Evidence map›Paper›PMID 26044391›Full record

Trial reportAesthetic plastic surgery2015

A Prospective, Randomized, Multicenter Trial Assessing a Novel Lysine-Derived Urethane Adhesive in a Large Flap Surgical Procedure without Drains.

Joseph P Hunstad, Joseph Michaels, A Jay Burns, Sheri Slezak, W Grant Stevens, Dottie M Clower, J Peter Rubin

Open access · hybridAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Aesthetic plastic surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.1field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 17 citations in OpenAlex.

  1. Trial
  2. Standards and Trends in Lipoabdominoplasty.Plastic and reconstructive surgery. Global open · 2020
    Review
  3. Article
  4. Can drains be avoided in lipo-abdominoplasty?Indian journal of plastic surgery : official publication of the Association of Plastic Surgeons of India
    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

7 authors at 7 institutions in 1 country.

Joseph P HunstadDepartment of Surgery, Division of Plastic Surgery, and the Hunstad Kortesis Center for Cosmetic Plastic Surgery and Med Spa, The University of North Carolina Chapel Hill, Huntersville, NC, USA.
Joseph Michaels
A Jay Burns
Sheri Slezak
W Grant Stevens
Dottie M Clower
J Peter Rubin
Aesthetic Surgery Center · USCohera Medical (United States) · USDallas Plastic Surgery Institute · USHunstad Kortesis Bharti Cosmetic Surgery · USMarina Del Rey Hospital · USUniversity of Maryland, Baltimore · USUniversity of Pittsburgh · US

Funding

Surgical Adhesive for Seroma PreventionR44GM080766 · NIGMS · COHERA MEDICAL, INC. · PI COBERLY, CHAD · 2008 to 2014
$3.3M
NIGMS NIH HHS 2R44GM080766-04A1NIGMS NIH HHS R44 GM080766
6 · The paper itself

Abstract

objectiveTo evaluate the safety and effectiveness of a lysine-derived urethane adhesive as a noninvasive alternative to closed suction drains in a commonly performed large flap surgical procedure.

methodsOne hundred thirty subjects undergoing abdominoplasty at five centers were prospectively randomized to standard flap closure with surgical drains (Control group) or a lysine-derived urethane adhesive (Treatment group) without drains. The primary outcome measured was the number of post-operative procedures, including drain removals (as the event marking the use of a surgical drain) and needle aspirations. Secondary endpoints included total wound drainage, cumulative days of treatment, and days to drain removal. A patient questionnaire evaluating quality of life measures was also administered.

resultsSubjects in the Treatment group required significantly fewer post-operative procedures compared to the Control group (1.8 ± 3.8 vs. 2.4 ± 1.2 procedures; p < 0.0001) and fewer cumulative days of treatment (1.6 ± 0.4 vs. 7.3 ± 3.3; p < 0.0001). A procedure to address fluid accumulation was required for only 27.3 % of the subjects in the Treatment group versus 100 % of Control group, which by study design required the use of drains. The mean duration of use of indwelling surgical drains for the Control group was 6.9 ± 3.3 days. All fluid collections treated with percutaneous aspiration were resolved and there were no unanticipated adverse events.

conclusionThe results of the study support that the use of a lysine-derived urethane adhesive is a safe and effective alternative to drains in patients undergoing a common large flap surgical procedure.

Indexed as

LysinePlastic Surgery ProceduresSurgical FlapsTissue AdhesivesUrethaneAdultDrainageFemaleHumansMaleProspective StudiesLysineTissue AdhesivesUrethane

Identifiers

PMID26044391
PMCPMC4503854
OpenAlexW612551963

What OpenQuestion holds

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LicenceCC BY
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.