Evidence map›Paper›PMID 39906220›Full record

ArticleSurgery open science2025

Mechanically powered negative pressure dressing reduces surgical site infection after stoma reversal.

Brian Williams, Aubrey Swinford, Jordan Martucci, Johnny Wang, Jordan R Wlodarczyk, Abhinav Gupta, Kyle G Cologne, Sarah E Koller, Christine Hsieh, Marjun P Duldulao and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Surgery open science, 2025. 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. Review
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

11 authors.

Brian WilliamsKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USA.
Aubrey SwinfordKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USA.
Jordan MartucciKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USA.
Johnny WangKeck School of Medicine of USC, Los Angeles, CA, USA.
Jordan R WlodarczykKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USA.
Abhinav GuptaKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USA.
Kyle G CologneKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USA.
Sarah E KollerLos Angeles General Medical Center, Division of Colorectal Surgery, Los Angeles, CA, USA.
Christine HsiehKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USA.
Marjun P DuldulaoKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USA.
Joongho ShinKeck Medicine of USC, Division of Colorectal Surgery, Los Angeles, CA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The use of closed-incision negative pressure wound therapy (ci-NPWT) has been shown to reduce postoperative wound complications and surgical site infections (SSI) after stoma closures. However, use of this approach has not been widely adopted due to high cost of the devices. We present a novel approach to stoma closure in which a self-contained mechanically powered negative pressure dressing (MP-NPD) is applied to primarily closed stoma reversal wounds. We hypothesized that SSI and wound complication rates would be improved compared to traditional stoma closure methods. Methods: This was a prospective investigator-initiated study, in which consecutive patients that underwent stoma reversal with primary stoma wound closure dressed with MP-NPD from May 2021-March 2022. 30-day outcomes from the study group, including surgical site infection, other wound complications, hospital length of stay (LOS), and readmission rates, were then reported. Results: Forty-six patients undergoing local ileostomy or colostomy closure were identified for the study group. Patient demographics and surgical variables were reported. One (2.2 %) patient in the study cohort developed superficial SSI within 30 days of their surgery. Post-op LOS in the study group versus was 4.1 days. Conclusion: Intestinal stoma reversal wounds closed primarily and dressed with the MP-NPD dressings had very low stoma site SSI rates. These results are promising as they pertain to the use of MP-NPD in stoma reversal procedures, however further large prospective RCTs with a matched control group could help better corroborate these findings.

Indexed as

Closed-incision negative pressure wound therapyColorectalColostomy closureIleostomy closureNegative pressure dressingSurgical site infectionWound healing

Identifiers

PMID39906220
PMCPMC11791243

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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.