Evidence map›Paper›PMID 39356294›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2024

Laparoscopic Hartmann's procedure for complicated diverticulitis is associated with lower superficial surgical site infections compared to open surgery with similar other outcomes: a NSQIP-based, propensity score matched analysis.

Leo I Amodu, Hazim Hakmi, Amir H Sohail, Meredith Akerman, Patrizio Petrone, David K Halpern, Toyooki Sonoda

Abstract readComparative Study
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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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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

4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Leo I AmoduDepartment of Surgery, NYU Grossman Long Island School of Medicine, NYU Langone Hospital-Long Island, 222 Station Plaza North, Suite 300, Mineola, NY, 11501, USA.
Hazim HakmiDepartment of Surgery, NYU Grossman Long Island School of Medicine, NYU Langone Hospital-Long Island, 222 Station Plaza North, Suite 300, Mineola, NY, 11501, USA.
Amir H SohailDepartment of Surgery, NYU Grossman Long Island School of Medicine, NYU Langone Hospital-Long Island, 222 Station Plaza North, Suite 300, Mineola, NY, 11501, USA.
Meredith AkermanBiostatistics Core, Division of Health Services Research, Department of Foundations of Medicine, NYU Grossman Long Island School of Medicine, Mineola, NY, 11501, USA.
Patrizio PetroneDepartment of Surgery, NYU Grossman Long Island School of Medicine, NYU Langone Hospital-Long Island, 222 Station Plaza North, Suite 300, Mineola, NY, 11501, USA. Patrizio.Petrone@nyulangone.org.
David K HalpernDepartment of Surgery, NYU Grossman Long Island School of Medicine, NYU Langone Hospital-Long Island, 222 Station Plaza North, Suite 300, Mineola, NY, 11501, USA.
Toyooki SonodaDepartment of Surgery, NYU Grossman Long Island School of Medicine, NYU Langone Hospital-Long Island, 222 Station Plaza North, Suite 300, Mineola, NY, 11501, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOpen Hartmann's procedure has traditionally been the procedure of choice to treat complicated diverticulitis. We analyzed the ACS-NSQIP database to compare outcomes in patients who underwent emergent laparoscopic Hartmann's procedure (LHP) to those who had an open Hartmann's procedure (OHP). STUDY

designData analyzed from 2015 to 2019 using ICD-10 codes. Patients were matched on several important covariates using a propensity score matching method (PSM). Patients were matched in a 4:1 ratio of controls to cases based on the propensity score.

resultsWe identified 5026, of which 456 had LHP and 4570 had OHP. PSM analysis yielded 369 LHP and 1476 OHP patients. LHP had lower rates of superficial surgical site infection (SSSI) compared to OHP (2.44% vs. 5.89%, p = 0.007). LHP had similar post-operative outcomes compared to OHP, including 30-day mortality (5.15% vs. 2.98%, p = 0.060), organ space surgical site infection (OSSSI) (14.36% vs. 12.60%, p = 0.161), wound disruption (1.36% vs. 2.44%, p = 0.349), median LOS (8 vs. 9 days, p = 0.252), readmission within 30 days (11.92% vs. 8.67%, p = 0.176), rate of reoperation (6.0 vs. 6.5%, p = 0.897), and discharge to home (76% vs. 77%, p = 0.992). LHP had longer operative times compared to OHP (median 129 vs. 118 min, p < 0.0001).

conclusionThe LHP is associated with lower rates of SSSI. However, it is not associated with lower rates of mortality, OSSSI, readmissions and reoperations within 30 days. Surgical times are longer in LHP. More studies are needed to determine whether LHP offers advantages in the long-term, particularly in rates of incisional hernia and colostomy closure.

Indexed as

ColostomyDiverticulitisEmergency TreatmentLaparoscopySurgical Wound InfectionAgedCase-Control StudiesHumansLength of StayMiddle AgedOperative TimePatient ReadmissionPropensity ScoreReoperationRetrospective StudiesColonColorectalDiverticulitisLaparoscopicMinimally invasiveOpen

Identifiers

PMID39356294

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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.