Evidence map›Paper›PMID 34488825›Full record

SynthesisWorld journal of emergency surgery : WJES2021

Aspiration versus peritoneal lavage in appendicitis: a meta-analysis.

Gloria Burini, Maria Chiara Cianci, Marco Coccetta, Alessandro Spizzirri, Salomone Di Saverio, Riccardo Coletta, Paolo Sapienza, Andrea Mingoli, Roberto Cirocchi, Antonino Morabito

Open access · goldAbstract readMeta-AnalysisReview
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in World journal of emergency surgery : WJES, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
6.8field-weighted citation impact, top 2% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
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  5. Review
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  7. Article
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  10. The Association of Polish Surgeons (APS) clinical guidelines for the use of laparoscopy in the management of abdominal emergencies. Part II.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023
    Article
  11. Article
  12. Focus on identifying and closing knowledge gaps in acute appendicitis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  13. 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

10 authors at 6 institutions in 2 countries.

Gloria BuriniGeneral and Emergency Surgical Clinic of Ancona, Ancona, Italy. globur@libero.it.ORCID 0000-0003-0907-4965
Maria Chiara CianciDepartment of Pediatric Surgery, Meyer Children's Hospital, University of Florence, Florence, Italy.
Marco CoccettaHospital of Terni, Terni, Italy.
Alessandro SpizzirriHospital of Terni, Terni, Italy.
Salomone Di SaverioDepartment of Colorectal Surgery, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Hills Road, Cambridge, CB2 0QQ, UK.
Riccardo ColettaDepartment of Pediatric Surgery, Meyer Children's Hospital, School of Environment and Life Science, University of Salford, Salford, UK.
Paolo SapienzaDepartment of Surgery, University of Rome, Sapienza, Italy.
Andrea MingoliDepartment of Surgery, University of Rome, Sapienza, Italy.
Roberto CirocchiDepartment of Medicine and Surgery, University of Perugia, Perugia, Italy.
Antonino MorabitoDepartment of Pediatric Surgery, Meyer Children's Hospital, Department of Neurofarba, University of Florence, Florence, Italy.
Meyer Children's Hospital · ITSapienza University of Rome · ITCambridge University Hospitals NHS Foundation Trust · GBOspedali Riuniti di Ancona · ITUniversity of Perugia · ITUniversity of Salford · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute appendicitis is one of the most frequent abdominal surgical emergencies. Intra-abdominal abscess is a frequent post-operative complication. The aim of this meta-analysis was to compare peritoneal irrigation and suction versus suction only when performing appendectomy for complicated appendicitis.

methodsAccording to PRISMA guidelines, a systematic review was conducted and registered into the Prospero register (CRD42020186848). The risk of bias was defined to be from low to moderate.

resultsSeventeen studies (9 RCTs and 8 CCTs) were selected, including 5315 patients. There was no statistical significance in post-operative intra-abdominal abscess in open (RR 1.27, 95% CI 0.75-2.15; I

conclusionsThis systematic review has failed to demonstrate the statistical superiority of employing intra-operative peritoneal irrigation and suction over suction-only to reduce the rate of post-operative complications after appendectomy, but all the articles report clinical superiority in terms of post-operative abscess, wound infection and operative times in suction-only group.

Indexed as

AppendectomyAppendicitisHumansPeritoneal LavagePostoperative ComplicationsSuctionAbscess suctionComplicated appendicitisPeritoneal irrigationPost-operative intra-abdominal abscess

Identifiers

PMID34488825
PMCPMC8419906
OpenAlexW3198049067

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.