Evidence map›Paper›PMID 36406794›Full record

ArticleMinimally invasive surgery2022

Hartmann's Reversal: Controversies of a Challenging Operation.

Claudia Reali, Kalle Landerholm, Bruce George, Oliver Jones

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Minimally invasive surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06061432 (Endoscopic Reconstruction of the Gastrointestinal Tract After Surgical Resection Procedures Within the Large Intestine), which is not on this map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
0.5field-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.

NCT06061432 nanot yet recruitingnot on this mapstarted 2023, after this paper: background citation

Endoscopic Reconstruction of the Gastrointestinal Tract After Surgical Resection Procedures Within the Large Intestine (Hartmann's Procedure- Modification of the Method Facilitating the Restoration of Gastrointestinal Continuity)

TypeinterventionalSponsorNicolaus Copernicus UniversityRan2023 to 2026Enrolled100ConditionsColorectal Neoplasms, Diverticular Diseases, Inflammatory Bowel DiseasesArmsEndoscopic restoration of gastrointestinal continuity after Hartmann procedure
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Preliminary results of Polish national multicenter study on colostomy reversal - LICO (Liquidation of Colostomy) study.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2024
    Article
  9. 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

4 authors at 3 institutions in 2 countries.

Claudia RealiDepartment of Colorectal Surgery, Coventry University Hospital, Clifford Bridge Road, Coventry CV2 2DX, UK.ORCID https://orcid.org/0000-0001-8101-8170
Kalle LanderholmDepartment of Surgery, Ryhov Country Hospital, Jonkoping, Sweden.ORCID https://orcid.org/0000-0001-6808-371X
Bruce GeorgeDepartment of Colorectal Surgery, Oxford University Hospitals, Old Road, Headington, Oxford OX3 7LE, UK.
Oliver JonesDepartment of Colorectal Surgery, Oxford University Hospitals, Old Road, Headington, Oxford OX3 7LE, UK.
Oxford University Hospitals NHS Trust · GBRyhov Hospital Jönköping · SEUniversity Hospital Coventry · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Hartmann's reversal is a complex operation with a high morbidity rate. Minimally invasive surgery has been used to reduce the impact of surgery on fragile patients. The aim of this comparative study is to look at the results of Hartmann's reversal procedures with different approaches. Methods: All the patients who underwent Hartmann's reversal were collected retrospectively (124 cases). Sixty-four patients (50.4%) had an open operation, 6 cases (5%) were treated with a conventional laparoscopic approach, 34 patients (28.1%) underwent single incision laparoscopic surgery (SILS), and 20 (16.5%) required other additional trocars. Results: SILS operations were slightly longer than the open procedures (175 min vs 150 min), with the same rate of postoperative complications and reoperations ( Conclusions: Minimally invasive procedures had a shorter hospital stay and did not show any increase in morbidity rate when compared with open cases. Age, longer operative time, and ASA score increased the risk of postoperative complications. Furthermore, patients with a short rectal stump had a higher chance of having a defunctioning ileostomy.

Identifiers

PMID36406794
PMCPMC9668466
OpenAlexW4308731131

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.