Background: Meta-analysis research was implemented to appraise the effect of resident participation (RP) in ophthalmic surgery (OS) on wound dehiscence (WD). Methods: Inclusive literature research until April 2023 was done, and 645 interconnected researches were revised. The 7 picked researches, enclosed 4224 OS persons were in the utilized researchers' starting point, 2189 of them were utilizing RP, and 2035 were no RP. Odds ratio (OR) and 95% confidence intervals (CIs) were utilized to appraise the consequence of RP in OS on WD by the dichotomous approach and a fixed or random model. Results: RP had significantly higher WD (OR, 1.69; 95% CI, 1.04-2.76, p=0.03) compared to no RP in OS persons. Conclusions: RP had significantly higher WD compared to no RP in OS persons. However, caution needs to be taken when interacting with its values since there was a low sample size of some of the chosen researches and a low number of researches found for the comparison in the meta-analysis.

After breast surgery, wound complications are not uncommon. In patients with breast cancer, delayed wound healing may cause poor cosmesis and postpone the start of adjuvant therapy. Since there is now disagreement about the use of preventive negative pressure dressings in closed wounds following breast surgery, the goal of our research was to examine the literature regarding the usefulness of negative pressure wound management in oncoplastic breast surgery.

Background:

A meta-analysis research was implemented to appraise gingival wound healing management by photobiomodulation as adjunctive management to periodontal treatments.

Inclusive literature research till April 2023 was done and 908 interconnected researches were revised. Methods

The 9 picked researches, enclosed 517 periodontal disease persons were in the utilized researchers' starting point, 258 of them were utilizing photobiomodulation, and 259 were control. Odds ratio (OR) and 95% confidence intervals (CIs) were utilized to appraise the consequence of photobiomodulation in treating gingival wound healing by the dichotomous, and contentious approach and a fixed or random model.

Results:

Photobiomodulation had a significantly higher Landry wound healing index (MD, 0.87; 95% CI, 0.40-1.34, p<0.001), and complete wound epithelialization (OR, 6.47; 95% CI, 2.05-20.44, p=0.001) compared to the control of gingival wound healing in periodontal disease persons. However, photobiomodulation and control had no significant difference in the remaining wound area (MD, -10.03; 95% CI, -22.83-2.77, p=0.12) of gingival wound healing in periodontal disease persons.

Conclusions:

Photobiomodulation had a significantly higher Landry wound healing index, and complete wound epithelialization, however, no significant difference was found in the remaining wound area compared to control of gingival wound healing in periodontal disease persons. However, caution needs to be taken when interacting with its values since there was a low sample size of most of the chosen research found for the comparisons in the meta-analysis and a low number of chosen investigations for some of the comparisons.

Backgrounds

The purpose of the meta-analysis was to evaluate and compare the effects of negative-pressure wound therapy (NPWT) with conventional therapy (CT) on wound infection and graft take rates in split-thickness skin (STS) after grafting surgery (GS).

Methods

The results of this meta-analysis were analyzed, and the odds ratio (OR) and mean difference (MD) with 95% confidence intervals (CIs) were calculated using dichotomous or contentious random or fixed effect models. For the current meta-analysis, 16 examinations spanning from 2002 to 2023 were included, encompassing 1301 people with STSs after GS.

Results

NPWT had a significantly lower wound infection (OR, 0.29; 95% CI, 0.17-0.48, p<0.001), and higher graft take rate (MD, 8.70; 95% CI, 5.76-11.63, p<0.001) compared to CT in STSs after GS subjects.

Conclusions

The examined data revealed that NPWT had a significantly lower wound infection and a higher graft take rates compared to CT in STSs after GS subjects. However, given that several examinations had a small sample size, consideration should be given to their values.

Background:

A meta-analysis investigation was executed to measure the wound complications (WCs) frequency in minor technique gastrectomy (MTG) compared to open gastrectomy (OG) for gastric cancer (GC).

Methods:

A comprehensive literature inspection till February 2023 was applied and 2078 interrelated investigations were reviewed. The 17 chosen investigations enclosed 12746 individuals with GC were in the chosen investigations' starting point, 3052 of them were utilizing robotic gastrectomy (RG), 6603 of them were utilizing laparoscopic gastrectomy (LG) and 3091 were utilizing OG. Odds ratio (OR) in addition to 95% confidence intervals (CIs) were utilized to compute the value of the WCs frequency in MTG compared to OG for GC by the dichotomous approaches and a fixed or random model.

Results:

No significant difference was found in surgical site wound infection (SSWI) between RG and OG (OR, 1.45; 95% CI, 0.89-2.35, p=0.13), LG and OG (OR, 0.75; 95% CI, 0.47-1.18, p=0.21), and RG and LG (OR, 1.07; 95% CI, 0.72-1.60, p=0.73) in individuals with GC.

Conclusions:

No significant difference was found in SSWI between RG, OG, and LG in individuals with GC. However, care must be exercised when dealing with its values because of the low number of nominated in the meta-analysis and the low sample size of some of the nominated investigations for the meta-analysis.

Backgrounds

The purpose of the meta-analysis was to evaluate and compare the effect of laparoscopy versus open appendectomy on wound infection in elderly subjects.

Methods

The results of this meta-analysis were analyzed, and the odds ratio (OR) and mean difference (MD) with 95% confidence intervals (CIs) were calculated using dichotomous or contentious random or fixed effect models.

Results

For the current meta-analysis, 6 examinations spanning from 2004 to 2021 were included, encompassing 42675 people; of them, 15486 had a laparoscopy, and 27189 had an open appendectomy.

Laparoscopy had a significantly lower surgical site infection (OR, 0.27; 95% CI, 0.22-0.32, p<0.001) and intra-abdominal abscess (OR, 0.36; 95% CI, 0.31-0.42, p<0.001) compared to open appendectomy in elderly subjects.

Conclusions

The information that was looked at showed that in older people, laparoscopy had a much lower rate of surgical site infections and intra-abdominal abscesses than open appendectomy. However, given the small number of studies included, attention should be given to their values.

Backgrounds

The meta-analysis aims to estimate the effect of antibiotic prophylaxis (AP) on surgical site wound infection (SSWI) in third molar surgery (TMS).

Methods

Examinations comparing AP to placebo for TMS were utilized in the meta-analysis from various languages that met the inclusion criteria. Using dichotomous random or fixed effect models, the results of these investigations were examined, and the Odd Ratio (OR) with 95% confidence intervals was computed (CIs).

18 examinations from 2001 to 2023 were recruited for the current analysis including 4063 personals with TMS who were in the utilized examinations' starting point.

Results

AP had significantly lower SSWI (OR, 0.46; 95% CI, 0.33-0.65, p<0.001) with no heterogeneity (I² = 1%) compared to placebo in personals with TMS.

Conclusions

The examined data revealed that AP had significantly lower SSWI compared to placebo in personals with TMS. Nevertheless, caution should be exercised while interacting with its values since examinations were performed by different surgeons with different skills on different types of personals and the low sample size of numerous of the examinations selected for the meta-analysis.

Backgrounds

A meta-analysis research was executed to appraise the effect of the continuous intervention for intraoperative pressure wound ulcers (IOPWUs) associated problems in breast cancer (BC) females.

Methods

Inclusive literature research till March 2023 was done and 436 interconnected researches were revised. The 8 picked researches, enclosed 1267 BC females were in the utilized researches' starting point, 636 of them were utilizing CI, and 631 were control. Odds ratio (OR) and 95% confidence intervals (CIs) were utilized to appraise the effect of CI for IOPWUs associated problems in BC females by the dichotomous, or contentious approaches and a fixed or random model.

Results

Continuous intervention had significantly lower IOPWUs (OR, 0.18; 95% CI, 0.13-0.24, p<0.001), higher Braden risk score (BRS) (OR, 2.11; 95% CI, 1.91-2.31, p<0.001), and higher quality of life (OR, 9.75; 95% CI, 6.90-12.60, p=0.02) compared to control in BC females.

Conclusions

Continuous intervention had significantly lower IOPWUs, higher BRS, and higher quality of life compared to control in BC females. However, caution must be taken when interacting with its values since there was a low number of nominated research found for some comparison in the meta-analysis.

Background:

A meta-analysis study to assess the prevalence of wound infection (WI) following right anterolateral thoracotomy (RAT) and median sternotomy (MS) for resection of benign atrial masses (BAM) that induce heart failure, arrhythmia, or thromboembolic events.

Methods:

A comprehensive literature examination till February 2023 was implemented and 296 linked studies were appraised. The 4 picked studies contained 206 subjects with BAM that induce heart failure, arrhythmia, or thromboembolic events in the picked studies' baseline, 116 of them were using RAT, and 90 were using MS. Odds ratio (OR) in addition to 95% confidence intervals (CIs) were used to calculate the consequence of the prevalence of WI following RAT and MS for resection of BAM that induces heart failure, arrhythmia, or thromboembolic events by the dichotomous and continuous styles and a fixed or random model.

Results:

No significant difference was observed between RAT and MS in postoperative surgical site WI (OR, 0.18; 95% CI, 0.02-1.77, p=0.14) with no heterogeneity (I² = 0%) in subjects with BAM that induce heart failure, arrhythmia, or thromboembolic events.

Conclusions:

No significant difference was observed between RAT and MS in postoperative surgical site WI in subjects with BAM that induce heart failure, arrhythmia, or thromboembolic events though precautions should be taken when commerce with the consequences since a low number of selected studies was picked for comparisons in this meta-analysis and all the selected studies were with low sample size.

Background

The meta-analysis aimed to assess and compare the effect of Chinese herbal medicine as an adjunctive technique to standard treatment for people with diabetic foot ulcers.

Methods

Using dichotomous or contentious random or fixed effect models, the outcomes of this meta-analysis were examined, and the odds Ratio (OR) and the mean difference (MD) with 95% confidence intervals (CIs) were computed. 17 examinations from 2006 to 2021 were enrolled for the present meta-analysis including 1140 personals with diabetic foot ulcers.

Results

Chinese herbal medicine had a significantly higher total effective rate (OR, 2.77; 95% CI, 1.89-4.07, p<0.001), lower wound size after treatment (MD, -2.44; 95% CI, -3.46- -1.43, p<0.001), lower number of patients without any improvement (OR, 0.26; 95% CI, 0.15-0.45, p<0.001), and lower time of diabetic wound ulcer healing (MD, -10.46; 95% CI, -14.91- -6.37, p<0.001) compared to standard treatment in personal with diabetic foot ulcers. However, no significant differences were found between Chinese herbal medicine and standard treatment in the number of patients with 30% or more reductions in the ulcer area of the diabetic foot ulcer (OR, 2.69; 95% CI, 0.70-10.30, p=0.15).

Conclusions

The examined data revealed that Chinese herbal medicine had a significantly higher total effective rate, lower wound size after treatment, lower number of patients without any improvement, and lower time of diabetic wound ulcer healing, however, no significant differences were found in the number of patients with 30% or more reductions in the ulcer area compared to standard treatment in personal with diabetic foot ulcers. Yet, attention should be implemented while relating to its values since most of the selected examinations had a low sample size and some comparisons had a low number of selected studies.