Evidence map›Paper›PMID 21360273›Full record

ArticleLangenbeck's archives of surgery2011

Anastomotic sealing with a fibrin-coated collagen patch in small-diameter bowel.

Martin Chmelnik, Lidia Lasch, Sandra Weih, Elvira Wink, Philipp Romero, Stefan Holland-Cunz

Abstract read
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In one paragraph

Article in Langenbeck's archives of surgery, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.4field-weighted citation impact, top 12% of its field
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

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

Who cites it

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. The comparison of the suture materials on intestinal anastomotic healing: an experimental study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
    Article
  2. Review
  3. The use of a novel adhesive tissue patch as an aid to anastomotic healing.Annals of the Royal College of Surgeons of England · 2018
    Observational
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Martin ChmelnikDivision of Pediatric Surgery, University of Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Germany. martin.chmelnik@med.uni-heidelberg.de
Lidia Lasch
Sandra Weih
Elvira Wink
Philipp Romero
Stefan Holland-Cunz
Heidelberg University · USHeidelberg University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim of this study was to evaluate the complication rates and inflammatory response in TachoSil™-sealed small-diameter anastomoses with conventional and reduced suture number as a model for neonatal bowel surgery.

methodsIleo-ileal anastomoses were performed in 73 rats. In the control group, the anastomosis was accomplished with the conventional technique, using nine interrupted sutures. In the other groups with nine, six, and three interrupted sutures, the anastomotic line was additionally sealed with a fibrin-coated collagen patch (TachoSil™). The rats were sacrificed on days 0, 2, and 10. Clinical and functional parameters included the rates of ileus, insufficiency and death, operating time, adhesions, bursting pressure, and preanastomotic dilatation. The histological examination of the anastomoses concentrated on assessing the inflammatory cell infiltration of the TachoSil™ patch and the intestinal wall.

resultsSevere preanastomotic dilatation was observed in additionally sealed ileo-ileal anastomoses with conventional suture number and high complication rates (ileus, perforation, death) occurred in additionally sealed anastomoses with reduced suture number. We found a massive microabscess-forming inflammation in additionally sealed anastomoses. Inflammatory cell infiltration was highest in the collagen layer of the sealing patch (p < 0.05 vs. fibrin layer of the sealing patch and vs. intestinal wall).

conclusionsAs a result of our findings, additional sealing of small-diameter intestinal anastomoses with TachoSil™ cannot be recommended.

Indexed as

FibrinogenFibrin Tissue AdhesiveSurgical SpongesThrombinAnastomosis, SurgicalAnimalsAnimals, NewbornDilatation, PathologicDrug CombinationsForeign-Body ReactionIleumIleusMalePostoperative ComplicationsRatsRats, Sprague-DawleyDrug CombinationsFibrinogenFibrin Tissue AdhesiveTachoSilThrombin

Identifiers

PMID21360273
OpenAlexW2063308227

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.