Evidence map›Paper›PMID 39235593›Full record

SynthesisLangenbeck's archives of surgery2024

Effectiveness of different appendiceal stump closure methods in laparoscopic appendectomy a network meta-analysis.

Qasi Najah, Hamdy A Makhlouf, Mariam A Abusalah, Menna M Aboelkhier, Mohamed Abdalla Rashed, Muataz Kashbour, Sara Adel Awwad, Fatmaelzahraa Yasser Ali, Nada Ibrahim Hendi, Sherein Diab and 3 more

Abstract readSystematic ReviewNetwork Meta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Langenbeck's archives of surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. 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

13 authors.

Qasi NajahFaculty of Medicine, Elmergib University, Al-Khums, Libya.
Hamdy A MakhloufFaculty of Medicine, Minia University, Minia, Egypt. hamdyatef527@gmail.com.ORCID http://orcid.org/0009-0008-0907-4475
Mariam A AbusalahFaculty of Medicine Al-Quds University-Al-Azhar branch, Gaza, Palestine.
Menna M AboelkhierFaculty of Science, Cairo University, Cairo, Egypt.
Mohamed Abdalla RashedFaculty of Medicine, Al-Azhar University, Cairo, Egypt.
Muataz KashbourDepartment of Diagnostic Radiology, National Cancer Institute, Misrata, Libya.
Sara Adel AwwadFaculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
Fatmaelzahraa Yasser AliFaculty of Medicine, Zagazig University, Zagazig, Egypt.
Nada Ibrahim HendiFaculty of Medicine, Ain Shams University, Cairo, Egypt.
Sherein DiabFaculty of Medicine, Ain Shams University, Cairo, Egypt.
Fatima AbdallhFaculty of Medicine, Hashemite University, Zarqa City, Jordan.
Ahmed Mohamed AbozaidFaculty of Medicine, Tanta University, Tanta, Egypt.
Yasmeen Jamal AlabdallatFaculty of Medicine, Hashemite University, Zarqa City, Jordan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChoosing the best stump closure method for laparoscopic appendectomy has been a debated issue, especially for patients with acute appendicitis. The lack of consensus in the literature and the diverse techniques available have prompted the need for a comprehensive evaluation to guide surgeons in selecting the most optimal appendiceal stump closure method.

methodsA comprehensive search was conducted on multiple databases from inception until December 2023 to find relevant studies according to eligibility criteria. The primary outcome was the incidence of total complications.

results25 studies with a total of 3308 patients were included in this study, overall complications did not reveal a significant advantage for any intervention (RR = 0.72, 95% CI: 0.53; 1.01), Superficial and deep infection risks were similar across all methods, Operative time was significantly longer with endoloop and Intracorporeal sutures (MD = 7.07, 95% CI: 3.28; 10.85) (MD = 26.1, 95% CI: 20.9; 31.29).

conclusionsThere are no significant differences in overall complications among closure methods. However, Intracorporeal sutures and endoloop techniques were associated with extended operative durations.

Indexed as

AppendectomyAppendicitisLaparoscopyHumansOperative TimePostoperative ComplicationsSuture TechniquesTreatment OutcomeAppendiceal stumpAppendicitisLaparoscopic appendectomyNetwork meta-analysis

Identifiers

PMID39235593

What OpenQuestion holds

Textmetadata
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.