Evidence map›Paper›PMID 25387655›Full record

Trial reportSurgery today2015

Efficacy and safety of strong acid electrolyzed water for peritoneal lavage to prevent surgical site infection in patients with perforated appendicitis.

Akio Kubota, Taro Goda, Tomomitsu Tsuru, Takeo Yonekura, Makoto Yagi, Hisayoshi Kawahara, Akihiro Yoneda, Yuko Tazuke, Gakuto Tani, Tomohiro Ishii and 2 more

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgery today, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04512196 (Incidence of Surgical Site Infection in Perforated Appendicitis After Peritoneal Lavage With Super-oxidised Solution), which is not on this map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
1.6field-weighted citation impact, top 17% 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.

NCT04512196 nacompletednot on this mapstarted 2020, after this paper: background citation

Incidence of Surgical Site Infection in Perforated Appendicitis After Peritoneal Lavage With Super-oxidised Solution: A Randomised Double-blind, Placebo-controlled Trial

TypeinterventionalSponsorHospital Queen Elizabeth, MalaysiaRan2020 to 2022Enrolled102ConditionsPerforated AppendicitisArmsSuperoxidized Water, Normal Saline
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 50 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
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  5. Review
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  9. Review
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  15. Article
  16. Review
  17. Hypochlorous Acid: A Review.Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons · 2020
    Review
  18. Article
  19. Intraperitoneal Infusion of Neutral-pH Superoxidized Solution in Rats: Evaluation of Toxicity and Complications on Peritoneal Surface and Liver.Medical science monitor : international medical journal of experimental and clinical research · 2017
    Article
  20. 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

12 authors at 3 institutions in 2 countries.

Akio KubotaDepartment of Pediatric Surgery, Osaka Medical Center and Research Center for Maternal and Child Health, 840 Murodo-cho, Izumi, Osaka, 594-1101, Japan, kubota@wakayama-med.ac.jp.
Taro Goda
Tomomitsu Tsuru
Takeo Yonekura
Makoto Yagi
Hisayoshi Kawahara
Akihiro Yoneda
Yuko Tazuke
Gakuto Tani
Tomohiro Ishii
Satoshi Umeda
Katsuhisa Hirano
Osaka Medical Center for Cancer and Cardiovascular Diseases · JPKindai University · JPVilla Maria Hospital · UG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOur previous experimental study of perforated peritonitis in rats proved that peritoneal lavage with strong acid electrolyzed water (SAEW) has no adverse effects, reduces the bacteria count in the ascitic fluid more effectively than saline, and increases the survival rate significantly. Thus, we conducted a randomized controlled study, applying SAEW in the treatment of perforated appendicitis in children.

methodsForty-four patients, aged 3-14 years, were randomly divided into two groups: Group S (n = 20), in which the peritoneal cavity was lavaged with 100 ml/kg saline and the wound was washed out with 200 ml saline; and Group E (n = 24), in which the peritoneal cavity was lavaged with 100 ml/kg SAEW and the wound was washed out with 200 ml SAEW.

resultsNo adverse effect of SAEW was observed in Group E. There was no difference in the bacterial evanescence ratio of ascitic fluid after lavage between Groups S and E (11.1 and 15.8%, respectively). A residual abscess developed in one patient from each group (5.0 and 4.2%, respectively). The incidence of surgical site infection (SSI) was significantly lower in Group E than in Group S (0 and 20%, respectively; P < 0.05). There was no difference in the duration of pyrexia, positive C-reactive protein, leukocytosis, or hospital stay between the groups.

conclusionPeritoneal lavage and wound washing with SAEW have no adverse effects and are effective for preventing SSI.

Indexed as

AppendectomyAdolescentAnti-Infective Agents, LocalAppendicitisChildChild, PreschoolFemaleHumansHydrogen PeroxideIncidenceMalePeritoneal LavageSurgical Wound InfectionTreatment OutcomeAnti-Infective Agents, LocalHydrogen Peroxidesuperoxidized water

Identifiers

PMID25387655
OpenAlexW2017841503

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.