Evidence map›Paper›PMID 35338381›Full record

ArticlePediatric surgery international2022

Maintaining a minimally invasive surgical service during a pandemic.

Jayaram Sivaraj, Stavros Loukogeorgakis, Fiona Costigan, Stefano Giuliani, Dhanya Mullassery, Simon Blackburn, Joe Curry, Kate Cross, Paolo De Coppi

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pediatric surgery international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.1field-weighted citation impact, top 57% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 1 citations in OpenAlex.

  1. Pooled it
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

9 authors at 2 institutions in 1 country.

Jayaram SivarajDepartment of Specialist Neonatal and Paediatric Surgery Great, Ormond Street Hospital NHS Trust, London, UK.
Stavros LoukogeorgakisDepartment of Specialist Neonatal and Paediatric Surgery Great, Ormond Street Hospital NHS Trust, London, UK. stavros.loukogeorgakis@gosh.nhs.uk.
Fiona CostiganDepartment of Specialist Neonatal and Paediatric Surgery Great, Ormond Street Hospital NHS Trust, London, UK.
Stefano GiulianiDepartment of Specialist Neonatal and Paediatric Surgery Great, Ormond Street Hospital NHS Trust, London, UK.
Dhanya MullasseryDepartment of Specialist Neonatal and Paediatric Surgery Great, Ormond Street Hospital NHS Trust, London, UK.
Simon BlackburnDepartment of Specialist Neonatal and Paediatric Surgery Great, Ormond Street Hospital NHS Trust, London, UK.
Joe CurryDepartment of Specialist Neonatal and Paediatric Surgery Great, Ormond Street Hospital NHS Trust, London, UK.
Kate CrossDepartment of Specialist Neonatal and Paediatric Surgery Great, Ormond Street Hospital NHS Trust, London, UK.
Paolo De CoppiDepartment of Specialist Neonatal and Paediatric Surgery Great, Ormond Street Hospital NHS Trust, London, UK.
Great Ormond Street Hospital · GBUniversity College London · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe safety of minimally invasive surgery (MIS) was questioned in the COVID-19 pandemic due to concern regarding disease spread. We continued MIS during the pandemic with appropriate protective measures. This study aims to assess the safety of MIS compared to Open Surgery (OS) in this setting.

methodsOperations performed during 2020 lockdown were compared with operations from the same time-period in 2019 and 2021. Outcomes reviewed included all complications, respiratory complications, length of stay (LOS) and operating surgeon COVID-19 infections (OSI).

resultsIn 2020, MIS comprised 52% of procedures. 29% of MIS 2020 had complications (2019: 24%, 2021: 15%; p = 0.08) vs 47% in OS 2020 (p = 0.04 vs MIS). 8.5% of MIS 2020 had respiratory complications (2019: 7.7%, 2021: 6.9%; p = 0.9) vs 10.5% in OS 2020 (p = 0.8 vs MIS). Median LOS[IQR] for MIS 2020 was 2.5[6] days vs 5[23] days in OS 2020 (p = 0.06). In 2020, 2 patients (1.2%) were COVID-19 positive (MIS: 1, OS: 1) and there were no OSI.

conclusionDespite extensive use of MIS during the pandemic, there was no associated increase in respiratory or other complications, and no OSI. Our study suggests that, with appropriate protective measures, MIS can be performed safely despite high levels of COVID-19 in the population.

Indexed as

COVID-19PandemicsCommunicable Disease ControlHumansLength of StayMinimally Invasive Surgical ProceduresRetrospective StudiesCOVID-19LaparoscopyMinimally invasive surgeryPandemicSafety

Identifiers

PMID35338381
PMCPMC8956142
OpenAlexW4220669398

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.