American journal of surgery · 2025
Optimal port site skin closure method following minimally-invasive surgery: A systematic review and network meta-analysis of randomised clinical trials.
СтатьяNetwork Meta-AnalysisСистематический обзорНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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История · было → стало
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Kerin E P, Davey M G, Mkabaah L Bouz, Donlon N E
Аннотация
BACKGROUND: For minimally-invasive surgery (MIS), there are numerous acceptable port-site closure techniques with no consensus on the method used.
AIM: To identify optimal port site postoperative wound closure method following MIS with respect to complication rates and cosmetic outcome.
METHODS: Network meta-analysis (NMA) was performed in accordance with PRISMA-NMA guidelines for RCTs comparing at least two methods of port-site closure.
RESULTS: Nineteen RCTs were identified evaluating eight methods of wound closure in 1,932 patients; across three types of suture, three forms of tissue glue, staples and paper-tape. At NMA, there was no significant difference in wound complication, infection, dehiscence or pain rate irrespective of closure method, albeit a trend towards higher rate of dehiscence for adhesives. At NMA, wound cosmesis was superior for adhesives at both early and late postoperative follow-up.
CONCLUSION: This study validates the use of tissue adhesives with respect to primary closure of port sites following MIS while highlighting potential associated risks.
AIM: To identify optimal port site postoperative wound closure method following MIS with respect to complication rates and cosmetic outcome.
METHODS: Network meta-analysis (NMA) was performed in accordance with PRISMA-NMA guidelines for RCTs comparing at least two methods of port-site closure.
RESULTS: Nineteen RCTs were identified evaluating eight methods of wound closure in 1,932 patients; across three types of suture, three forms of tissue glue, staples and paper-tape. At NMA, there was no significant difference in wound complication, infection, dehiscence or pain rate irrespective of closure method, albeit a trend towards higher rate of dehiscence for adhesives. At NMA, wound cosmesis was superior for adhesives at both early and late postoperative follow-up.
CONCLUSION: This study validates the use of tissue adhesives with respect to primary closure of port sites following MIS while highlighting potential associated risks.