Evidence map›Paper›PMID 39659339›Full record

ReviewCureus2024

Comparative Effectiveness of Surgical Drainage Techniques and Postoperative Interventions for Reducing Complications: A Systematic Review of Randomized Controlled Trials.

Muhammad Muaz Loon, Ebrahem H Mohamed, Sergio Rodrigo Oliveira Souza Lima, Baran Dilshad Hassan, Tajammul Abbas

Abstract readReview
In one paragraph

Review in Cureus, 2024. 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. Article
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

5 authors.

Muhammad Muaz LoonSurgery, Mayo Hospital, Lahore, PAK.
Ebrahem H MohamedSpine Surgery, Egyptian Sugar and Integrated Industries Co. Medical Center, Cairo, EGY.
Sergio Rodrigo Oliveira Souza LimaPlastic Surgery, Hospital da Bahia, Salvador, BRA.
Baran Dilshad HassanMedicine, Hawler Medical University, Erbil, IRQ.
Tajammul AbbasInternal Medicine, Nishtar Medical University, Multan, PAK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This systematic review assessed the comparative effectiveness of surgical drainage techniques and postoperative interventions in reducing complications across various surgical fields. We conducted a comprehensive search across multiple databases, including PubMed, MEDLINE, Embase, the Cochrane Library, and CINAHL, covering studies from January 2019 to September 2024. Ten randomized controlled trials met our inclusion criteria, focusing on human surgical patients and comparing outcomes such as seroma, hematoma, infection rates, and postoperative pain. Techniques such as pigtail catheters and vacuum sealing drainage (VSD) demonstrated statistically significant improvements in thoracic and orthopedic surgeries, reducing postoperative pain (effect size: 0.35, p < 0.05), pleural effusion (risk ratio: 0.68, p < 0.01), and hospital stays (mean difference: -2.5 days, p < 0.01), while also accelerating wound healing. However, inconsistent results were observed for hemostatic agents like topical gelatin-thrombin matrix sealant and polysaccharide agents, which did not consistently reduce complications in spinal and breast surgeries (effect size range: 0.10-0.20, p > 0.05). These findings suggest that drainage techniques should be tailored to specific surgical procedures and that the routine use of hemostatic agents requires more critical evaluation. Based on these insights, the review recommends prioritizing the use of pigtail catheters and VSD in appropriate contexts while further investigating the effectiveness of hemostatic agents in different surgical fields. This review underscores the need for additional long-term studies and personalized approaches to optimize drainage management in diverse patient populations. Overall, it provides clinicians with concrete recommendations and a framework for improving postoperative care and guiding clinical decision-making.

Indexed as

gelatin-thrombin matrix sealant (tgtms)hemostatic agentspigtail catheterpolysaccharide agentspostoperative complicationsrandomized controlled trialssurgical drainagevacuum-assisted drainagevacuum sealing drainage (vsd)

Identifiers

PMID39659339
PMCPMC11631155

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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 Socratic graph.