Evidence map›Paper›PMID 37218401›Full record

Trial reportInternational wound journal2023

Effect of sinus resection combined with vacuum-assisted closure on sacrococcygeal pilonidal sinus.

Xiao Liu, Xiaoyu Zhao, Guoliang Shen, Shuwen Fan, Jun Xu, Zhaojun Fan, Ke Li

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in International wound journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 15% 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

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

  1. Pooled it
  2. Pooled it
  3. Trial
  4. 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

7 authors at 2 institutions in 1 country.

Xiao LiuDepartment of Burn and Plastic Surgery, the First Affiliated Hospital of Soochow University, Suzhou, People's Republic of China.
Xiaoyu ZhaoDepartment of Burn and Plastic Surgery, the First Affiliated Hospital of Soochow University, Suzhou, People's Republic of China.
Guoliang ShenDepartment of Burn and Plastic Surgery, the First Affiliated Hospital of Soochow University, Suzhou, People's Republic of China.
Shuwen FanDepartment of Burn and Plastic Surgery, the First Affiliated Hospital of Soochow University, Suzhou, People's Republic of China.
Jun XuDepartment of Burn and Plastic Surgery, the First Affiliated Hospital of Soochow University, Suzhou, People's Republic of China.
Zhaojun FanDepartment of Burn and Plastic Surgery, the First Affiliated Hospital of Soochow University, Suzhou, People's Republic of China.
Ke LiDepartment of Burn and Plastic Surgery, the First Affiliated Hospital of Soochow University, Suzhou, People's Republic of China.
First Affiliated Hospital of Soochow University · CNSoochow University · CN

Funding

Suzhou Science and Technology Plan Projects SYS2020105
6 · The paper itself

Abstract

This study was aimed at investigating the effect of sinus removal combined with vacuum-assisted closure in the treatment of sacrococcygeal pilonidal sinus. From January 2019 to May 2022, 62 patients with sacrococcygeal pilonidal sinus were treated and their information was collected at our hospital. These patients were randomly divided into two groups: an observation group (n = 32) and a control group (n = 30). The control group underwent a simple sinus resection and suture, while the observation group received a sinus resection combined with closed negative pressure drainage of the wound. A retrospective analysis of the data obtained was conducted. Perioperative indicators, clinical efficacy, postoperative pain, complications, aesthetic effects, and satisfaction scores at six months after the operation were compared between the two groups, and the recurrence rate at six months after the operation was recorded. Through this study, we found that the observation group had significantly shorter surgery time, hospital stay, and return time compared with the control group (P < 0.05). Additionally, the observation group had a higher overall recurrence rate (ORR) of 100.00%, which was significantly better than the control group's ORR of 86.67% (P < 0.05). The visual analog scale (VAS) score at 6, 12, and 24 h after the operation was significantly lower in the observation group compared with the control group (P < 0.05). Although the differences were not significant (P > 0.05), the observation group had decreased white blood cell, neutrophil, and C-reactive protein levels after the operation. Moreover, the total occurrence rate of postoperative complications in the observation group was significantly lower (6.25%) than that of the control group (26.67%; P < 0.05). The observation group also had significantly lower scores on the postoperative scar scale and higher satisfaction scores than the control group (P < 0.05). However, there was no significant difference in the postoperative recurrence rate between the two groups (P > 0.05). Our study demonstrated that sinus resection combined with vacuum-assisted closure was more effective in treating sacrococcygeal pilonidal sinus compared with simple sinus resection and suture. This approach significantly reduced surgery time, hospital stay, and return time. It also effectively relieved postoperative pain, reduced the occurrence of postoperative complications, resulted in smaller postoperative scars, and yielded better aesthetic outcomes and higher patient satisfaction.

Indexed as

Negative-Pressure Wound TherapyPilonidal SinusHumansNeoplasm Recurrence, LocalPostoperative ComplicationsPostoperative PainRecurrenceRetrospective StudiesSacrococcygeal RegionTreatment Outcomesacrococcygeal pilonidal sinussinus resectionwound vacuum-assisted closure

Identifiers

PMID37218401
PMCPMC10588358
OpenAlexW4377564510

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.