Evidence map›Paper›PMID 30995637›Full record

ArticleMedical principles and practice : international journal of the Kuwait University, Health Science Centre2019

Laparoscopy in Acute Care Surgery: Repair of Perforated Duodenal Ulcer.

Mohammad H Jamal, Abdulazeez Karam, Nourah Alsharqawi, Abdulla Buhamra, Ibtesam AlBader, Jasem Al-Abbad, Mohammad Dashti, Yaser B Abulhasan, Husain Almahmeed, Salman AlSabah

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Article in Medical principles and practice : international journal of the Kuwait University, Health Science Centre, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

10 authors.

Mohammad H JamalDepartment of Surgery, Kuwait University, Kuwait City, Kuwait, mohammad.jamal@mail.mcgill.ca.
Abdulazeez KaramDepartment of Surgery, McGill University Health Center, McGill University, Montreal, Québec, Canada.
Nourah AlsharqawiDepartment of Surgery, McGill University Health Center, McGill University, Montreal, Québec, Canada.
Abdulla BuhamraDepartment of Surgery, Kuwait University, Kuwait City, Kuwait.
Ibtesam AlBaderDepartment of Surgery, Kuwait University, Kuwait City, Kuwait.
Jasem Al-AbbadDepartment of Surgery, Kuwait University, Kuwait City, Kuwait.
Mohammad DashtiDepartment of Surgery, Kuwait University, Kuwait City, Kuwait.
Yaser B AbulhasanDepartment of Surgery, Kuwait University, Kuwait City, Kuwait.
Husain AlmahmeedDepartment of Surgery, McGill University Health Center, McGill University, Montreal, Québec, Canada.
Salman AlSabahDepartment of Surgery, Kuwait University, Kuwait City, Kuwait.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe use of laparoscopic management as a first choice for the treatment of duodenal perforation is gaining ground but is not routine in many centers. In this report, we aim to report our experience with laparoscopy as the first approach for the repair of duodenal perforation. MATERIALS AND

methodsThis is a retrospective review of patients during our initial experience with the use of laparoscopy for the treatment of duodenal perforation between 2009 and 2013.

resultsA total of 100 patients underwent management of duodenal perforation. Laparoscopy was attempted initially in 76 patients (76%) and completed in 64 patients (64%). The length of hospital stay was shorter in the laparoscopic group (mean 2.6) than in the open group (mean 3.1) (p = 0.008). Complications developed in 14 patients (20%). There was a tendency towards fewer admissions to intensive care, less acute kidney injuries, and less acute respiratory distress syndrome in the laparoscopic group. In patients who underwent laparoscopic surgery, the chances of uneventful recovery were 4.3 times higher than in those patients who underwent open surgery (95% CI 1.3-13.5, p = 0.014).

conclusionsLaparoscopy in the treatment of perforated duodenal ulcer is safe and can be utilized as a routine approach for the treatment of this pathology.

Indexed as

AdultAgedComorbidityDuodenal UlcerFemaleHumansIntestinal PerforationKuwaitLaparoscopyLength of StayMiddle AgedRetrospective StudiesRupture, SpontaneousTreatment OutcomeAcute care surgeryDuodenal perforationForegutPeptic ulcer disease

Identifiers

PMID30995637
PMCPMC6771047

What OpenQuestion holds

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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.