Evidence map›Paper›PMID 39367136›Full record

ArticleSurgical endoscopy2024

Waterjet pulse lavage as a safe adjunct to video assisted retroperitoneal debridement in necrotising pancreatitis.

Krishna Kotecha, John Yeh, Juanita N Chui, Kevin Tree, Douglas Greer, Alex Boue, Tamara Gall, Siobhan McKay, Anubhav Mittal, Jaswinder S Samra

Abstract read
In one paragraph

Article in Surgical endoscopy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

10 authors.

Krishna KotechaDepartment of Upper Gastrointestinal Surgery, Royal North Shore Hospital, Reserve Road, St Leonards, 2065 NSW, Australia. drkrishnakotecha@gmail.com.ORCID 0000-0002-1558-8607
John YehDepartment of Upper Gastrointestinal Surgery, Royal North Shore Hospital, Reserve Road, St Leonards, 2065 NSW, Australia.
Juanita N ChuiDepartment of Upper Gastrointestinal Surgery, Royal North Shore Hospital, Reserve Road, St Leonards, 2065 NSW, Australia.
Kevin TreeDepartment of Upper Gastrointestinal Surgery, Royal North Shore Hospital, Reserve Road, St Leonards, 2065 NSW, Australia.
Douglas GreerDepartment of Upper Gastrointestinal Surgery, Royal North Shore Hospital, Reserve Road, St Leonards, 2065 NSW, Australia.
Alex BoueDepartment of Upper Gastrointestinal Surgery, Royal North Shore Hospital, Reserve Road, St Leonards, 2065 NSW, Australia.
Tamara GallDepartment of Upper Gastrointestinal Surgery, Royal North Shore Hospital, Reserve Road, St Leonards, 2065 NSW, Australia.
Siobhan McKayDepartment of Upper Gastrointestinal Surgery, Royal North Shore Hospital, Reserve Road, St Leonards, 2065 NSW, Australia.
Anubhav MittalDepartment of Upper Gastrointestinal Surgery, Royal North Shore Hospital, Reserve Road, St Leonards, 2065 NSW, Australia.
Jaswinder S SamraDepartment of Upper Gastrointestinal Surgery, Royal North Shore Hospital, Reserve Road, St Leonards, 2065 NSW, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMinimally invasive surgical necrosectomy plays an important role in the management of infected pancreatic necrosis, with a goal of removing debris and debriding necrotic tissue. Pulse lavage is designed to simultaneously hydrostatically debride and remove the infected necrotic tissue with suction. It is also able to remove significant amounts of debris without traumatic manipulation of the necrotic tissue which may be adherent to surrounding tissue and can result in injury. METHODS AND

resultsThe surgical technique of utilising a waterjet pulse lavage device during the minimally invasive necrosectomy is detailed. Sixteen patients being managed via a step-up approach underwent endoscopic necrosectomy via a radiologically placed drain tract. All sixteen patients were successfully managed endoscopically without conversion to open necrosectomy, and survived their admission. There were no complications associated with the use of the waterjet pulse lavage.

conclusionWaterjet pulse lavage is a useful adjunct in minimally invasive necrosectomy, which reduces the length of the necrosectomy procedure, and facilitates removal of necrotic tissue while minimising the risk of traumatising healthy tissue.

Indexed as

DebridementPancreatitis, Acute NecrotizingTherapeutic IrrigationVideo-Assisted SurgeryAdultAgedDrainageFemaleHumansMaleMiddle AgedRetroperitoneal SpaceNecrosectomyPancreasPancreatitis

Identifiers

PMID39367136
PMCPMC11525386

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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.