Evidence map›Paper›PMID 31592080›Full record

ArticleAcute medicine & surgery2019

Successful use of flexible silicone mesh for management of prolonged open abdomen.

Ryosuke Tsutsumi, Tomohiko Akahoshi, Tetsuo Ikeda, Yoshihiko Maehara, Makoto Hashizume

Abstract readCase Reports
In one paragraph

Article in Acute medicine & surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Ryosuke TsutsumiCenter for Integration of Advanced Medicine, Life Science and Innovative Technology Kyushu University Hospital Fukuoka Japan.ORCID https://orcid.org/0000-0002-2551-7108
Tomohiko AkahoshiCenter for Integration of Advanced Medicine, Life Science and Innovative Technology Kyushu University Hospital Fukuoka Japan.
Tetsuo IkedaCenter for Integration of Advanced Medicine, Life Science and Innovative Technology Kyushu University Hospital Fukuoka Japan.
Yoshihiko MaeharaDepartment of Surgery and Science Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
Makoto HashizumeCenter for Integration of Advanced Medicine, Life Science and Innovative Technology Kyushu University Hospital Fukuoka Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOpen abdomen management (OAM) is used not only for trauma but also for treatment of peritonitis. However, the rate of successful fascial closure in patients with OAM remains low. CASE PRESENTATION: The patient was a 38-year-old morbidly obese man who underwent laparoscopic sleeve gastrectomy. Twenty days after surgery, postoperative leakage resulted in panperitonitis. In this case, we undertook drainage by open laparotomy. The patient's status was generally unstable and he was treated with OAM. We used flexible silicone mesh as the dressing material for negative-pressure wound therapy. Open abdominal management continued until status improvement (32 days). Fascial closure was eventually successful because of good granulation growth.

conclusionWhen combined with negative-pressure wound therapy, silicone mesh prevents wound adhesions and infection after surgery. Silicone mesh is useful for patients with increased risk of infection, such as those with diffuse peritonitis.

Indexed as

Fascial closureopen abdomen managementsepsissilicone mesh

Identifiers

PMID31592080
PMCPMC6773631

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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.