Evidence map›Paper›PMID 35949515›Full record

ArticleFujita medical journal2022

Usefulness of vacuum-assisted closure after stoma closure with purse string suturing: a retrospective trial.

Koji Masumori, Kotaro Maeda, Tsunekazu Hanai, Harunobu Sato, Yoshikazu Koide, Hiroshi Matsuoka, Hidetoshi Katsuno, Tomoyoshi Endo, Yeongcheol Cheong, Ichiro Uyama

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PubMed Full text at PMC Publisher
In one paragraph

Article in Fujita medical journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 82% 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, 0 citations in OpenAlex.

  1. 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

10 authors at 2 institutions in 1 country.

Koji MasumoriDepartment of Gastroenterological Surgery, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan.
Kotaro MaedaInternational Medical Center, Fujita Health University Hospital, Toyoake, Aichi, Japan.
Tsunekazu HanaiDepartment of Gastroenterological Surgery, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan.
Harunobu SatoDepartment of Gastroenterological Surgery, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan.
Yoshikazu KoideDepartment of Gastroenterological Surgery, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan.
Hiroshi MatsuokaDepartment of Gastroenterological Surgery, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan.
Hidetoshi KatsunoDepartment of Gastroenterological Surgery, Fujita Health University Okazaki Medical Center, Okazaki, Aichi, Japan.
Tomoyoshi EndoDepartment of Gastroenterological Surgery, Fujita Health University Okazaki Medical Center, Okazaki, Aichi, Japan.
Yeongcheol CheongDepartment of Gastroenterological Surgery, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan.
Ichiro UyamaDepartment of Gastroenterological Surgery, Fujita Health University, School of Medicine, Toyoake, Aichi, Japan.
Fujita Health University · JPFujita Health University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Surgical site infection (SSI) is a problematic complication after stoma closure. The purse string suture (PSS) technique eliminates this problem, but the area takes longer to heal. The present retrospective study was performed to evaluate the usefulness of a vacuum-assisted closure (VAC) system for the promotion of wound healing after stoma closure. Methods: Consecutive patients undergoing stoma closure with the PSS technique were divided into two groups: those treated with and without use of the VAC system. The volume of dead space and the size of the wound were measured after stoma closure in both groups. The same measurements were performed on days 3 and 7 after closure. The time needed for wound closure was also examined in both groups. Outcomes were also evaluated according to age, body mass index, operative time, bleeding volume, wound consistency, patient satisfaction, perioperative inflammatory response, occurrence of SSI, and hospitalization days. Results: The VAC group comprised 31 patients, and the non-VAC group comprised 34 patients. The volume of dead space on days 3 and 7 after closure was significantly smaller in the VAC group than in the non-VAC group (P=0.006 and P<0.001, respectively). The number of SSIs was significantly lower in the VAC group than in the non-VAC group (P=0.014). Conclusion: The dead space volume on days 3 and 7 after stoma closure with PSS significantly decreased by using the VAC system. The incidence of SSI after stoma closure also significantly decreased by using the VAC system.

Indexed as

Purse string sutureStoma closureVacuum-assisted closure

Identifiers

PMID35949515
PMCPMC9358675
OpenAlexW4291020265

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.