 'approach.': [48], 'Yet': [49], 'despite': [50, 374], 'progress': [52], 'achieved': [53], 'securing': [55], 'repair,': [57], 'post': [58], 'operative': [59], 'pain': [60, 83, 651, 700, 724, 928], 'an': [62, 152, 178, 211, 232, 244, 352, 393, 397, 615, 874, 887, 916], 'issue': [63], 'many': [65], 'authors': [66], 'reporting': [67], '30%': [70], 'patients': [72, 80, 94, 150, 172, 208, 228, 280, 300, 326, 348, 390, 412, 441, 453, 488, 502, 526, 613, 620, 721, 794, 836, 850, 866, 877, 890, 934], 'following': [73], 'groin': [74], 'hernia': [75, 97, 116, 136, 203, 213, 312, 354, 363, 377, 395, 481, 816, 919], 'repair': [76, 914], '1,2,': [77], '3%': [78], 'report': [81], 'sever': [82], 'that': [84, 268, 308, 373, 387, 555, 913], 'limits': [85], 'their': [86, 115, 121, 400], 'daily': [87], 'activities': [88], 'and': [89, 106, 140, 192, 216, 275, 334, 424, 451, 456, 490, 514, 548, 568, 580, 590, 609, 637, 643, 652, 668, 731, 861, 871, 885, 929, 939], 'renders': [90], 'them': [91, 110, 506], 'off': [92], 'work.\nMany': [93], 'inguinal': [96, 154, 547, 570, 595, 918], 'have': [98], 'very': [99], 'little': [100], 'way': [103], 'symptoms': [105, 455], 'even': [107], 'some': [108], 'asymptomatic,': [112], 'having': [113], 'noticed': [114], 'accident': [118], 'or': [119, 253, 318, 623, 630, 677, 695, 709], 'practitioner.\nIn': [123], 'order': [124], 'clarify': [126], 'two': [127], 'issues': [128], '(the': [129], 'first': [130, 162, 306], 'being': [131, 330], 'incidence': [133], 'acute': [135, 179, 195, 212, 233, 245, 294, 353, 394, 401], 'presentation,': [137], 'its': [138], 'management': [139, 148, 193], 'subsequent': [141], 'outcome,': [142], 'while': [143, 313, 329, 340, 763], 'second': [145, 404], 'was': [146, 164, 186, 218, 304, 380, 406, 431, 474, 480, 546, 550, 554, 583, 602, 650, 741, 792, 803, 830, 844], 'asymptomatic': [153, 594, 616, 839, 917], 'hernia)': [155], '4': [156], 'studies': [157, 911], 'were': [158, 229, 271, 281, 338, 342, 462, 465, 498, 543, 625, 634, 685, 748, 775, 864, 902], 'out:': [160], 'The': [161, 345, 426, 470, 476, 597, 647, 784, 809, 841], 'study': [163, 168, 185, 225, 368, 371, 405, 409, 430, 448, 582, 601, 829], 'a': [165, 238, 249, 255, 292, 311, 407, 584, 607, 674, 796, 827], 'prospective': [166, 408, 585], 'observational': [167], 'looking': [169], 'at': [170, 248, 267, 640, 656, 702, 764, 795, 893], 'all': [171, 207, 362, 388, 411, 899], 'presenting': [173, 391, 413, 442], 'our': [175], 'unit': [176], 'hernia,': [180], 'aim': [182, 427, 598, 842], 'prospectively': [188], 'assess': [189, 846], 'presentation': [191], 'hernias': [196, 513, 530, 571], 'light': [198], 'recent': [200], 'changes': [201], 'management.': [204], '\nData': [205], 'on': [206, 282, 500, 710, 725], 'admitted': [209, 230], 'between': [214, 422, 689], '2001': [215], '2004': [217], 'collected': [219], 'prospectively.': [220], 'During': [221], '3': [223, 276, 288, 335, 337, 814], 'year': [224], 'period': [226], '91': [227], 'hernia.': [234, 617], '46': [236], 'had': [237, 261, 291, 310, 529, 533, 891], 'previous': [239, 293], 'medical': [240, 322], 'assessment': [241], 'either': [242], 'as': [243], 'admission': [246, 303], '(12)': [247], 'clinic': [251], '(22)': [252], 'General': [256], 'Practitioner': [257], '(12).': [258], 'Eighteen': [260], 'been': [262], 'declared': [263], 'unfit': [264], 'for': [265, 286, 332, 351, 383, 593, 673, 759, 778, 852, 859, 869], 'operation': [266, 287, 317, 333, 350, 398, 605, 672, 761, 791, 825], 'assessment,': [269], '10': [270], 'ASA4,': [272], '5': [273], 'ASA3': [274], 'ASA2.': [277], 'Eleven': [279], 'waiting': [284], 'list': [285], 'whom': [290], 'hospital': [295, 302, 402, 421], 'admission.': [296], 'For': [298], '30': [299], 'this': [301, 802], 'indication': [307], 'they': [309], 'remainder': [315], 'refused': [316], 'did': [319, 920], 'not': [320, 569, 921], 'seek': [321], 'advice.': [323], 'Five': [325], 'died,': [327], '2': [328, 341, 910], 'assessed': [331, 635], 'postoperatively,': [336], 'ASA4': [339], 'ASA3.': [343], 'number': [346, 719, 733], 'undergoing': [349], 'amounted': [355], '8.4%': [357], '(80': [358], '952)': [360], 'carried-out': [365], 'during': [366, 399], 'period.': [369], '\nThis': [370], 'concluded': [372, 912], 'advances': [375], 'there': [379, 684, 747], 'still': [381], 'room': [382], 'improvement,': [384], 'ensure': [386], 'suitable': [389], 'receive': [396], 'admission.\nThe': [403], 'subacute': [415], 'bowel': [416, 445, 460, 522, 565], 'obstruction': [417, 461, 479], 'teaching': [420], '2003': [423], '2004.': [425], 'identify': [433], 'frequent': [436, 575], 'causes': [437], 'strangulation': [439], 'small': [444, 459, 564], 'obstruction.\nDuring': [446], 'hundred': [450], 'sixty-one': [452], 'signs': [457], 'admitted.': [463], 'Eighty-nine': [464], 'confirmed': [466], 'contrast': [468], 'studies.': [469], 'male:': [471], 'female': [472], 'ratio': [473], '1:1.6.': [475], 'aetiology': [477], '29': [483, 727], '(18%),': [484], 'adhesions': [485, 534, 557], '97': [487], '(60.2%),': [489], 'miscellaneous': [491], '35': [493], '(21.8%)': [494], 'Operative': [496], 'procedures': [497], '74': [501], '(46%),': [503], '31': [504], '(42%)': [507], 'adhesions,': [509], '25': [510], '(34%)': [511], '18': [515], '(24%)': [516], 'due': [517, 903], 'other': [519, 659], 'causes.': [520], 'Strangulated': [521], 'occurred': [523], '15': [525], '(9.3%);': [527], '12': [528, 657, 682, 765], 'whilst': [531, 556], 'three': [532], '(P': [535], '<': [536], '0.0001).': [537], 'Of': [538], 'strangulated': [540], 'hernias,': [541], 'ten': [542], 'femoral,': [544], 'paraumbilical.': [551], '\nOur': [552], 'conclusion': [553], 'cause': [562, 576], 'obstruction,': [566], 'femoral': [567], 'remain': [572], 'strangulation.\nThe': [578], 'third': [579], 'main': [581], 'randomized': [586], 'trial': [587], 'comparing': [588], 'no': [591, 686, 853], 'intervention': [592], 'hernias.': [596], 'compare': [604], 'wait': [608], 'see': [610], 'policy': [611], '\n160': [618], 'male': [619], '55': [621], 'years': [622], 'older': [624], 'randomly': [626], 'assigned': [627], 'observation': [629, 694, 789, 810, 870, 881], 'operation.': [631], 'Patients': [633], 'clinically': [636], 'sent': [638], 'questionnaires': [639], '6': [641, 745], 'months': [642, 683, 746, 766], '1': [644], 'year.': [645], 'primary': [648], 'endpoint': [649], 'health': [654, 666, 781, 938], 'status': [655], 'months;': [658], 'outcome': [660, 848], 'measures': [661], 'included': [662], 'costs': [663], 'service': [667], 'rate': [670, 785, 924], 'new': [675], 'symptom': [676], 'complication.': [678], '\nAt': [681], 'significant': [687, 749, 777], 'differences': [688, 774], 'randomised': [691, 835], 'groups': [692], 'operation,': [696, 888], 'visual': [698], 'analogue': [699], 'scores': [701], 'rest,': [703], '3.7mm': [704], 'versus': [705, 713, 728, 738], '5.2mm': [706], '(P=0.34),': [708], 'moving,': [711], '7.6mm': [712], '5.7mm': [714], '(P=0.39).': [715], 'Also': [717], 'who': [722], 'recorded': [723], 'moving': [726], '24': [729], '(P=0.31),': [730], 'taking': [734], 'regular': [735], 'analgesia,': [736], '9': [737, 889], '17,': [739], '(P=0.14)': [740], 'similar.': [742], 'At': [744], 'improvements': [750], 'dimensions': [755], 'SF-36': [758], 'group,': [762], 'although': [767], 'trend': [769], 'remained': [770], 'same': [772], 'only': [776], 'change': [779], '(P=0.039).': [782], 'crossover': [787], 'from': [788, 832], '23': [793], 'median': [797], 'follow-up': [798], '574': [800], 'days,': [801], 'higher': [804], 'predicted.': [806], 'group': [811, 882], 'also': [812], 'suffered': [813], 'serious': [815, 942], 'related': [817], 'adverse': [818], 'events': [819], 'compared': [820], 'none': [822], 'group.\nFinally': [826], 'sub': [828], 'generated': [831], 'non': [834], 'within': [837], 'trial.': [840], 'here': [843], 'opting': [851, 868], 'terms': [856], 'need': [858], 'outcome.': [862], '\nThere': [863], '72': [865], '(58': [867], '14': [872], 'wanting': [873], 'operation),': [875], '13': [876], '(22.4%)': [878], 'became': [883], 'symptomatic': [884], 'required': [886], 'died': [892], 'time': [895], 'data': [897], 'analysis,': [898], 'which': [901], 'co': [905], 'morbid': [906], 'illnesses.': [907], '\nThe': [908], 'final': [909], 'affect': [922], 'long-term': [926], 'chronic': [927], 'might': [930], 'be': [931], 'beneficial': [932], 'improving': [936], 'overall': [937], 'reducing': [940], 'potentially': [941], 'morbidity.': [943]}, 'cited_by_api_url': 'https://api.openalex.org/works?filter=cites:W155264843', 'counts_by_year': [{'year': 2014, 'cited_by_count': 1}], 'updated_date': '2024-12-14T22:54:04.152033', 'created_date': '2016-06-24'}