SynthesisLangenbeck's archives of surgery2025
TIVS versus Non-TIVS management of limb vascular injury in limb salvage: systematic review and meta-analysis.
Synthesis in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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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.
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.
Who cites it
1 citing paper in PubMed.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo compare the postoperative complications between temporary intravascular shunts (TIVS) and non-TIVS management in limb salvage surgery for severe limb trauma, and to provide reference for clinical decision making.
methodsThe literature on postoperative complications of limb salvage with and without TIVS was searched in PubMed, Cochrane Library, Embase and MEDLINE from January 2000 to December 2023. References were screened and extracted according to inclusion and exclusion criteria, and meta-analysis was performed using RevMan5.4 software.
results8 studies were included, including 1375 cases, 329 of which used TIVS and 1046 of which did not. Compared with no TIVS group, TIVS group was associated with a lower rate of amputation (OR = 0.48, 95%CI: [0.29, 0.82], P = 0.007) and less limb ischemic time (SMD = -0.96, 95%CI: [-1.17, -0.74], P < 0.00001), the incidence of thrombosis (OR = 1.48, 95%CI: [0.46, 4.78], P = 0.51), fasciotomy (OR = 0.84, 95%CI: [0.30, 2.36], P = 0.75) and infection (OR = 0.88, 95%CI: [0.35, 2.19], P = 0.78) were not statistically significant.
conclusionCompared with no TIVS group, TIVS group may reduce amputation rate and limb ischemia time, prospective multi-centre studies are needed for further evaluation.
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Registered trials
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.