Evidence map›Paper›PMID 40111521›Full record

SynthesisInternational journal of colorectal disease2025

The use of negative pressure wound therapy following stoma reversal: a systematic review and meta-analysis of randomized controlled trials.

Caroline Drumm, Ben Creavin, Iva Pranjic Previsic, Maeve O'Neill, John Larkin, Brian J Mehigan, Dara Kavanagh, Paul McCormick, Michael Eamon Kelly

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in International journal of colorectal disease, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

9 authors.

Caroline DrummDepartment of Surgery, St. James's Hospital, Dublin, Ireland.
Ben CreavinDepartment of Surgery, St. James's Hospital, Dublin, Ireland.
Iva Pranjic PrevisicDepartment of Surgery, St. James's Hospital, Dublin, Ireland.
Maeve O'NeillDepartment of Surgery, St. James's Hospital, Dublin, Ireland.
John LarkinDepartment of Surgery, St. James's Hospital, Dublin, Ireland.
Brian J MehiganDepartment of Surgery, St. James's Hospital, Dublin, Ireland.
Dara KavanaghDepartment of Surgery, Tallaght University Hospital, Dublin, Ireland.
Paul McCormickDepartment of Surgery, St. James's Hospital, Dublin, Ireland.
Michael Eamon KellyDepartment of Surgery, St. James's Hospital, Dublin, Ireland. Kellym11@tcd.ie.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionStoma reversal is a contaminated surgery with many patients experiencing significant wound complications that contribute to patient morbidity. It is believed that the use of prophylactic negative pressure wound therapy (NPWT) may enhance wound healing and help reduce the risk of developing surgical site infections (SSI). However, there is conflicting research regarding its effectiveness following stoma reversal. Our systematic review aims to evaluate the available randomized data to determine if the use of prophylactic NPWT after stoma reversal improves the duration of wound healing and reduces rates of postoperative complications.

methodsA comprehensive search of literature published up to January 2025 was conducted using the following databases: PubMed, Embase, Medline, and Cochrane Library. The included trials were randomized controlled trials that investigated the effect of NPWT following stoma reversal. The primary outcome was the time to complete wound healing. Secondary outcomes included the incidence of wound complications, SSI, hematomas, and the length of hospital stay.

resultsSix randomised control trials were included, with 332 patients, of which 171 of these underwent NPWT. There was a significant reduction in time to complete wound healing (OR - 2.53, 95% CI - 3.82 to - 1.24, p = 0.0001, I

conclusionThe use of NPWT after stoma reversal significantly reduces the time needed for complete wound healing while maintaining a comparable rate of wound complications and length of hospital stay. Therefore, NPWT may be valuable in optimizing postoperative recovery and enhancing patient outcomes.

Indexed as

Negative-Pressure Wound TherapyRandomized Controlled Trials as TopicSurgical StomasHumansLength of StayPublication BiasSurgical Wound InfectionTreatment OutcomeWound HealingColorectal surgeryNegative pressureNPWTStoma reversal

Identifiers

PMID40111521
PMCPMC11926009

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.