SynthesisWorld journal of surgery2025
Selective Nonoperative Management of Abdominal Stab Wounds in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.
Synthesis in World journal of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.
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
3 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Selective Nonoperative Management of Abdominal Stab Wounds in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis.World journal of surgery · 2025Pooled it
- The application of focused assessment with sonography for trauma in resource-limited settings: a scoping review.Frontiers in public health · 2026Article
- Clinical presentation and management outcome of abdominal stab wounds in a low-resource setting: experience of a central hospital in Sudan.International journal of emergency medicine · 2025Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundSelective nonoperative management (SNOM) of abdominal stab wounds is a well-established approach to managing these injuries and has been practiced since the 1960s. This systematic review and meta-analysis provides an up-to-date analysis of the safety and feasibility of this management strategy in upper-middle-income, lower-middle-income, low-income, and least developed countries and describes evidence of how this management has evolved.
methodsMedline (via PubMed), Google Scholar, Scopus, Embase, the International Clinical Trials Registry, and Web of Science were searched for studies describing SNOM of abdominal stab wounds in patients ≥ 16 years old in upper-middle-income, lower-middle-income, low-income, and least developed countries. Study characteristics and method of SNOM (use of computed tomography scanning vs. serial examination only) were extracted. Pooled results for failure of SNOM, mortality, complications, and length of stay (LOS) were analyzed.
resultsTwenty studies were selected containing 1505 patients initially managed nonoperatively with 245 ultimately requiring surgical intervention. The pooled risk of failure of SNOM was 0.14 (95% CI = 0.08-0.22). There was zero reported mortality in patients selected for SNOM. LOS was generally higher in patients undergoing primary operative management, and complications were also reported as being more frequent in primary operative management patients.
conclusionSNOM of abdominal stab wounds is a safe method of managing these injuries. Computed tomography is now commonly used to aid in decision-making about suitability for attempted SNOM in lower-resource settings.
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