Evidence map›Paper›PMID 38222020›Full record

ArticleWorld journal of gastrointestinal surgery2023

Recent evidence for subcutaneous drains to prevent surgical site infections after abdominal surgery: A systematic review and meta-analysis.

Tomohiro Ishinuki, Hiroji Shinkawa, Keita Kouzu, Seiichi Shinji, Erika Goda, Toshio Ohyanagi, Masahiro Kobayashi, Motomu Kobayashi, Katsunori Suzuki, Yuichi Kitagawa and 9 more

Registry-linked trialOpen access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in World journal of gastrointestinal surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07274878 (Simple Interrupted Skin Sutures Versus Subcuticular Suture Plus Subcutaneous Drain for Wound Outcomes After Open Appendectomy), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 14% 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.

NCT07274878 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Simple Interrupted Skin Sutures Versus Subcuticular Suture Plus Subcutaneous Drain for Wound Outcomes After Open Appendectomy

TypeinterventionalSponsorAssiut UniversityRan2025 to 2027Enrolled100ConditionsSuturesArmssubcuticular suture plus subcutaneous drain
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
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

19 authors at 3 institutions in 1 country.

Tomohiro IshinukiDepartment of Nursing, Surgical Sciences, Sapporo Medical University, Sapporo 060-8556, Hokkaido, Japan.
Hiroji ShinkawaDepartment of Hepatobiliary-Pancreatic Surgery, Osaka Metropolitan University Graduate School of Medicine, Abeno-Ku 545-0051, Japan.
Keita KouzuDepartment of Surgery, National Defense Medical College, Tokorozawa 359-8513, Japan.
Seiichi ShinjiDepartment of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, Tokyo 113-8602, Japan.
Erika GodaDepartment of Nursing, Japan Health Care University, Sapporo 062-0053, Japan.
Toshio OhyanagiDepartment of Liberal Arts and Sciences, Center for Medical Education, Sapporo Medical University, Sapporo 060-8556, Japan.
Masahiro KobayashiDepartment of Clinical Pharmacokinetics, Research and Education Center for Clinical Pharmacy, Kitasato University, Tokyo 108-8641, Japan.
Motomu KobayashiDepartment of Anesthesiology, Hokushinkai Megumino Hospital, Eniwa 061-1395, Japan.
Katsunori SuzukiDepartment of Infectious Disease Medicine, School of Medicine, University of Occupational and Environmental Health, Kitakyushu 807-8555, Japan.
Yuichi KitagawaDepartment of Gastrointestinal Surgery, National Center for Geriatrics and Gerontology, Obu 474-8511, Japan.
Chizuru YamashitaDepartment of Anesthesiology and Critical Care Medicine, Fujita Health University, Toyoake 470-1192, Japan.
Yasuhiko MohriDepartment of Gastrointestinal Surgery, Mie Prefectural General Medical Center, Yokkaich 510-8561, Japan.
Junzo ShimizuDepartment of Surgery, Toyonaka Municipal Hospital, Toyonaka 560-8565, Japan.
Motoi UchinoDepartment of Gastroenterological Surgery, Hyogo Medical University, Nishinomiya 663-8501, Japan.
Seiji HajiDepartment of Surgery, Soseikai General Hospital, Kyoto 612-8473, Japan.
Masahiro YoshidaDepartment of Hepato-Biliary-Pancreatic & Gastrointestinal Surgery, International University of Health and Welfare, Ichikawa 272-0827, Japan.
Hiroki OhgeDepartment of Infectious Disease, Hiroshima University Hospital, Hiroshima 734-8551, Japan.
Toshihiko MayumiDepartment of Intensive Care Unit, Chukyo Hospital, Japan Community Health Care Organization, Nagoya 457-8510, Japan.
Toru MizuguchiDepartment of Nursing, Surgical Sciences, Sapporo Medical University, Sapporo 060-8556, Hokkaido, Japan. tmizu@sapmed.ac.jp.
Hyogo University · JPNational Defense Medical College · JPNippon Medical School · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical site infections (SSIs) increase mortality, hospital stays, additional medical treatment, and medical costs. Subcutaneous drains prevent SSIs in gynecological and breast surgeries; however, their clinical impact in abdominal surgery remains unclear.

aimTo investigate whether subcutaneous drains were beneficial in abdominal surgery using a systematic review and meta-analysis.

methodsThe database search used PubMed, MEDLINE, and the Cochrane Library. The following inclusion criteria were set for the systematic review: (1) Randomized controlled trial studies comparing SSIs after abdominal surgery with or without subcutaneous drains; and (2) Studies that described clinical outcomes, such as SSIs, seroma formation, the length of hospital stays, and mortality.

resultsEight studies were included in this meta-analysis. The rate of total SSIs was significantly lower in the drained group (54/771, 7.0%) than in the control group (89/759, 11.7%), particularly in gastrointestinal surgery. Furthermore, the rate of superficial SSIs was slightly lower in the drained group (31/517, 6.0%) than in the control group (49/521, 9.4%). No significant differences were observed in seroma formation between the groups. Hospital stays were shorter in the drained group than in the control group.

conclusionSubcutaneous drains after abdominal surgery prevented SSIs and reduced hospital stays but did not significantly affect seroma formation. The timing of drain removal needs to be reconsidered in future studies.

Indexed as

Abdominal surgeryMortalitySeroma formationSubcutaneous drainSurgical site infections

Identifiers

PMID38222020
PMCPMC10784836
OpenAlexW4390222512

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.