Evidence map›Paper›PMID 38886194›Full record

SynthesisAesthetic plastic surgery2024

Comparing the Outcomes of Scalpel and Diathermocoagulation Dissection in Abdominoplasty: A Systematic Review and Meta-Analysis.

Zainah Abdulbari Alhebshi, Abdullah Nasser Almawash, Lujain Barkheel Albarkheel, Haya Abdulaziz Alzahrani, Ayman M Albarrati, Abdulrahman E Alghamdi, Amal Ali Alshehri, Yara Nasser Al Mazyad, Abdulaziz Al Hindi

Abstract readComparative StudyMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Aesthetic plastic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. 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.

Zainah Abdulbari AlhebshiCollege of Medicine and Surgery, Batterjee Medical College, Jeddah, Saudi Arabia. Alhebshizainah@gmail.com.ORCID 0009-0009-6105-5244
Abdullah Nasser AlmawashCollege of Medicine, King Saud University, Riyadh, Saudi Arabia.
Lujain Barkheel AlbarkheelCollege of Medicine, Majmaah University, Al Majma'ah, Saudi Arabia.
Haya Abdulaziz AlzahraniFaculty of Medicine, Al-Baha University, Al-Baha, Saudi Arabia.
Ayman M AlbarratiFaculty of Medicine, Jazan University, Jazan, Saudi Arabia.
Abdulrahman E AlghamdiCollage of Medicine, King Saud bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
Amal Ali AlshehriCollege of medicine, King Abdulaziz university, Jeddah, Saudi Arabia.
Yara Nasser Al MazyadCollege of Medicine and Surgery, Vision University, Riyadh, Saudi Arabia.
Abdulaziz Al HindiDepartment of Surgery, College of Medicine, Majmaah University, Al Majma'ah, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbdominoplasty, an emerging surgical procedure worldwide, associated with complications, as seroma, infection, and hematoma. This systematic review and meta-analysis compare the outcomes of abdominoplasty procedures performed using a scalpel versus a diathermocoagulation device (diathermy monopolar electrocautery), aiming to find a safer approach with fewer complications.

methodsWe conducted a systematic search in November 2023 using PubMed, Ovid Medline, and Ovid Chocrane databases. The methodological index for nonrandomized studies and the Revised Cochrane Risk of Bias assessment tools were used to assess risk of bias for observational studies and randomized controlled trials, respectively. The data were analyzed using RevMan software.

resultsSix articles (1135 patients) were included, 521 patients were operated using a scalpel and 614 using electrocautery. Our analysis suggests that both seroma and drain output were seen more among the electrocautery group, with an odds ratio (OR) of 0.62 (95% CI [0.39, 0.97], p = 0.04) and - 103.63 (95% CI [- 205.67, - 1.59], p = 0.05), respectively. It is important to note the high heterogeneity seen among the studies discussing the total drain output. Additionally, we did not find any statistical significance between both techniques in terms of the rate of hematoma, wound infection, operation time, and hospital stay length.

conclusionWhen comparing the use of scalpel and electrocautery dissection in abdominoplasty, higher rates of seroma and total drain output are significantly associated with electrocautery dissection. LEVEL OF EVIDENCE II: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

AbdominoplastyElectrocoagulationDissectionHumansPostoperative ComplicationsTreatment OutcomeAbdominoplastyDiathermocoagulationDissectionScalpelSeromaTotal drain output

Identifiers

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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.