This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Systematic review and meta-analysis of wound adjuncts for the prevention of groin wound surgical site infection in arterial surgery. Eur J Vasc Endovasc Surg 2021; 61: 636-646.

Published: 1st November 2021

Authors: Gwilym BL, Dovell G, Dattani N, Ambler GK, Shalhoub J, Forsythe RO et al.

Conclusion

There were 17 RCTs and seven observational studies. Only the use of closed incision negative pressure wound therapy (odds ratio 0.34, 95 per cent confidence interval 0.23 to 0.51, P<0.001) and use of subcuticular sutures (0.33, 0.17 to 0.65, P=0.001) reduced infection rates. Local antibiotics, drains and other dressings had no effect.

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