Evidence map›Paper›PMID 27177957›Full record

Trial reportSurgical endoscopy2017

Effect of bag extraction to prevent wound infection on umbilical port site wound on elective laparoscopic cholecystectomy: a prospective randomised clinical trial.

Jordi Comajuncosas, Judit Hermoso, Jaime Jimeno, Pere Gris, Rolando Orbeal, Antonio Cruz, David Parés

2 registry-linked trialsOpen access · greenAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Surgical endoscopy, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
0.5field-weighted citation impact, top 29% 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.

NCT02788942 nacompletednot on this map

The Relationship Between the Removing Port of the Laparoscopic Cholecystectomy Material and the Port Site Infections

TypeinterventionalSponsorSisli Hamidiye Etfal Training and Research HospitalRan2016 to 2017Enrolled120ConditionsWound InfectionArmsRemoving from Epigastric port
NCT07595692 nacompletednot on this mapstarted 2024, after this paper: background citation

Tri-Radial Fascial Micro-Incision Technique for Difficult Gallbladder Extraction During Laparoscopic Cholecystectomy: A Prospective Randomized Controlled Trial

TypeinterventionalSponsorBangladesh NavyRan2024 to 2026Enrolled156ConditionsCholelithiasis, Difficult Gallbladder Extraction, Laparoscopic Cholecystectomy Surgery, Port-Site Fascial ExtensionArmsVertical Fascial Extension, Horizontal Fascial Extension, Tri-Radial Fascial Micro-Incision
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
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 2 institutions in 1 country.

Jordi ComajuncosasDepartment of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, C/Camí Vell de la Colònia 25, 08830, Sant Boi de Llobregat, Barcelona, Spain. j.comajuncosas@pssjd.org.
Judit HermosoDepartment of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, C/Camí Vell de la Colònia 25, 08830, Sant Boi de Llobregat, Barcelona, Spain.
Jaime JimenoDepartment of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, C/Camí Vell de la Colònia 25, 08830, Sant Boi de Llobregat, Barcelona, Spain.
Pere GrisDepartment of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, C/Camí Vell de la Colònia 25, 08830, Sant Boi de Llobregat, Barcelona, Spain.
Rolando OrbealDepartment of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, C/Camí Vell de la Colònia 25, 08830, Sant Boi de Llobregat, Barcelona, Spain.
Antonio CruzDepartment of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, C/Camí Vell de la Colònia 25, 08830, Sant Boi de Llobregat, Barcelona, Spain.
David ParésDepartment of General and Digestive Surgery, Parc Sanitari Sant Joan de Déu, Universitat de Barcelona, C/Camí Vell de la Colònia 25, 08830, Sant Boi de Llobregat, Barcelona, Spain.
Parc Sanitari Sant Joan de Déu · ESUniversitat de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLaparoscopic cholecystectomy is the gold standard treatment for gallbladder stones. Complications due to laparoscopic procedure are rare, but rate of wound infection in some studies is about 8 %. From January 2007 to December 2008, 320 laparoscopic cholecystectomies were performed at our hospital, and in 4.7 % of them, wound infection of the umbilical trocar was identified. We believe that this infection rate could be lower and that it is necessary to implement a new technique to reduce the wound infection. The aim of the study was to evaluate the benefits of bag extraction of gallbladder to prevent the wound infection.

methodsTwo-arm, parallel, 1:1, randomised controlled trial (ISRCTN38095251). All patients suffering from symptomatic gallbladder stones of low risk were enrolled for this study and were divided into two groups in basics gallbladder extraction: with (80 patients) or, as usually, without bag (76 patients). All patients with cholecystitis or accidental gallbladder perforation were excluded. We compared all the results to establish whether meaningful differences were found.

resultsThe final sample analysed (156 patients) consisted of 121 women and 35 men; there were 80 in the control group and 76 in the study group. There were 15 (9.6 %) diagnosed wound infections, eight cases in the study group and seven in the control group. There were no statistically significant differences.

conclusionsThe determinant of wound infection in elective laparoscopic cholecystectomy is not the direct contact of the gallbladder with the wound; therefore, bag extraction is not necessary.

Indexed as

Cholecystectomy, LaparoscopicCholecystitisElective Surgical ProceduresFemaleHumansMaleMiddle AgedProspective StudiesSurgical Wound InfectionBag extractionGallbladderLaparoscopic cholecystectomyLaparoscopic complicationsTrocar site incisional herniaWound infection

Identifiers

PMID27177957
OpenAlexW2387175194

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.