Evidence map›Paper›PMID 40385338›Full record

ReviewAnnals of gastroenterological surgery2025

Effectiveness of advanced dressings in preventing surgical site infections compared to that of standard dressings in gastrointestinal surgery: A systematic review and meta-analysis for guideline revision by the Japanese Society for Surgical Infection.

Keita Kouzu, Hironori Tsujimoto, Seiichi Shinji, Hiroji Shinkawa, Koji Tamura, Yukio Sato, Koji Munakata, Yasunari Fukuda, Daisuke Koike, Hiromu Miyake and 15 more

Abstract readReview
In one paragraph

Review in Annals of gastroenterological surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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

25 authors.

Keita KouzuDepartment of Surgery National Defense Medical College Saitama Japan.ORCID https://orcid.org/0000-0002-6433-3184
Hironori TsujimotoDepartment of Surgery National Defense Medical College Saitama Japan.ORCID https://orcid.org/0000-0002-2808-4723
Seiichi ShinjiDepartment of Gastroenterological Surgery Nippon Medical School Japan.
Hiroji ShinkawaDepartment of Hepatobiliary-Pancreatic Surgery Osaka Metropolitan University Graduate School of Medicine Japan.ORCID https://orcid.org/0000-0002-0164-2414
Koji TamuraDepartment of Surgery and Oncology, Graduate School of Medical Sciences Kyushu University Fukuoka Japan.
Yukio SatoDepartment of Emergency and Critical Care Medicine Keio University School of Medicine Japan.
Koji MunakataDepartment of Gastroenterological Surgery Ikeda City Hospital Osaka Japan.
Yasunari FukudaDepartment of Gastroenterological Surgery Kindai University Nara Hospital Nara Japan.ORCID https://orcid.org/0000-0002-4593-2915
Daisuke KoikeDepartment of Gastroenterological Surgery Fujita Health University Bantane Hospital Aichi Japan.ORCID https://orcid.org/0000-0001-8629-0165
Hiromu MiyakeDepartment of Pediatric Surgery Shizuoka Children's Hospital Shizuoka Japan.
Yohei HosodaDepartment of Surgery Tane General Hospital Osaka Japan.
Motoi UchinoDepartment of Gastroenterological Surgery, Division of Inflammatory Bowel Disease Hyogo Medical University Hyogo Japan.ORCID https://orcid.org/0000-0002-2934-1680
Hiroki OhgeDepartment of Infectious Diseases Hiroshima University Hospital Hiroshima Japan.
Junzo ShimizuDepartment of Surgery Toyonaka Municipal Hospital Osaka Japan.
Seiji HajiDepartment of Surgery Soseikai General Hospital Kyoto Japan.
Yasuhiko MohriDepartment of Surgery Mie Prefectural General Medical Center Mie Japan.
Chizuru YamashitaDepartment of Anesthesiology and Critical Care Medicine Fujita Health University School of Medicine Aichi Japan.
Yuichi KitagawaDepartment of Infection Control National Center for Geriatrics and Gerontology Aichi Japan.
Motomu KobayashiDepartment of Anesthesiology Hokushinkai Megumino Hospital Hokkaido Japan.
Yuki HanaiDepartment of Clinical Pharmacy, Faculty of Pharmaceutical Sciences Toho University Chiba Japan.ORCID https://orcid.org/0000-0002-4606-7150
Hiroshi NobuharaDepartment of Dentistry and Oral and Maxillofacial Surgery Hiroshima Prefectural Hospital Hiroshima Japan.
Masahiro YoshidaDepartment of Hepato-Biliary-Pancreatic and Gastrointestinal Surgery International University of Health and Welfare, School of Medicine Chiba Japan.
Toru MizuguchiDepartment of Nursing, Division of Surgical Science Sapporo Medical University Hokkaido Japan.
Toshihiko MayumiDepartment of Intensive Care Unit Japan Community Healthcare Organization Chukyo Hospital Aichi Japan.
Yuko KitagawaDepartment of Surgery Keio University School of Medicine Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: This is a systematic review and meta-analysis of the efficacy of wound coverage using advanced dressings specifically for the prevention of surgical site infections (SSI) in gastrointestinal surgery, as part of the update of the SSI prevention guidelines of the Japan Society for Surgical Infection (JSSI). Methods: After searching CENTRAL, PubMed, and ICHUSHI-Web in July 2024, we included randomized controlled trials (RCTs) comparing advanced dressings and standard dressings for surgical wounds in gastrointestinal surgery (PROSPERO No. CRD42024569084). Three authors independently screened the RCTs. We assessed the risk of bias and certainty of the body of evidence for the extracted data. The primary outcome was superficial SSI, and the secondary outcomes were length of postoperative hospital stay, costs, and allergy. This study was partially supported by the JSSI. Results: A total of seven RCTs and 927 patients were included. The use of advanced dressings significantly lowered the risk of SSI compared to that associated with standard dressings (risk ratio: 0.54, 95% confidence intervals: 0.34-0.88). The certainty of the evidence was rated as moderate. According to the subgroup analysis, advanced dressings reduced the risk of SSI in colorectal surgery. Advanced dressings did not reduce the length of postoperative hospital stay or costs compared to that of standard dressings. Allergies were reported in only one patient using silver-impregnated dressings. Conclusion: The use of advanced dressings for primary wounds in gastrointestinal surgery was associated with a significantly lower risk of SSI than that associated with standard dressings.

Indexed as

gastrointestinal surgerymeta‐analysissurgical site infectionsystematic reviewwound dressings

Identifiers

PMID40385338
PMCPMC12080198

What Socratic holds

Textmetadata
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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 Socratic graph.