Evidence map›Paper›PMID 40456991›Full record

SynthesisAesthetic plastic surgery2025

Preoperative Desmopressin for Bleeding Reduction During Rhinoplasty: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Ramon Werner Heringer Gutierrez, Helyel Rodrigues Gobbo, Alexandre Yamada Fujimura Júnior, Luzimagno da Fonseca Lemos Heringer

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Aesthetic plastic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Ramon Werner Heringer GutierrezFederal University of Rio de Janeiro (UFRJ), 705, Sidnei Vasconcelos Aguiar Street, Macaé, Rio de Janeiro, 24804-703, Brazil. ramonwernerufrj@gmail.com.ORCID 0000-0002-3175-6922
Helyel Rodrigues GobboFederal University of Rio de Janeiro (UFRJ), 705, Sidnei Vasconcelos Aguiar Street, Macaé, Rio de Janeiro, 24804-703, Brazil.
Alexandre Yamada Fujimura JúniorMarília Faculty of Medicine (FAMEMA), 800, Monte Carmelo Street, Marília, São Paulo, 17519-030, Brazil.
Luzimagno da Fonseca Lemos HeringerFull Member of the Brazilian Society of Plastic Surgery (SBCP), São Paulo, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBleeding is a primary complication associated with rhinoplasty. The hemostatic effect of Desmopressin (DDAVP) in enhancing coagulation factors is being studied to prevent this complication in rhinoplasty patients.

methodsWe performed a systematic review and meta-analysis of randomized clinical trials (RCTs) analyzing the effects of preoperative DDAVP during rhinoplasty. The outcomes evaluated were intraoperative bleeding and the quality of the surgical field.

resultsFour studies comprising 262 rhinoplasty patients were included. Preoperative administration of intranasal DDAVP was associated with a significant reduction in total blood loss (MD = - 15.22 mL; 95% CI - 19.52 to - 10.93; p < 0.00001; I

conclusionDDAVP resulted in a statistically significant reduction in bleeding and a drier surgical field. However, the clinical significance remains to be established and further studies are required. LEVEL OF EVIDENCE I: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors   www.springer.com/00266 .

Indexed as

Blood Loss, SurgicalDeamino Arginine VasopressinHemostaticsPreoperative CareRhinoplastyAdultFemaleHumansMaleRandomized Controlled Trials as TopicRisk AssessmentTreatment OutcomeDeamino Arginine VasopressinHemostaticsBleedingDesmopressinRhinoplastySurgical field

Identifiers

PMID40456991

What OpenQuestion holds

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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.