Evidence map›Paper›PMID 33752660›Full record

ArticleBMC surgery2021

The technique for less infectious and earlier healing of stoma closure wound: negative pressure wound therapy with instillation and dwelling followed by primary closure.

Yoshinori Yane, Jin-Ichi Hida, Yusuke Makutani, Hokuto Ushijima, Yasumasa Yoshioka, Masayoshi Iwamoto, Toshiaki Wada, Koji Daito, Tadao Tokoro, Kazuki Ueda and 1 more

Abstract read
In one paragraph

Article in BMC surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Review
  2. Observational
  3. Article
  4. Article
  5. Observational
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

11 authors.

Yoshinori YaneDepartment of Surgery, Faculty of Medicine, Kindai University, Osaka-sayama, Osaka, Japan. yaneyoshinori0127@med.kindai.ac.jp.ORCID http://orcid.org/0000-0001-8322-0778
Jin-Ichi HidaDepartment of Gastroenterological Surgery, Kindai University Nara Hospital, Ikoma, Nara, Japan.
Yusuke MakutaniDepartment of Surgery, Faculty of Medicine, Kindai University, Osaka-sayama, Osaka, Japan.
Hokuto UshijimaDepartment of Surgery, Faculty of Medicine, Kindai University, Osaka-sayama, Osaka, Japan.
Yasumasa YoshiokaDepartment of Surgery, Faculty of Medicine, Kindai University, Osaka-sayama, Osaka, Japan.
Masayoshi IwamotoDepartment of Surgery, Faculty of Medicine, Kindai University, Osaka-sayama, Osaka, Japan.
Toshiaki WadaDepartment of Surgery, Faculty of Medicine, Kindai University, Osaka-sayama, Osaka, Japan.
Koji DaitoDepartment of Surgery, Faculty of Medicine, Kindai University, Osaka-sayama, Osaka, Japan.
Tadao TokoroDepartment of Surgery, Faculty of Medicine, Kindai University, Osaka-sayama, Osaka, Japan.
Kazuki UedaDepartment of Surgery, Faculty of Medicine, Kindai University, Osaka-sayama, Osaka, Japan.
Junichiro KawamuraDepartment of Surgery, Faculty of Medicine, Kindai University, Osaka-sayama, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTemporary stomas have been widely used to avoid the risk of complications such as anastomotic leakage after colorectal resection. Stoma closure is relatively easy; however, postoperative surgical site infection (SSI) may be a problem. Various methods have been used to reduce the incidence of SSI. We aimed to evaluate a new technique for stoma wound closure.

methodsWe enrolled patients who underwent stoma closure at our hospital between September 2019 and May 2020. We selected patients who lived far from our hospital and had difficulty visiting the hospital regularly and who agreed to undergo this surgical technique. We used negative pressure wound therapy with instillation and dwelling (NPWTi-d) and delayed primary closure for these patients.

resultsFour patients underwent NPWTi-d and delayed primary closure without the occurrence of SSI. The median postoperative hospital stay was 9 days (range: 7-14 days), and the median number of days to confirmation of epithelialization was 11.5 days (range: 10-16 days).

conclusionThe combined use of NPWTi-d and delayed primary closure for the stoma wound was very effective. This method may be a valuable new technique for wound management after stoma closure.

Indexed as

Negative-Pressure Wound TherapySurgical StomasWound Closure TechniquesAdultAgedFemaleHumansMaleMiddle AgedSurgical Wound InfectionTreatment OutcomeWound HealingDelayed primary closureNPWTi-dSSIStoma closureSurgical site infectionV.A.C. VERAFLO Therapy

Identifiers

PMID33752660
PMCPMC7983388

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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.