Evidence map›Paper›PMID 40188299›Full record

SynthesisTechniques in coloproctology2025

Circular (purse-string) vs primary skin closure following stoma closure: an up-to-date systematic review and meta-analysis.

F Menegon Tasselli, F Pata, G Fuschillo, G Signoriello, A Bondurri, G Sciaudone, F Selvaggi, G Pellino

Abstract readSystematic ReviewMeta-AnalysisComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Techniques in coloproctology, 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. Observational
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

8 authors.

F Menegon Tasselli *Department of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Policlinico CS, Piazza Miraglia 2, 80138, Naples, Italy.ORCID 0000-0002-3611-2763
F Pata *Department of Pharmacy, Health and Nutritional Sciences, University of Calabria, Rende, Italy.ORCID 0000-0003-2634-1199
G FuschilloDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Policlinico CS, Piazza Miraglia 2, 80138, Naples, Italy.ORCID 0000-0002-1913-6296
G SignorielloDepartment of Mental Health and Preventive Medicine, Chair of Statistics, University of Campania "Luigi Vanvitelli", Naples, Italy.ORCID 0000-0002-6609-2708
A BondurriDepartment of General Surgery, Department of Biomedical and Clinical Sciences, Luigi Sacco" University Hospital, Milan, Italy.ORCID 0000-0002-6521-5876
G SciaudoneDepartment of Medicine and Health Sciences "Vincenzo Tiberio", University of Molise, Campobasso, Italy.ORCID 0000-0003-4221-8502
F SelvaggiDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Policlinico CS, Piazza Miraglia 2, 80138, Naples, Italy. francesco.selvaggi@unicampania.it.ORCID 0000-0002-3219-3797
G PellinoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Policlinico CS, Piazza Miraglia 2, 80138, Naples, Italy. gipe1984@gmail.com.ORCID 0000-0002-8322-6421

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSurgical site infections (SSI) are the most common complication after stoma closure. Circular skin closure (CSC) has been proposed to reduce SSI with comparable or even better outcomes than conventional primary sutures (PS). The aim of this meta-analysis is to compare circular with primary skin closure in stoma closure.

methodA systematic review of the literature was performed for articles published between January 2010 and June 2023, including all randomized control trials (RCT) on wound infection of adult patients following stoma reversal. The primary outcome was 30-day SSI; secondary outcomes were operative time, length of stay, and incisional hernia.

resultsEight RCTs were identified that included a total of 606 patients undergoing stoma closure surgery. Four percent of patients in the CSC group developed SSI, compared to 27% of patients undergoing PS. The 30-day SSI rate was lower after the circular skin closure (OR 0.11, 95% CI 0.06-0.21; p < 0.00001, I

conclusionCSC is associated with lower SSI rate and should be preferred to linear skin closure technique after stoma closure surgery.

Indexed as

Surgical StomasSurgical Wound InfectionSuture TechniquesAdultFemaleHumansIncisional HerniaLength of StayMaleMiddle AgedOperative TimeRandomized Controlled Trials as TopicTreatment OutcomeOstomy closurePostoperative complicationsSkin closureSurgical wound infection

Identifiers

PMID40188299
PMCPMC11972173

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Registered trials

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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.