Evidence map›Paper›PMID 30111378›Full record

Trial reportTrials2018

Prevention of seroma following inguinal lymph node dissection with prophylactic, incisional, negative-pressure wound therapy (SEROMA trial): study protocol for a randomized controlled trial.

Mads Gustaf Jørgensen, Navid Mohamadpour Toyserkani, Nana Hyldig, Annette Hougaard Chakera, Lisbet Rosenkrantz Hölmich, Jørn Bo Thomsen, Jens Ahm Sørensen

Erratum issued Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03433937 (Prevention of Seroma Following Inguinal Lymph Node Dissection With Prophylactic Incisional Negative Pressure Wound Therapy), which is not on this map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
1.9field-weighted citation impact, top 15% 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.

NCT03433937 naterminatednot on this map

Prevention of Seroma Following Inguinal Lymph Node Dissection With Prophylactic Incisional Negative Pressure Wound Therapy

TypeinterventionalSponsorOdense University HospitalRan2018 to 2020Enrolled20ConditionsSeroma, Surgical Site Infection, Lymphedema, Quality of LifeArmsNegative pressure wound therapy, Micropore tape
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 15 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Mads Gustaf JørgensenDepartment of Plastic Surgery, Odense University Hospital, Sdr. Boulevard 29, 5000, Odense, Denmark.ORCID http://orcid.org/0000-0002-8755-3446
Navid Mohamadpour ToyserkaniDepartment of Plastic Surgery, Odense University Hospital, Sdr. Boulevard 29, 5000, Odense, Denmark.
Nana HyldigHans Christian Andersen's Children Hospital, Odense University Hospital, Odense, Denmark.
Annette Hougaard ChakeraDepartment of Plastic Surgery, Herlev Gentofte Hospital, Herlev, Denmark.
Lisbet Rosenkrantz HölmichDepartment of Plastic Surgery, Herlev Gentofte Hospital, Herlev, Denmark.
Jørn Bo ThomsenDepartment of Plastic Surgery, Odense University Hospital, Sdr. Boulevard 29, 5000, Odense, Denmark.
Jens Ahm SørensenDepartment of Plastic Surgery, Odense University Hospital, Sdr. Boulevard 29, 5000, Odense, Denmark. jens.sorensen@rsyd.dk.
Odense University Hospital · DKGentofte Hospital · DKRoskilde Sygehus · DK

Funding

Smith and Nephew IIS 486
6 · The paper itself

Abstract

backgroundRadical inguinal lymphadenectomy (ILND) for metastatic melanoma is associated with a high complication rate. Seroma is often the first postoperative complication, followed by prolonged wound healing sometimes requiring reoperation, infection, multiple outpatient visits and re-hospitalization. Prevention of seroma may, therefore, lead to a reduction in many of the other complications. METHODS/

designThe primary aim of this randomized study is to investigate whether fewer patients require treatment for seroma by immediate prophylactic application of incisional, Negative-pressure Wound Therapy (iNPWT) following ILND, compared to standard postoperative treatment. The secondary outcomes include surgical-site infection, dehiscence, hematoma, length of hospitalization, quality of life, safety, long-term assessment of lymphedema and non-inferiority oncological outcome. Data will be registered prospectively at check-ups after 7 and 14 days, 1 and 3 months and 2 years after inguinal lymphadenectomy using case report forms and questionnaires and stored in a secure online database. DISCUSSION: To our knowledge, this trial is the first randomized study evaluating negative-pressure wound therapy as a prophylactic intervention for complications following melanoma-related ILND. The results from this trial will hopefully determine the efficacy and safety of prophylactic iNPWT treatment in prevention of the clinical relevant short- and long-term postoperative complications following ILND and may provide an evidence base for the an improved postoperative regimen.

trial registrationClinicalTrials.gov, ID: NCT03433937 . Prospectively registered on 15 February 2018.

Indexed as

Lymph Node ExcisionMelanomaNegative-Pressure Wound TherapySeromaSkin NeoplasmsDenmarkHumansLymphatic MetastasisMulticenter Studies as TopicProspective StudiesResearch DesignTime FactorsTreatment OutcomeLymphedemaLymph node dissectionMelanomaNegative-pressure wound therapyPreventionSeromaSurgical-site infection

Identifiers

PMID30111378
PMCPMC6094459
OpenAlexW2887982568

What OpenQuestion holds

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LicenceCC BY
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.