Evidence map›Paper›PMID 28124278›Full record

SynthesisUpdates in surgery2017

A systematic review of clinical effectiveness of wound edge protector devices in reducing surgical site infections in patients undergoing abdominal surgery.

Muhammad Shafique Sajid, M A Rathore, P Sains, K K Singh

Registry-linked trialAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Updates in surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03816995 (A Novel Wound Retractor Combining Continuous Irrigation and Barrier Protection Reduces Incisional Contamination and Surgical Site Infection in Colorectal Surgery), which is not on this map. Cited by 13 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 9% 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.

NCT03816995 nacompletednot on this mapstarted 2019, after this paper: background citation

A Novel Wound Retractor Combining Continuous Irrigation and Barrier Protection Reduces Incisional Contamination and Surgical Site Infection in Colorectal Surgery

TypeinterventionalSponsorScott SteeleRan2019 to 2023Enrolled702ConditionsColorectal SurgeryArmsCleanCision Wound Retraction and Protection System, Alexis O Wound Protector
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Wound protectors for improved exposure in open hernia repair.Hernia : the journal of hernias and abdominal wall surgery · 2019
    Article
  11. Prophylactic closed-incision negative-pressure wound therapy is associated with decreased surgical site infection in high-risk colorectal surgery laparotomy wounds.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2019
    Article
  12. Article
  13. O-Ring Protector in Prevention of SSIs in Laparoscopic Colorectal Surgery.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    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

4 authors at 3 institutions in 1 country.

Muhammad Shafique SajidDepartment of General, Endoscopic and Laparoscopic Colorectal Surgery, Brighton and Sussex University Hospitals NHS Trust, Eastern Road, Brighton, BN2 5BE, UK. surgeon1wrh@hotmail.com.
M A RathoreDepartment of General, Endoscopic and Laparoscopic Colorectal Surgery, Pilgrims Hospital, United Lincolnshire Hospitals NHS Trust, Sibsey Road, Boston, Lincolnshire, PE21 9QS, UK.
P SainsDepartment of General, Endoscopic and Laparoscopic Colorectal Surgery, Brighton and Sussex University Hospitals NHS Trust, Eastern Road, Brighton, BN2 5BE, UK.
K K SinghDepartment of General, Endoscopic, Laparoscopic Upper GI Surgery and Hepato-Pancreatico-Biliary Surgery, Brighton and Sussex University Hospitals NHS Trust, Eastern Road, Brighton, BN2 5BE, UK.
Brighton General Hospital · GBUnited Lincolnshire Hospitals NHS Trust · GBUniversity Hospitals Sussex NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article highlights the clinical effectiveness of wound edge protector devices (WEPD) in preventing the post-operative surgical site infections (SSI) in patients undergoing abdominal surgery. Using the principles of meta-analysis and systematic review as recommended by the Cochrane Collaboration, the data from selected randomized, controlled trials (RCTs) were analysed to generate summated outcome and presented in the form of odds ratio (OR). Eighteen RCTs on 3808 reported the effectiveness of WEPD in patients undergoing abdominal surgery. The use of WEPD was associated with the reduced incidence of overall SSI (OR 0.59; 95% CI 0.43-0.81; z = 3.30; p < 0.001) and superficial SSI (OR 0.42; 95% CI 0.18-0.95; z = 2.09; p < 0.04). In addition, WEPD also successfully reduced the risk of SSI in clean-contaminated wounds (OR 0.67; 95% CI 0.46-0.98; z = 2.06; p < 0.04) as well as in contaminated wounds (OR 0.24; 95% CI 0.12-0.49; z = 3.96; p < 0.0001). WEPD seems to be an effective intervention to reduce the risk of post-operative SSI in patients undergoing abdominal surgery.

Indexed as

Surgical InstrumentsAbdomenHumansSurgical Wound InfectionAbdominal surgerySurgical site infectionWound edge protector device

Identifiers

PMID28124278
OpenAlexW2580940228

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.