Authorship：Lead author   Language：English   Publishing type：Research paper (scientific journal)   Publisher：Baishideng Publishing Group Inc.  

BACKGROUND

Surgical site infections (SSIs) increase mortality, hospital stays, additional medical treatment, and medical costs. Subcutaneous drains prevent SSIs in gynecological and breast surgeries; however, their clinical impact in abdominal surgery remains unclear.

AIM

To investigate whether subcutaneous drains were beneficial in abdominal surgery using a systematic review and meta-analysis.

METHODS

The database search used PubMed, MEDLINE, and the Cochrane Library. The following inclusion criteria were set for the systematic review: (1) Randomized controlled trial studies comparing SSIs after abdominal surgery with or without subcutaneous drains; and (2) Studies that described clinical outcomes, such as SSIs, seroma formation, the length of hospital stays, and mortality.

RESULTS

Eight studies were included in this meta-analysis. The rate of total SSIs was significantly lower in the drained group (54/771, 7.0%) than in the control group (89/759, 11.7%), particularly in gastrointestinal surgery. Furthermore, the rate of superficial SSIs was slightly lower in the drained group (31/517, 6.0%) than in the control group (49/521, 9.4%). No significant differences were observed in seroma formation between the groups. Hospital stays were shorter in the drained group than in the control group.

CONCLUSION

Subcutaneous drains after abdominal surgery prevented SSIs and reduced hospital stays but did not significantly affect seroma formation. The timing of drain removal needs to be reconsidered in future studies.

DOI： 10.4240/wjgs.v15.i12.2879

researchmap

Language：English   Publishing type：Research paper (scientific journal)  

INTRODUCTION: The aim of this study was to conduct a systematic review and meta-analysis of the efficacy of fascial closure using antimicrobial-sutures specifically for the prevention of surgical site infections (SSI) in gastrointestinal surgery, as part of the revision of the SSI prevention guidelines of the Japanese Society of Surgical Infectious Diseases (JSSI). METHODS: We searched the CENTRAL, PubMed, and ICHUSHI-Web in May 2023, and included randomized controlled trials (RCTs) comparing antimicrobial-coated and non-coated sutures for fascial closure in gastrointestinal surgery (PROSPERO No. CRD42023430377). Three authors independently screened the RCTs. We assessed the risk of bias and the GRADE criteria for the extracted data. The primary outcome was incisional SSI and the secondary outcomes were abdominal wall dehiscence and the length of postoperative hospital stay. This study was supported partially by the JSSI. RESULTS: A total of 10 RCTs and 5,396 patients were included. The use of antimicrobial-coated sutures significantly lowered the risk of incisional SSI compared to non-coated suture (risk ratio: 0.79, 95% confidence intervals: 0.64-0.98). In subgroup analyses, antimicrobial-coated sutures reduce the risk of SSI for open surgeries, and when monofilament sutures were used. Antimicrobial-coated sutures did not reduce the incidence of abdominal wall dehiscence and the length of hospital stay compared to non-coated sutures. The certainty of the evidence was rated as moderate according to the GRADE criteria, because of risk of bias. CONCLUSION: The use of antimicrobial-coated sutures for fascial closure in gastrointestinal surgery is associated with a significantly lower risk of SSI than non-coated sutures.

DOI： 10.1016/j.jhin.2023.09.006

PubMed

researchmap

Authorship：Lead author   Language：English   Publishing type：Research paper (scientific journal)   Publisher：Wiley  

Other Link： https://onlinelibrary.wiley.com/doi/full-xml/10.1111/nicc.12880

DOI： 10.1111/nicc.12880

researchmap

Language：English   Publishing type：Research paper (scientific journal)   Publisher：Medknow  

DOI： 10.4103/wjcs.wjcs_16_23

researchmap

Authorship：Lead author   Language：English   Publishing type：Research paper (scientific journal)  

BACKGROUND: Health utility assessments have been developed for various conditions, including chronic liver disease. Health utility scores are required for socio-economic evaluations, which can aid the distribution of national budgets. However, the standard health utility assessment scores for specific health conditions are largely unknown. AIM: To summarize the health utility scores, including the EuroQOL 5-dimensions 5-levels (EQ-5D-5L), EuroQol-visual analogue scale, short from-36 (SF-36), RAND-36, and Health Utilities Index (HUI)-Mark2/Mark3 scores, for the normal population and chronic liver disease patients. METHODS: A systematic literature search of PubMed and MEDLINE, including the Cochrane Library, was performed. Meta-analysis was performed using the RevMan software. Multiple means and standard deviations were combined using the StatsToDo online web program. RESULTS: The EQ-5D-5L and SF-36 can be used for health utility evaluations during antiviral therapy for hepatitis C. HUI-Mark2/Mark3 indicated that the health utility scores of hepatitis B patients are roughly 30% better than those of hepatitis C patients. CONCLUSION: The EQ-5D-5L is the most popular questionnaire for health utility assessments. Health assessments that allow free registration would be useful for evaluating health utility in patients with liver disease.

DOI： 10.3748/wjg.v28.i31.4442

PubMed

researchmap

Authorship：Lead author   Publishing type：Research paper (scientific journal)   Publisher：Baishideng Publishing Group Inc.  

DOI： 10.13105/wjma.v9.i5.462

researchmap

Authorship：Lead author   Publishing type：Research paper (scientific journal)   Publisher：Baishideng Publishing Group Inc.  

DOI： 10.13105/wjma.v9.i1.88

researchmap

Language：English   Publishing type：Research paper (scientific journal)  

Although the liver is a regenerating organ, excessive loss of liver volume (LV) can cause fatal liver failure. It is unclear whether LV is correlated with age; however, it is known that liver function decreases with age. In addition, the gender-related role of LV remains unclear. This study aimed to investigate the changes in LV by age and gender. Between January and December 2018, 374 consecutive patients who underwent abdominal multidetector computed tomography (MDCT) for any abdominal examinations were enrolled. LV was evaluated using MDCT. The relationship between the LV and body mass index (BMI), body surface area (BSA), age, and gender was investigated. The modified LV (mLV) was calculated by a formula measured LV × 1.5/BSA. LV correlated to BSA more than to BMI in both the males (R: 0.559 vs. 0.416) and females (R: 0.479 vs. 0.300) in our study. Age was negatively correlated to LV and BSA, and correlated to LV more than to BSA in males (R: 0.546 vs. 0.393) and females (R: 0.506 vs. 0.385). In addition, the absolute slope between age and LV in the males was higher than that in the females (14.1 vs. 10.2, respectively). Furthermore, the absolute slope of age and mLV in the males was slightly higher than in the females (9.1 vs. 7.3, respectively). In conclusion, LV in the normal liver is correlated to age rather than the one in the diseased liver. Liver volume in the males decreased more with age than LV in the females.

DOI： 10.1371/journal.pone.0261094

PubMed

researchmap

Publishing type：Research paper (scientific journal)   Publisher：Archives of Breast Cancer  

Background: Improving health-related quality of life (HRQOL) has become a fundamental goal of breast cancer management. This study aimed to examine the differences between the QOL outcomes of breast-conserving surgery (BCS) and mastectomy. We also established structural equation models for BCS and mastectomy to elucidate their unique effects on QOL.Methods: Between July 2019 and November 2019, 254 patients, who were scheduled to visit one of four clinics, were recruited for this study. We evaluated HRQOL using various questionnaires, such as the BREAST-Q, EQ-5D-5L, and Hospital Anxiety and Depression Scale (HADS). The relationships among the examined clinical indicators were evaluated using structural equation modeling (SEM). Results: The QOL scores of the BCS group were better than those of the mastectomy group (0.85±0.129 vs. 0.81±0.12, P=0.020). Also, anxiety (2.94±2.95 vs. 3.81±3.08, P=0.025) and depression (2.55±2.77 vs. 3.74±3.19, P=0.002) were less severe in the BCS group than in the mastectomy group. Furthermore, the relationships among QOL status and mental health status were more complex in the BCS group than in the mastectomy group (Chi-square minimization p-value: 0.231 vs. 0.469, respectively). Also, depression directly affected QOL in the mastectomy group (R=-0.47), but not in the BCS group.Conclusions: There were differences in QOL and mental health between the BCS and mastectomy groups. SEM is useful for identifying such differences, which can be used to develop strategies for improving QOL.

DOI： 10.32768/abc.202073119-126

researchmap

Language：Japanese  

Ichushi

researchmap

Language：Japanese   Publisher：(一社)日本外科感染症学会  

Ichushi

researchmap

Authorship：Lead author   Language：Japanese   Publisher：(公社)日本看護科学学会  

Ichushi

researchmap

Authorship：Lead author   Language：Japanese  

Ichushi

researchmap

Language：Japanese   Publisher：(一社)日本外科感染症学会  

Other Link:： https://search.jamas.or.jp/default/link?pub_year=2023&ichushi_jid=J04188&link_issn=&doc_id=20230928370009&doc_link_id=10.24679%2Fgekakansen.20.2_113&url=https%3A%2F%2Fdoi.org%2F10.24679%2Fgekakansen.20.2_113&type=J-STAGE&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00007_3.gif

Ichushi

researchmap

Language：Japanese   Publisher：(公社)北海道看護協会  

Ichushi

researchmap

Language：Japanese   Publisher：日本医療情報学会看護部会  

Ichushi

researchmap

Authorship：Lead author   Language：Japanese   Publisher：日本外科系連合学会  

Ichushi

researchmap

Language：Japanese   Publisher：日本外科系連合学会  

Ichushi

researchmap

Language：Japanese   Publisher：(一社)日本腹部救急医学会  

Ichushi

researchmap

Authorship：Lead author   Language：Japanese   Publisher：(一社)日本がん看護学会  

Ichushi

researchmap

Authorship：Lead author   Language：Japanese   Publisher：(公社)日本看護科学学会  

Ichushi

researchmap

Authorship：Lead author   Language：Japanese   Publisher：北海道外科学会  

Ichushi

researchmap

Language：Japanese   Publisher：(公社)日本看護科学学会  

Ichushi

researchmap

Language：Japanese   Publisher：(一社)日本外科感染症学会  

Ichushi

researchmap

Language：Japanese   Publisher：(一社)日本外科感染症学会  

Ichushi

researchmap

Authorship：Lead author   Language：Japanese   Publisher：(公社)北海道看護協会  

Ichushi

researchmap

Authorship：Lead author   Language：Japanese   Publisher：(一社)日本救急看護学会  

Ichushi

researchmap

Authorship：Lead author   Language：English   Publisher：(一社)日本癌治療学会  

Ichushi

researchmap

Language：Japanese   Publisher：(株)へるす出版  

Ichushi

researchmap

Authorship：Lead author   Language：Japanese   Publisher：日本外科系連合学会  

Ichushi

researchmap

Authorship：Lead author   Language：Japanese   Publisher：(公社)日本看護科学学会  

Ichushi

researchmap

Authorship：Lead author   Language：Japanese   Publisher：(一社)日本救急看護学会  

Ichushi

researchmap

Language：Japanese   Publisher：日本外科系連合学会  

Ichushi

researchmap

Language：Japanese   Publisher：日本外科系連合学会  

Ichushi

researchmap

Language：Japanese   Publisher：(株)南江堂  

Other Link:： https://search.jamas.or.jp/default/link?pub_year=2020&ichushi_jid=J00393&link_issn=&doc_id=20200420210010&doc_link_id=issn%3D0016-593X%26volume%3D82%26issue%3D4%26spage%3D357&url=http%3A%2F%2Fwww.pieronline.jp%2Fopenurl%3Fissn%3D0016-593X%26volume%3D82%26issue%3D4%26spage%3D357&type=PierOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00005_2.gif

Ichushi

researchmap

Language：Japanese   Publisher：(一社)日本外科感染症学会  

Other Link:： https://search.jamas.or.jp/default/link?pub_year=2020&ichushi_jid=J04188&link_issn=&doc_id=20200325220001&doc_link_id=%2Fdg9srgif%2F2020%2F001701%2F002%2F0002-0007%26dl%3D0&url=https%3A%2F%2Fwww.medicalonline.jp%2Fjamas.php%3FGoodsID%3D%2Fdg9srgif%2F2020%2F001701%2F002%2F0002-0007%26dl%3D0&type=MedicalOnline&icon=https%3A%2F%2Fjk04.jamas.or.jp%2Ficon%2F00004_2.gif

Ichushi

researchmap

Authorship：Lead author   Language：Japanese   Publisher：(一社)日本救急看護学会  

Ichushi

researchmap

Authorship：Lead author   Language：Japanese   Publisher：北海道公衆衛生学会  

Ichushi

researchmap

Event date： 2024.7

Presentation type：Oral presentation (general)  

researchmap

Event date： 2024.6

Presentation type：Poster presentation  

researchmap

Event date： 2024.3

Language：English   Presentation type：Poster presentation  

Country：China  

researchmap

Event date： 2024.2

Presentation type：Oral presentation (general)  

researchmap

Event date： 2023.12

researchmap

Event date： 2023.12

researchmap

Event date： 2023.12

Presentation type：Oral presentation (general)  

researchmap

Event date： 2023.10

Presentation type：Oral presentation (general)  

researchmap

Event date： 2023.9

Presentation type：Oral presentation (general)  

researchmap

Event date： 2023.8

Presentation type：Oral presentation (general)  

researchmap

Event date： 2023.7

Presentation type：Oral presentation (general)  

researchmap

Event date： 2023.6

Presentation type：Oral presentation (general)  

researchmap

Event date： 2023.3

Language：English   Presentation type：Poster presentation  

researchmap

Event date： 2023.3

Presentation type：Oral presentation (general)  

researchmap

Event date： 2023.2

Presentation type：Oral presentation (general)  

researchmap

Event date： 2022.12

Presentation type：Oral presentation (general)  

researchmap

Event date： 2022.11

Presentation type：Oral presentation (general)  

researchmap

Event date： 2022.11

Presentation type：Symposium, workshop panel (public)  

researchmap

Event date： 2022.11

Presentation type：Oral presentation (general)  

researchmap

Event date： 2022.10

Presentation type：Oral presentation (general)  

researchmap

Event date： 2022.10

Presentation type：Oral presentation (general)  

researchmap

Event date： 2022.9

Presentation type：Oral presentation (general)  

researchmap

Event date： 2022.6

Presentation type：Oral presentation (general)  

researchmap

Event date： 2021.12

Presentation type：Oral presentation (general)  

researchmap

Event date： 2021.10 - 2021.11

Presentation type：Oral presentation (general)  

researchmap

Event date： 2016.10

Presentation type：Oral presentation (general)  

researchmap

Event date： 2013.11

Presentation type：Oral presentation (general)  

researchmap