Evidence map›Paper›PMID 27429589›Full record

ArticleInternational journal of medical sciences2016

Evaluation of the Effectiveness of Peritoneal Adhesion Prevention Devices in a Rat Model.

D Poehnert, L Grethe, L Maegel, D Jonigk, T Lippmann, A Kaltenborn, H Schrem, J Klempnauer, M Winny

Open access · goldAbstract read
In one paragraph

Article in International journal of medical sciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
6.6field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Balancing hemostasis and function: the impact of hemostatic materials on voice and swallowing outcomes in nerve-preserved thyroidectomy.European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery · 2026
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  16. Effect of 4DryFieldCase reports in surgery · 2018
    Article
  17. Decision Making in Bowel Obstruction: A Review.Journal of clinical and diagnostic research : JCDR · 2016
    Review
  18. Treatment of de-peritonealized intestine with 4DryFieldAmerican journal of translational research · 2016
    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

9 authors at 1 institution in 1 country.

D Poehnert1. Department of General, Visceral and Transplantation Surgery, Hannover Medical School, Germany;
L Grethe1. Department of General, Visceral and Transplantation Surgery, Hannover Medical School, Germany;
L Maegel2. Institute of Pathology, Hannover Medical School, Germany;
D Jonigk2. Institute of Pathology, Hannover Medical School, Germany;
T Lippmann2. Institute of Pathology, Hannover Medical School, Germany;
A Kaltenborn3. Core Facility Quality Management and Health Technology Assessment in Transplantation, Integrated Research and Treatment Center-Transplantation (IFB-Tx), Hannover Medical School, Germany;; 4. Department of Trauma and Orthopaedic Surgery, Federal Armed Forces Hospital Westerstede, Westerstede, Germany.
H Schrem1. Department of General, Visceral and Transplantation Surgery, Hannover Medical School, Germany;; 3. Core Facility Quality Management and Health Technology Assessment in Transplantation, Integrated Research and Treatment Center-Transplantation (IFB-Tx), Hannover Medical School, Germany;
J Klempnauer1. Department of General, Visceral and Transplantation Surgery, Hannover Medical School, Germany;
M Winny1. Department of General, Visceral and Transplantation Surgery, Hannover Medical School, Germany;
Medizinische Hochschule Hannover · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbdominal operations are followed by adhesions, a prevalent cause of abdominal pain, and the most frequent cause for bowel obstruction and secondary female infertility. This rat study addresses adhesion prevention capability of Adept(®), Interceed(®), Seprafilm(®), and a novel device, 4DryField(®) PH which is provided as powder and generates its effect as gel.

methodsSixty-eight male Lewis rats had cecal abrasion and creation of an equally sized abdominal wall defect, and were grouped randomly: A control group without treatment (n=10); two groups treated with 4DryField(®) PH using premixed gel (n=15) or in-situ gel technique (n=16); one group each was treated with Seprafilm(®) (n=8), Interceed(®) (n=9), or Adept(®) (n=10). Sacrifice was on day 7 to evaluate incidence, quality, and quantity of adhesions, as expressed via adhesion reduction rate (AR). Histologic specimens were evaluated. Statistical analyses used ANOVA and unpaired t-tests.

results4DryField(®) PH significantly reduced incidence and severity of adhesions both as premixed gel (AR: 85.2%) and as in-situ made gel (AR: 100%), a comparison between these two application techniques showed no differences in efficacy. Seprafilm(®) did not reduce incidence but severity of adhesions significantly (AR: 53.5%). With Interceed(®) (AR: 3.7%) and Adept(®) (AR: 16.1%) no significant adhesion-reduction was achieved. Except for inflammatory response with Interceed(®), histopathology showed good tissue compatibility of all other devices.

conclusion4DryField(®) PH and Seprafilm(®) showed significant adhesion prevention capabilities. 4DryField(®) PH achieved the highest adhesion prevention effectiveness without restrictions concerning mode of application and compatibility and, thus, is a promising strategy to prevent abdominal adhesions.

Indexed as

Membranes, ArtificialAnimalsCarboxymethylcellulose SodiumHyaluronic AcidMalePeritoneal DiseasesPostoperative ComplicationsRandom AllocationRatsRats, Inbred LewTissue AdhesionsCarboxymethylcellulose SodiumHyaluronic AcidMembranes, Artificial4DryField® PHabdominal surgeryAdept®Adhesion preventionInterceed®rat model OPAMSeprafilm®

Identifiers

PMID27429589
PMCPMC4946123
OpenAlexW2463695579

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.