Evidence map›Paper›PMID 38397879›Full record

ArticleBiomedicines2024

Evaluating the Healing Potential of J-Plasma Scalpel-Created Surgical Incisions in Porcine and Rat Models.

Lilith Elmore, Nicholas J Minissale, Lauren Israel, Zoe Katz, Jordan Safran, Adriana Barba, Luke Austin, Thomas P Schaer, Theresa A Freeman

Open access · goldAbstract read
In one paragraph

Article in Biomedicines, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. 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

9 authors at 4 institutions in 1 country.

Lilith ElmoreDepartment of Orthopaedic Research, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Nicholas J MinissaleSchool of Osteopathic Medicine, Rowan University, Stratford, NJ 08084, USA.ORCID 0000-0002-1567-2729
Lauren IsraelDepartment of Orthopaedic Research, Thomas Jefferson University, Philadelphia, PA 19107, USA.ORCID 0009-0008-1552-0961
Zoe KatzDepartment of Orthopaedic Research, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Jordan SafranDepartment of Orthopaedic Research, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Adriana BarbaDepartment of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA 19348, USA.
Luke AustinRothman Orthopaedic Institute, Philadelphia, PA 19107, USA.ORCID 0000-0002-4931-3978
Thomas P SchaerDepartment of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square, PA 19348, USA.ORCID 0000-0002-4340-8212
Theresa A FreemanDepartment of Orthopaedic Research, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Thomas Jefferson University · USUniversity of Pennsylvania · USRothman Orthopaedics · USRowan University · US

Funding

Plasma-based therapies for bone infection: A tripartite USA/Northern Ireland/Republic of Ireland consortiumR01AR076941 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI BOURKE, PAULA, FREEMAN, THERESA A · 2020 to 2025
$3.3M
Preventing Spinal Infection: Ultrasound Triggered ProphylaxisR01AR069119 · NIAMS · THOMAS JEFFERSON UNIVERSITY · PI Flemming Forsberg, Noreen J Hickok · 2016 to 2026
$3.2M
NIAMS NIH HHS R01 AR069119NIAMS NIH HHS R01 AR076941NIH - NIAMS R01AR076941 (Freeman)
6 · The paper itself

Abstract

Cold atmospheric plasma devices generate reactive oxygen and nitrogen species that can be anti-microbial but also promote cell migration, differentiation, and tissue wound healing. This report investigates the healing of surgical incisions created using cold plasma generated by the J-Plasma scalpel (Precise Open handpiece, Apyx Medical, Inc.) compared to a steel scalpel in in vivo porcine and rat models. The J-Plasma scalpel is currently FDA approved for the delivery of helium plasma to cut, coagulate, and ablate soft tissue during surgical procedures. To our knowledge, this device has not been studied in creating surgical incisions but only during deeper dissection and hemostasis. External macroscopic and histologic grading by blinded reviewers revealed no significant difference in wound healing appearance or physiology in incisions created using the plasma scalpel as compared with a steel blade scalpel. Incisions created with the plasma scalpel also had superior hemostasis and a reduction in tissue and blood carryover. Scanning electron microscopy (SEM) and histology showed collagen fibril fusion occurred as the plasma scalpel incised through the tissue, contributing to a sealing effect. In addition, when bacteria were injected into the dermis before incision, the plasma scalpel disrupted the bacterial membrane as visualized in SEM images. External macroscopic and histologic grading by blinded reviewers revealed no significant difference in wound healing appearance or physiology. Based on these results, we propose additional studies to clinically evaluate the use of cold plasma in applications requiring hemostasis or when an increased likelihood of subdermal pathogen leakage could cause surgical site infection (i.e., sites with increased hair follicles).

Indexed as

cold atmospheric plasmaperiprosthetic joint infectionplasma scalpelsurgical site infection

Identifiers

PMID38397879
PMCPMC10886613
OpenAlexW4391230781

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.