Evidence map›Paper›PMID 31686200›Full record

ArticleInternational journal of colorectal disease2019

CT assessment of the quality of omentoplasty and its implications for perineal wound healing.

Robin D Blok, Sarah Sharabiany, Colin G Ferrett, Roel Hompes, Pieter J Tanis, Christopher Cunningham

Open access · hybridAbstract read
PubMed Publisher
In one paragraph

Article in International journal of colorectal disease, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Management of Perineal Wounds Following Pelvic Surgery.Clinics in colon and rectal surgery · 2022
    Review
  5. Quantifying displacement of urogenital organs after abdominoperineal resection for rectal cancer.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2021
    Article
  6. 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

6 authors at 5 institutions in 2 countries.

Robin D BlokDepartment of Surgery, Amsterdam University Medical Centres, University of Amsterdam, Post box 22660, 1100 DD, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-5291-546X
Sarah SharabianyDepartment of Surgery, Amsterdam University Medical Centres, University of Amsterdam, Post box 22660, 1100 DD, Amsterdam, The Netherlands.
Colin G FerrettDepartment of Radiology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Roel HompesDepartment of Surgery, Amsterdam University Medical Centres, University of Amsterdam, Post box 22660, 1100 DD, Amsterdam, The Netherlands.
Pieter J TanisDepartment of Surgery, Amsterdam University Medical Centres, University of Amsterdam, Post box 22660, 1100 DD, Amsterdam, The Netherlands. P.J.Tanis@amsterdamumc.nl.
Christopher CunninghamDepartment of Colorectal Surgery, Churchill Hospital, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
University of Amsterdam · NLAmsterdam University Medical Centers · NLChurchill Hospital · GBOncode Institute · NLOxford University Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThis study was designed to examine the impact of an omentoplasty and its quality on pelviperineal morbidity after abdominoperineal resection (APR) for rectal cancer.

methodsThis was a retrospective single-centre study of consecutive patients undergoing APR for primary or recurrent rectal cancer between 2000 and 2018. Quality of omentoplasty was categorised (sufficient vs insufficient) based on postoperative CT scans. Main study endpoints were perineal wound healing and perineal hernia.

resultsThis study included 100 patients: 16 with a sufficient omentoplasty, 16 with an insufficient omentoplasty, and 68 without omentoplasty. Rate of pelviperineal complications within 30 days was 44%, 69% and 64% (P = 0.283), and delayed wound healing at 3 months was 19%, 54% and 27%, respectively (P = 0.109). Sufficient omentoplasty was not significantly associated with less delayed healing in multivariable analysis (OR 0.597; 95% CI 0.149-2.397). An insufficient omentoplasty demonstrated significantly higher rates of delayed healing at 6 months (46% vs 14%; P = 0.016) and chronic perineal sinus at 12 months (31% vs 3%; P = 0.008) compared with no omentoplasty.

conclusionThis relatively small series suggest that even a sufficient omentoplasty, as determined by postoperative imaging, does not reduce pelviperineal morbidity after APR for rectal cancer. The methodology of CT-based assessment of an omentoplasty as well as the correlation with postoperative outcomes has to be validated in future studies.

Indexed as

Tomography, X-Ray ComputedWound HealingAgedFemaleHerniaHumansIntestinal ObstructionKaplan-Meier EstimateLogistic ModelsMaleOmentumPerineumPostoperative ComplicationsProportional Hazards ModelsSurgical FlapsAbdominoperineal resectionOmentoplastyPerineal herniationPerineal wound healingRectal neoplasms

Identifiers

PMID31686200
OpenAlexW2984729483

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.