Evidence map›Paper›PMID 35658685›Full record

Trial reportHand (New York, N.Y.)2023

Including a Vessel Loop in Wound Closure Facilitates Suture Removal Following Open Carpal Tunnel Release.

Mary C Frazier, L Beren H Tomooka, Nicholas Foeger, Hugh J Hagan, Peter J Apel

Open access · greenAbstract readRandomized Controlled TrialEquivalence Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Hand (New York, N.Y.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.7field-weighted citation impact, top 32% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
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

5 authors at 1 institution in 1 country.

Mary C FrazierCarilion Clinic, Roanoke, VA, USA.ORCID 0000-0002-8004-768X
L Beren H TomookaCarilion Clinic, Roanoke, VA, USA.ORCID 0000-0001-8200-1397
Nicholas FoegerCarilion Clinic, Roanoke, VA, USA.
Hugh J HaganCarilion Clinic, Roanoke, VA, USA.
Peter J ApelCarilion Clinic, Roanoke, VA, USA.ORCID 0000-0002-5428-2125
Carilion Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany hand surgeons prefer to close palmar wounds with non-absorbable mattress sutures. Suture removal can be painful and time-consuming. In this study, we investigated if suture removal can be facilitated by including a vessel loop in wound closure following open carpal tunnel release (CTR).

methodsOverall, 47 patients aged 18 to 75 undergoing elective primary open unilateral CTR completed this unblinded, prospective randomized controlled superiority trial. Subjects were randomized into 1 of 2 study arms: (1) wound closure without a vessel loop (standard, n = 28); or (2) wound closure with a vessel loop (vessel loop, n = 19). Data were collected on time for wound closure and for suture removal. A visual analog scale (VAS) was used to assess satisfaction and pain with suture removal.

resultsThere were no significant differences between the 2 groups in patient demographics or time for suture placement. Visual analog scale satisfaction with suture removal was significantly lower in the standard group (8.6 ± 2.6) compared to vessel loop group (9.9 ± 0.28,

conclusionsAddition of a vessel loop in wound closure for primary open CTR increases patient satisfaction and reduces pain with and time taken for suture removal.

Indexed as

Carpal Tunnel SyndromeSuture TechniquesHumansPainPatient SatisfactionProspective StudiesSuturesanatomybasic sciencecarpal tunnel syndromediagnosishandnerveoutcomesresearch & health outcomesspecialtysurgerywound management

Identifiers

PMID35658685
PMCPMC9896281
OpenAlexW4281814990

What OpenQuestion holds

Textmetadata
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.