Evidence map›Paper›PMID 41167677›Full record

Observational studyIn vivo (Athens, Greece)

Delayed Primary Skin Closure Followed by Single-use Negative-pressure Wound Therapy Is Optimal for Wound Management After Bowel-stoma Reversal.

Takumu Fukasawa, Ken Imaizumi, Kazutoshi Terashima, Hiroyuki Kasajima, Naoe Furukawa, Keiichiro Ito, Tadashi Odagiri, Daisuke Yamana, Yosuke Tsuruga, Minoru Umehara and 2 more

Abstract readObservational Study
In one paragraph

Observational study in In vivo (Athens, Greece). 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

12 authors.

Takumu FukasawaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hokkaido, Japan.
Ken ImaizumiDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hokkaido, Japan; imaken1983@gmail.com.
Kazutoshi TerashimaDepartment of Wound, Ostomy and Continence Nurse, Hakodate Municipal Hospital, Hokkaido, Japan.
Hiroyuki KasajimaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hokkaido, Japan.
Naoe FurukawaDepartment of Wound, Ostomy and Continence Nurse, Hakodate Municipal Hospital, Hokkaido, Japan.
Keiichiro ItoDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hokkaido, Japan.
Tadashi OdagiriDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hokkaido, Japan.
Daisuke YamanaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hokkaido, Japan.
Yosuke TsurugaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hokkaido, Japan.
Minoru UmeharaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hokkaido, Japan.
Michihiro KurushimaDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hokkaido, Japan.
Kazuaki NakanishiDepartment of Gastroenterological Surgery, Hakodate Municipal Hospital, Hokkaido, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimAlthough the purse-string suture (PSS) method is widely adopted to reduce surgical-site infection (SSI; the commonest complication following bowel-stoma closure), this technique is associated with delayed epithelialization. Recently, delayed primary closure (DPC) combined with negative-pressure wound therapy (NPWT) has been proposed as a promising alternative. This study aimed to evaluate the clinical efficacy of DPC with NPWT compared to the PSS method in stoma-closure surgery. PATIENTS AND

methodsWe conducted a retrospective observational study involving 31 patients who underwent stoma closure between January 2021 and March 2023. Patients were categorized into two groups: PSS with or without NPWT (PSS±NPWT; n=15) and DPC with NPWT (DPC+NPWT; n=16). The primary outcome was wound-healing duration; the secondary outcomes were patient satisfaction and in-hospital costs.

resultsThe wound-healing duration was significantly shorter in the DPC+NPWT group compared to the PSS±NPWT group (median: 20

conclusionDPC with NPWT significantly shortened the wound-healing duration and showed potential benefits regarding patient satisfaction and healthcare costs compared to the PSS method. These findings suggest DPC with NPWT as a viable alternative for bowel-stoma closure and wound management.

Indexed as

Negative-Pressure Wound TherapySurgical StomasWound Closure TechniquesAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesSurgical Wound InfectionSuture TechniquesTreatment OutcomeWound Healingdelayed primary closurenegative-pressure wound therapyStoma closuresurgical site infection

Identifiers

PMID41167677
PMCPMC12588250

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LicenceCC BY-NC-ND
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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.