Evidence map›Paper›PMID 32743113›Full record

ArticleJournal of the anus, rectum and colon2020

Efficacy of Negative Pressure Wound Therapy Followed by Delayed Primary Closure for Abdominal Wounds in Patients with Lower Gastrointestinal Perforations: Multicenter Prospective Study.

Hirofumi Ota, Katsuki Danno, Katsuya Ohta, Tae Matsumura, Takamichi Komori, Shu Okamura, Miho Okano, Atsuhiro Ogawa, Hiroshi Tamagawa, Mamoru Uemura and 6 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the anus, rectum and colon, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  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

16 authors at 7 institutions in 2 countries.

Hirofumi OtaThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Katsuki DannoThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Katsuya OhtaThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Tae MatsumuraThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Takamichi KomoriThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Shu OkamuraThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Miho OkanoThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Atsuhiro OgawaThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Hiroshi TamagawaThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Mamoru UemuraThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Chu MatsudaThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Tsunekazu MizushimaThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Hirofumi YamamotoThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Riichiro NezuThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Yuichiro DokiThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Hidetoshi EguchiThe Multi-Center Clinical Study Group of Osaka, Colorectal Cancer Treatment Group (MCSGO).
Special Service for Groups · USOsaka University · JPIkeda Municipal Hospital · JPNishinomiya Municipal Central Hospital · JPOsaka Rosai Hospital · JPOtemae Hospital · JPTane General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe efficacy of negative pressure wound therapy (NPWT) and its application to severely contaminated wounds sustained during surgery remain to be established. Here, we evaluated the efficacy of utilizing NPWT until delayed primary closure (DPC) by assessing the infection rates in patients with lower gastrointestinal perforations.

methodsThis prospective multicenter cohort study included 56 patients that underwent abdominal surgery for lower gastrointestinal perforations in eight institutions, from February 2016 to May 2017. All patients received NPWT after surgery before attempting DPC. The extent of peritonitis was categorized according to Hinchey's classification. Patients in stages II-IV were included.

resultsFive patients had surgical site infections (SSIs) during NPWT and did not receive a DPC (9%). Of the 51 patients that received DPCs, 44 had no infection (91%) and 7 developed SSIs after the DPC (13.7%). For stages II, III, and IV, the SSI rates were 0%, 22.6%, and 35.7%, respectively; the median (range) times to wound healing were 15 (10-36), 19 (11-99), and 19 (10-53) days, respectively. There were no significant differences between the stages.

conclusionsNPWT followed by DPC resulted in low infection rates in each peritonitis stage. This approach appears promising as an alternative to traditional DPC alone for treating lower gastrointestinal perforations.

Indexed as

delayed primary closureemergency surgerylower gastrointestinal perforationnegative pressure wound therapyperitonitis

Identifiers

PMID32743113
PMCPMC7390614
OpenAlexW3045794970

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.