Observational studyJSLS : Journal of the Society of Laparoendoscopic Surgeons
Four Techniques for Closing Laparoscopic Ports in Obese Patients.
Observational study in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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.
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0 citing papers in PubMed.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: The study objective was to compare the complication rates of four different techniques for closure: (1) no closure, (2) conventional closure with Vicryl, (3) Carter-Thomason, (4) M-Close in patients with obesity. Methods: The study design is a retrospective comparison of four surgical cohorts. All results refer to 12-mm supraumbilical incisions after laparoscopic surgery in patients with obesity. All patients had at least 12 months of follow-up. Results: Second surgery for a hernia was performed in 7 (12%) of 57 no-closure patients, 4 (8%) of 53 conventional closure patients, 1 (3%) of 31 Carter-Thomason patients, and 0 of 118 M-Close patients (overall difference: Conclusions: This study suggests that M-Close reduces the rate of second surgery for hernia. The results also reinforce guideline recommendations that all incisions 10 mm or larger should be closed. This report provides a basis for planning randomized comparative trials.
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