Evidence map›Paper›PMID 38156173›Full record

ArticleCureus2023

Colonic Anastomoses Reinforced With Ethyl-2-Cyanoacrylate Compared With Polydioxanone Sutures Alone in Fecal Peritonitis: An Experimental Study in Wistar Rats.

David Ponce-Herrera, Sol Ramírez-Ochoa, Efrén Flores-Álvarez, Ramiro Gómez-Arambulo, José M Nava-Román, Alma G Méndez-Esparza, Gabino Cervantes-Guevara, Alejandro González-Ojeda, Clotilde Fuentes-Orozco, Carlos M González-Valencia and 4 more

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2023. 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
0.3field-weighted citation impact, top 35% 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 citations in OpenAlex.

  1. 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

14 authors at 7 institutions in 1 country.

David Ponce-HerreraDepartment of Surgical Oncology, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, MEX.
Sol Ramírez-OchoaDepartment of Internal Medicine, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, MEX.
Efrén Flores-ÁlvarezDepartment of Surgical Oncology, Centenario Hospital Miguel Hidalgo, Aguascalientes, MEX.
Ramiro Gómez-ArambuloDepartment of Surgery, Centenario Hospital Miguel Hidalgo, Aguascalientes, MEX.
José M Nava-RománDepartment of Surgery, ISSEA Hospital General Tercer Milenio, Aguascalientes, MEX.
Alma G Méndez-EsparzaDepartment of Surgery, Hospital MAC Aguascalientes, Aguascalientes, MEX.
Gabino Cervantes-GuevaraDepartment of Welfare and Sustainable Development, Centro Universitario del Norte, Universidad de Guadalajara, Guadalajara, MEX.
Alejandro González-OjedaBiomedical Research Unit 02, Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social, Guadalajara, MEX.
Clotilde Fuentes-OrozcoBiomedical Research Unit 02, Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social, Guadalajara, MEX.
Carlos M González-ValenciaDepartment of Research Ethics, Hospital Hispano de Especialidades, Guadalajara, MEX.
Mauricio A Ambriz-AlarcónDepartment of Internal Medicine, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, MEX.
Héctor Meugniot-GarcíaDepartment of Internal Medicine, Centro Médico Nacional de Occidente Instituto Mexicano del Seguro Social, Guadalajara, MEX.
Brian R Rubio-MoraDepartment of Internal Medicine, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, MEX.
Enrique Cervantes-PérezDepartment of Internal Medicine, Hospital Civil de Guadalajara Fray Antonio Alcalde, Guadalajara, MEX.
Hospital Civil de Guadalajara · MXMexican Social Security Institute · MXMexican Geological Survey · MXUniversidad de Guadalajara · MXHospital de Especialidades · MXHospital General De Zona · MXUniversidad Tecnológica de Aguascalientes · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe use of tissue adhesives has been proposed as an anastomosis reinforcement; however, their efficacy has not been evaluated in a contaminated environment. The objective of this study was to determine if the use of sutures reinforced with ethyl-2-cyanoacrylate for colonic anastomoses in the presence of fecal peritonitis, in a murine animal model, decreases the frequency of dehiscence.

methodsWistar rats were used. Fecal peritonitis was established until reaching 18 hours of evolution. Then, resection and anastomosis of the colon were performed with only polydioxanone (PDS) sutures in the control group and reinforcement with ethyl-2-cyanoacrylate in the experimental group. The dehiscence frequency and burst pressure were evaluated six days after the anastomosis was performed.

resultsWe included 30 Wistar rats, all males, with a median age of five months and an average weight of 350.43 g. Anastomotic dehiscence was observed in 53.33% of the control group, in contrast with 13.33% of the experimental group (p = 0.020). There was no significant difference in burst pressure between the two groups.

conclusionThe use of ethyl-2-cyanoacrylate, in an experimental murine animal model, as reinforcement in colonic anastomoses in the presence of fecal peritonitis decreases the frequency of anastomotic dehiscence, although it does not increase resistance to burst pressure.

Indexed as

abdominal sepsisanastomoses reinforcementanastomotic dehiscencecolonic surgeryfaecal peritonitis

Identifiers

PMID38156173
PMCPMC10752756
OpenAlexW4389070699

What OpenQuestion holds

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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.