Evidence map›Paper›PMID 32377924›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021

Open abdomen closure methods for severe abdominal sepsis: a retrospective cohort study.

Gaetano Poillucci, Mauro Podda, Giulia Russo, Sergio Gaetano Perri, Domenico Ipri, Gabriele Manetti, Maria Giulia Lolli, Renato De Angelis

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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.1field-weighted citation impact, top 19% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. FasciotensHernia : the journal of hernias and abdominal wall surgery · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Establishment and evaluation of an improved rat model of open abdomen.Animal models and experimental medicine · 2024
    Article
  7. Article
  8. Tertiary peritonitis: considerations for complex team-based care.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Review
  9. Focus on emergency general surgery.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  10. Article
  11. Review
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

8 authors at 3 institutions in 1 country.

Gaetano PoillucciDepartment of General and Specialized Surgery "Paride Stefanini", Policlinico Universitario Umberto I, Viale del Policlinico, 155, 00161, Rome, Italy. gaetano.poillucci@gmail.com.ORCID http://orcid.org/0000-0002-3961-1904
Mauro PoddaDepartment of General, Emergency and Minimally Invasive Surgery, Policlinico Universitario "D. Casula", University of Cagliari, Monserrato, Italy.
Giulia RussoDepartment of General Surgery, San Camillo De Lellis Hospital, Rieti, Italy.
Sergio Gaetano PerriDepartment of General Surgery, San Giovanni Addolorata Hospital, Rome, Italy.
Domenico IpriDepartment of General Surgery, San Giovanni Addolorata Hospital, Rome, Italy.
Gabriele ManettiDepartment of General Surgery, San Giovanni Addolorata Hospital, Rome, Italy.
Maria Giulia LolliDepartment of General Surgery, San Giovanni Addolorata Hospital, Rome, Italy.
Renato De AngelisDepartment of General Surgery, San Giovanni Addolorata Hospital, Rome, Italy.
Azienda Ospedaliera San Giovanni Addolorata · ITPoliclinico Umberto I · ITUniversity of Cagliari · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe open abdomen (OA) procedure as part of damage control surgery represents a significant surgical advance in severe intra-abdominal infections. Major techniques used for OA are negative pressure wound therapy (NPWT) and non-NPWT. The aim of this retrospective study is to evaluate the effects of different abdominal closure methods and their outcomes in patients presenting with abdominal sepsis treated with OA. MATERIALS AND

methodsWe retrospectively analyzed clinical outcomes of patients affected by severe intra-abdominal sepsis treated with OA. Demographic features, mortality prediction score, abdominal closure methods, length of hospital stay, complications and mortality rates of patients were determined and compared.

resultsThis study included 106 patients, of whom 77 underwent OA with NPWT and 29 with non-NPWT. OA duration was longer in NPWT patients (p = 0.007). In-hospital mortality rates in NPWT and in non-NPWT patients were 40.3% and 51.7%, respectively (p = 0.126), with an overall 30-day mortality rate of 18.2% and 51.7%, respectively (p = 0.0002). After emergency colorectal surgery, patients who underwent OA with NPWT had a lower rate of colostomy (p = 0.025).

conclusionsNPWT is the best temporary abdominal closure technique to decrease mortality and colostomy rates in patients managed with OA for severe intra-abdominal infections.

Indexed as

Abdominal Wound Closure TechniquesIntraabdominal InfectionsNegative-Pressure Wound TherapySepsisAbdomenHumansRetrospective StudiesAbdominal sepsisBogota-BagEmergency surgeryNegative pressure wound therapyOpen abdomen

Identifiers

PMID32377924
OpenAlexW3021981718

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Registered trials

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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.