Evidence map›Paper›PMID 40186803›Full record

Trial reportInternational journal of colorectal disease2025

Obsidian®ASG in anastomotic healing after rectal cancer resection-OBANORES: a prospective clinical feasibility study.

Thomas Nikolas Valsamidis, Anders Tøttrup, Ken Ljungmann, Tue Højslev Avlund, Sanne Harsløf, Charlotte Buchard, Lene Hjerrild Iversen

Abstract readClinical Trial
In one paragraph

Trial report 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Trial
  2. Platelet-rich fibrin matrix as treatment for complex anal fistulae: A 3-year experience at a tertiary centre.Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland · 2026
    Article
  3. 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

7 authors.

Thomas Nikolas ValsamidisDepartment of Surgery, Aarhus University Hospital, Aarhus, Denmark.
Anders TøttrupDepartment of Surgery, Aarhus University Hospital, Aarhus, Denmark.
Ken LjungmannDepartment of Surgery, Aarhus University Hospital, Aarhus, Denmark.
Tue Højslev AvlundDepartment of Surgery, Aarhus University Hospital, Aarhus, Denmark.
Sanne HarsløfDepartment of Surgery, Aarhus University Hospital, Aarhus, Denmark.
Charlotte BuchardDepartment of Surgery, Aarhus University Hospital, Aarhus, Denmark.
Lene Hjerrild IversenDepartment of Surgery, Aarhus University Hospital, Aarhus, Denmark. lene.h.iversen@clin.au.dk.

Funding

Kræftens Bekæmpelse R302-A17607Kræftens Bekæmpelse R320-A18522
6 · The paper itself

Abstract

purposeAnastomotic leakage following rectal cancer resection is a serious complication. Despite efforts to prevent it, the risk remains high. Obsidian®ASG, an AUTOLOGOUS fibrin matrix with thrombocytes derived from the patient's blood, shows promise but has not been thoroughly tested in rectal anastomosis. The aim of this study was to assess the feasibility of using Obsidian®ASG as a supplement in rectal anastomosis creation during minimally invasive rectal cancer resection.

methodsThis prospective IDEAL stage 2a development cohort study included 50 patients undergoing rectal cancer resection with anastomosis using minimally invasive surgery at Aarhus University Hospital, Denmark. Obsidian®ASG application was assessed using a predefined rating scale: "Complete" (applied in all three prescribed steps), "Almost complete" (applied in at least the first or second step), and "Incomplete" (all others). Feasibility required "Complete" or "Almost complete" application in at least 90% of patients.

resultsObsidian®ASG application was "Complete" in 15 cases (30%) and "Almost complete" in 35 cases (70%), meeting feasibility criteria in all patients. No "Incomplete" applications occurred. Difficulties in achieving "Complete" application included anatomical constraints, material depletion, machine error, and time constraints.

conclusionObsidian®ASG was successfully applied in all patients undergoing minimally invasive rectal cancer surgery. These findings suggest its feasibility, but further large-scale, multi-center randomized trials are needed to fully assess its potential benefits for patient outcomes.

Indexed as

Blood PlateletsRectal NeoplasmsWound HealingAgedAnastomosis, SurgicalAnastomotic LeakFeasibility StudiesFemaleHumansMaleMiddle AgedProspective StudiesAnastomotic leakageColorectal cancerOBANORES

Identifiers

PMID40186803
PMCPMC11972224

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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.