Evidence map›Paper›PMID 39238678›Full record

ArticleCureus2024

Perineal Wound Healing Following Abdominoperineal Resection of the Rectum.

Muhammad Ali Khattak, Awais Nawaz Khan, Salman Jafferi, Yasir Iqbal, Habeeb Abdulrasheed, David McArthur

Abstract read
In one paragraph

Article in Cureus, 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

6 authors.

Muhammad Ali KhattakUrology, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR.
Awais Nawaz KhanOrthopedics, Ghurki Trust Teaching Hospital, Lahore, PAK.
Salman JafferiGeneral Surgery, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR.
Yasir IqbalAcute and General Medicine, Queen Elizabeth Hospital Birmingham, Birmingham, GBR.
Habeeb AbdulrasheedUrology, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR.
David McArthurGeneral Surgery, Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study aimed to investigate perineal wound healing rates following abdominoperineal resection (APR) or extralevator abdominoperineal excision (ELAPE) for rectal cancer, with a focus on identifying associated risk factors and outcomes. METHODOLOGY: A retrospective analysis was conducted on patients undergoing APR or ELAPE for rectal cancer in a tertiary centre between 2013 and 2020. Data on demographics, comorbidities, surgical techniques, and perineal wound outcomes were collected and analyzed using Statistical Package for the Social Sciences (IBM SPSS Statistics for Windows, IBM Corp., Version 27.0, Armonk, NY). Statistical significance was set at p<0.05.

resultsA total of 87 patients were included, with a mean age of 64 years and the majority being male (66.7%). Neoadjuvant radiotherapy was administered in 87.4% of cases. Perineal wound complications were documented in 52 cases (59.8%), with major complications observed in 11 cases (12.6%). Healing within six months was achieved in 48 patients (55.2%), while 39 patients (44.8%) developed chronic perineal wounds. Logistic regression analysis revealed omentoplasty as a significant predictor of perineal wound healing rate showing a significant negative association (p=0.0289).

conclusionPerineal wound healing rates following APR or ELAPE varied. While most patients achieved complete healing, chronic perineal wounds presented challenges. Omentoplasty was associated with lower odds of healing, suggesting the need for further investigation into its role. These findings underscore the importance of patient counselling and multidisciplinary management strategies to optimize outcomes in rectal cancer surgery.

Indexed as

abdomino-perineal resectioncomplicationselapeomentoplastyperineal wound healingrectal cancerrisk factors

Identifiers

PMID39238678
PMCPMC11377100

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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.