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  1. Article: Evaluation of Strength and Functional Ability of Soccer Players Two Years After Anterior Cruciate Ligament Reconstruction: A Cross-sectional Study.

    Chatzilamprinos, Konstantinos / Semaltianou, Eleni / Hatzimanouil, Dimitrios / Lytras, Dimitrios / Sykaras, Evaggelos

    Journal of musculoskeletal & neuronal interactions

    2024  Volume 24, Issue 1, Page(s) 55–66

    Abstract: Objectives: This study examines the strength and functional capacity of active soccer players two years post anterior cruciate ligament reconstruction (ACLR).: Methods: Sixteen players, two years post ACLR, participated. Isokinetic tests assessed ... ...

    Abstract Objectives: This study examines the strength and functional capacity of active soccer players two years post anterior cruciate ligament reconstruction (ACLR).
    Methods: Sixteen players, two years post ACLR, participated. Isokinetic tests assessed Peak Torque (PT) for concentric and eccentric contractions, along with conventional (H/Qconv) and functional (H/Qfunc) H/Q ratios at various angular velocities. Functional ability was gauged through hop tests. Paired-Samples T Test compared PT and hop test values, as well as H/Qconv and H/Qfunc ratios between involved and non-involved limbs. Limb symmetry was evaluated using the Limb Symmetry Index (LSI).
    Results: After two years, participants exhibited significant differences in concentric PT between limbs. The non-involved limb demonstrated superior performance at isokinetic speeds. Eccentrically, PT for knee extensors and flexors showed no significant disparities between the operated and non-operated limbs across all velocities tested. Most participants did not achieve LSI 90-110% for knee extensors and flexors. No noteworthy distinctions were observed in H/Qconv, H/Qfunc, and hop tests between limbs. The majority met LSI 90-110% in hop tests, except in the 30-second side hop (37%).
    Conclusions: Two years post ACLR, soccer players still manifest strength and functional deficits, heightening the risk of injury.
    MeSH term(s) Humans ; Soccer ; Cross-Sectional Studies ; Anterior Cruciate Ligament Injuries/surgery ; Return to Sport ; Muscle Strength ; Anterior Cruciate Ligament Reconstruction ; Quadriceps Muscle
    Language English
    Publishing date 2024-02-29
    Publishing country Greece
    Document type Journal Article
    ZDB-ID 2041366-X
    ISSN 1108-7161
    ISSN 1108-7161
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  2. Article ; Online: Effects of Manual Therapy Plus Pain Neuroscience Education with Integrated Motivational Interviewing in Individuals with Chronic Non-Specific Low Back Pain: A Randomized Clinical Trial Study.

    Kasimis, Konstantinos / Apostolou, Thomas / Kallistratos, Ilias / Lytras, Dimitrios / Iakovidis, Paris

    Medicina (Kaunas, Lithuania)

    2024  Volume 60, Issue 4

    Abstract: Background and ... ...

    Abstract Background and Objectives
    MeSH term(s) Humans ; Low Back Pain/therapy ; Low Back Pain/psychology ; Male ; Female ; Motivational Interviewing/methods ; Adult ; Middle Aged ; Musculoskeletal Manipulations/methods ; Pain Measurement/methods ; Treatment Outcome ; Chronic Pain/therapy ; Chronic Pain/psychology ; Neurosciences/education ; Neurosciences/methods ; Surveys and Questionnaires ; Patient Education as Topic/methods
    Language English
    Publishing date 2024-03-29
    Publishing country Switzerland
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 2188113-3
    ISSN 1648-9144 ; 1010-660X
    ISSN (online) 1648-9144
    ISSN 1010-660X
    DOI 10.3390/medicina60040556
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  3. Article ; Online: Physiotherapeutic Scoliosis-Specific Exercises (PSSE-Schroth) can reduce the risk for progression during early growth in curves below 25°: prospective control study.

    Karavidas, Nikos / Iakovidis, Paris / Chatziprodromidou, Ioanna / Lytras, Dimitrios / Kasimis, Konstantinos / Kyrkousis, Athanasios / Apostolou, Thomas

    European journal of physical and rehabilitation medicine

    2024  Volume 60, Issue 2, Page(s) 331–339

    Abstract: Background: The main treatment aim in mild scoliosis is to prevent progression and if possible, to avoid bracing. Physiotherapeutic Scoliosis Specific Exercises (PSSE) are curve pattern specific exercises, based on 3D self-correction and activities of ... ...

    Abstract Background: The main treatment aim in mild scoliosis is to prevent progression and if possible, to avoid bracing. Physiotherapeutic Scoliosis Specific Exercises (PSSE) are curve pattern specific exercises, based on 3D self-correction and activities of daily living training.
    Aim: The objective of this study was to evaluate the efficacy of PSSE - Schroth, as an exclusive treatment, during the riskiest period of rapid growth.
    Design: Prospective control study.
    Setting: Outpatient treatment.
    Population: Adolescents with scoliosis.
    Methods: One hundred and sixty-three patients (148 girls,15 boys; mean age 12.6 years, Risser sign 1.1, thoracic (Th) Cobb angle 20.8° and lumbar/thoracolumbar (L/TL) Cobb angle 20.7°) performed PSSE - Schroth exercises in our clinic. They were asked to regularly attend supervised sessions and to follow a home-program at least 5 times per week. Our inclusion criteria were Cobb angle 15°-25°, Risser 0-2 and angle trunk rotation (ATR) >5°, measured by scoliometer. The outcome parameters were the Cobb angle before and after the intervention (improvement or progression were defined as angle difference more than 5°) and the number of patients that finally needed a brace. Average follow-up time was 29.4 months. Control group was consisted of 58 patients (54 girls, 4 boys; mean age 13.1 years, Risser sign 0-2, Th Cobb 19.4°, L/TL Cobb 19.2°), that were retrospectively analyzed and performed general or no exercises. Compliance was self-reported. Statistical analysis was performed by paired t-test.
    Results: For PSSE - Schroth group, 103 patients (63.2%) remained stable, 39 (23.9%) improved and 21 (12.9%) worsened. The success rate (87.1%) was significantly higher compared to Control group (P=0.002), where 15 subjects (25.9%) were stable and 43 (74.1%) worsened. Similarly, 16 patients (9.8%) from PSSE - Schroth group finally needed a brace, while 39 (67.2%) from control group (P=0.01).
    Conclusions: PSSE - Schroth reduced the risk of progression in Adolescent Idiopathic Scoliosis (AIS) patients, during early growth. Our results are in accordance with the recently published literature, showing the effectiveness of PSSE and their superiority compared to general exercises or natural history.
    Clinical rehabilitation impact: Scoliosis specific exercises can be the first step of scoliosis treatment in mild curves, to avoid progression and bracing.
    MeSH term(s) Male ; Adolescent ; Female ; Humans ; Child ; Scoliosis/therapy ; Prospective Studies ; Retrospective Studies ; Activities of Daily Living ; Treatment Outcome
    Language English
    Publishing date 2024-03-19
    Publishing country Italy
    Document type Journal Article
    ZDB-ID 2426908-6
    ISSN 1973-9095 ; 1973-9087
    ISSN (online) 1973-9095
    ISSN 1973-9087
    DOI 10.23736/S1973-9087.24.08177-2
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  4. Article ; Online: The Role of Percutaneous Tibial Nerve Stimulation (PTNS) in Low Anterior Resection Syndrome (LARS): A Systematic Review and Meta-analysis.

    Liapis, Stavros Chrysovalantis / Baloyiannis, Ioannis / Perivoliotis, Konstantinos / Lytras, Dimitrios / Theodoropoulos, Georgios / Tzovaras, Georgios

    Journal of gastrointestinal cancer

    2023  Volume 54, Issue 4, Page(s) 1128–1139

    Abstract: Purpose: The aim of the present study was to evaluate the pooled efficacy of percutaneous tibial nerve stimulation (PTNS) in patients with low anterior resection syndrome (LARS).: Material and methods: This study was based on the Cochrane Handbook ... ...

    Abstract Purpose: The aim of the present study was to evaluate the pooled efficacy of percutaneous tibial nerve stimulation (PTNS) in patients with low anterior resection syndrome (LARS).
    Material and methods: This study was based on the Cochrane Handbook for Systematic Reviews of Interventions and the PRISMA guidelines. The primary endpoint was the pooled effect size of PTNS in LARS score (LARSS). Secondary endpoints included incontinence (Fecal Incontinence Score-FIC, Obstructive Defecation Syndrome-ODS), sexual functionality and quality of life (QoL) questionnaires, and manometric evaluations. Continuous outcomes were reported as weighted mean difference (WMD), with the corresponding 95% confidence interval (95% CI). Quality evaluation was performed via the National Institutes of Health (NIH) quality assessment tool.
    Results: Overall, 5 studies were included. PTNS resulted to reduced LARSS values (WMD: - 5.68, 95%CI: - 7.73, - 3.63, p < 0.001). A similar effect was noted in St Mark's FIC (p < 0.001) and ODS (p = 0.02) score. An improvement in several QoL scales was found. There was no effect in sexual functionality and manometric measurements. Compared to sham, PTNS significantly improved LARSS.
    Conclusions: The application of PTNS in patients with LARS results in an improvement in multiple clinical parameters, including defecation functionality and quality of life. Due to several study limitations, further high quality RCTs are required to delineate the exact efficacy of PTNS.
    MeSH term(s) Humans ; Transcutaneous Electric Nerve Stimulation/methods ; Quality of Life ; Low Anterior Resection Syndrome ; Postoperative Complications ; Treatment Outcome ; Rectal Neoplasms ; Tibial Nerve/physiology
    Language English
    Publishing date 2023-01-27
    Publishing country United States
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 2452514-5
    ISSN 1941-6636 ; 1559-0739 ; 1941-6628 ; 1537-3649
    ISSN (online) 1941-6636 ; 1559-0739
    ISSN 1941-6628 ; 1537-3649
    DOI 10.1007/s12029-023-00910-x
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  5. Article ; Online: Efficacy of resistance training with elastic bands compared to proprioceptive training on balance and self-report measures in patients with chronic ankle instability: A systematic review and meta-analysis.

    Fakontis, Christos / Iakovidis, Paris / Kasimis, Konstantinos / Lytras, Dimitrios / Koutras, Georgios / Fetlis, Antonis / Algiounidis, Ioannis

    Physical therapy in sport : official journal of the Association of Chartered Physiotherapists in Sports Medicine

    2023  Volume 64, Page(s) 74–84

    Abstract: Background: Proprioceptive training and resistance training are physiotherapy treatment methods for Chronic Ankle Instability (CAI).: Objective: To compare the efficacy of proprioceptive training to resistance training with elastic bands for treating ...

    Abstract Background: Proprioceptive training and resistance training are physiotherapy treatment methods for Chronic Ankle Instability (CAI).
    Objective: To compare the efficacy of proprioceptive training to resistance training with elastic bands for treating CAI as measured by the Star Excursion Balance Test (SEBT), the Foot and Ankle Ability Measure (FAAM), and the Cumberland Ankle Instability Tool (CAIT).
    Method: Our systematic study and meta-analysis was based on the PICOS and PRISMA protocols. The PubMed, PEDro, and ScienceDirect databases were searched for randomized clinical trials on proprioceptive and resistance training. Risk of bias was assessed according to Cochrane guidelines and quality of evidence was reported using the Grading of Recommendations Assessment, Development, and Evaluation approach (GRADE).
    Results: Five studies involving 259 patients were included in the review. According to the findings of the meta-analysis, proprioceptive training was similarly effective with resistance training in SEBT and FAAM measures. Compared with resistance exercise, proprioceptive training demonstrated some benefits in CAIT scores (weighted mean difference [WMD] = -2.21, 95% CI = -4.05-0.36), but these intervention results were not clinically significant (MDC, MCID score >3 points).
    Conclusion: Low-quality evidence from studies showed that neither of the interventions was superior on the SEBT or the FAAM scores in individuals with CAI because no clinically significant differences were found. More high-quality studies comparing the two interventions are needed to draw firm conclusions.
    MeSH term(s) Humans ; Resistance Training ; Self Report ; Ankle ; Ankle Joint ; Postural Balance ; Joint Instability/therapy ; Chronic Disease
    Language English
    Publishing date 2023-09-30
    Publishing country England
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 2008604-0
    ISSN 1873-1600 ; 1466-853X
    ISSN (online) 1873-1600
    ISSN 1466-853X
    DOI 10.1016/j.ptsp.2023.09.009
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  6. Article ; Online: Is magnetic anal sphincter augmentation still an option in fecal incontinence treatment: a systematic review and meta-analysis.

    Liapis, Stavros Chrysovalantis / Perivoliotis, Konstantinos / Moula, Amalia Ioanna / Christodoulou, Prokopis / Psarianos, Kyriakos / Stavrou, Alexios / Baloyiannis, Ioannis / Lytras, Dimitrios

    Langenbeck's archives of surgery

    2024  Volume 409, Issue 1, Page(s) 98

    Abstract: Purpose: Magnetic anal sphincter (MAS) augmentation is a novel surgical option for the treatment of fecal incontinence. Current clinical evidence is conflicting. The purpose of this meta-analysis was to report the safety profile, potential benefits, and ...

    Abstract Purpose: Magnetic anal sphincter (MAS) augmentation is a novel surgical option for the treatment of fecal incontinence. Current clinical evidence is conflicting. The purpose of this meta-analysis was to report the safety profile, potential benefits, and the functional efficacy of this device.
    Methods: The study followed the PRISMA guidelines. Literature databases (Medline, Scopus, Web of Science, CENTRAL) were screened for eligible articles. The primary endpoint was the pooled effect of MAS in the Cleveland Clinic Incontinence Score (CCIS) score. Quality evaluation was based on the ROBINS-I and Risk of Bias 2 tool.
    Results: Overall, 8 studies with 205 patients were included. MAS resulted in a significant reduction of CCIS values (p = 0.019), and improvement only in the embarrassment domain of FIQoL scores (p = 0.034). The overall morbidity rate was 61.8%. Postoperative adverse events included MAS explantation in 12%, infection in 5.1%, pain in 10% and obstructed defecation in 5.8% of patients.
    Conclusion: The application of MAS in patients with fecal incontinence results in the improvement of some clinical parameters with a notable morbidity rate. Due to several study limitations, further, high-quality RCTs are required to delineate the efficacy and safety of MAS.
    MeSH term(s) Humans ; Anal Canal/surgery ; Device Removal ; Fecal Incontinence/surgery ; Magnetic Phenomena ; Quality of Life ; Treatment Outcome
    Language English
    Publishing date 2024-03-19
    Publishing country Germany
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 1423681-3
    ISSN 1435-2451 ; 1435-2443
    ISSN (online) 1435-2451
    ISSN 1435-2443
    DOI 10.1007/s00423-024-03288-x
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  7. Article ; Online: Recording of Falls in Elderly Fallers in Northern Greece and Evaluation of Aging Health-Related Factors and Environmental Safety Associated with Falls: A Cross-Sectional Study.

    Lytras, Dimitrios / Sykaras, Evaggelos / Iakovidis, Paris / Kasimis, Konstantinos / Myrogiannis, Ioannis / Kottaras, Anastasios

    Occupational therapy international

    2022  Volume 2022, Page(s) 9292673

    Abstract: Background: Elderly falls constitute a global problem with huge social and economic aspects. Fall risk factors are both intrinsic (physical and psychological) and extrinsic (related with environmental safety).: Aim: To record both intrinsic and ... ...

    Abstract Background: Elderly falls constitute a global problem with huge social and economic aspects. Fall risk factors are both intrinsic (physical and psychological) and extrinsic (related with environmental safety).
    Aim: To record both intrinsic and extrinsic risk factors and their correlation in elderly fallers in order to suggest specific guidelines for their medical care and environmental modification inside and outside the home.
    Method: The study involved 150 elderly fallers (median age 70 (67-74)), who completed a record containing information on known risk factors related to their health status, as well as information on the conditions and causes that led to the fall. Each fall was considered an independent event, while measurements were performed regarding balance, strength, their functional ability, and the fear of a possible fall. Descriptive analysis and frequency analysis were used to record the health and activity status of the participants as well as the fall-related environmental factors. Severity of each fall event across a variety of locations was examined using the Kruskal-Wallis one-way analysis of variance. Multiple linear regression was applied to examine the effect of the mean values of functional tests and medical records on the number of fall events.
    Results: In the span of 12 months, a total of 304 fall events were recorded. Regarding location, 77.6% occurred indoors; more frequent were the bedroom (28.6%) and the bathroom (28%). The interior stairs (10.5%), the kitchen (4.9%), and the living room (3.3%) were the less frequent locations. Concerning danger, falling on the interior stairs caused the longest hospitalization, followed by the kitchen and the bathroom. Extrinsic factors that led to both indoor and outdoor falls were the administration of psychotropic medication, poor space ergonomics, lack of basic safety standards, and poor lighting conditions. Vision problems and dizziness resulted in more falls than other intrinsic factors. Furthermore, reduced performance in the FICSIT-4 test and the 30-Second Chair Stand Test, as well as high scores in the CONFbal-GREEK questionnaire and the Short FES-I, shows a linear relationship with an increased number of falls.
    Conclusions: Ergonomic interventions can help prevent indoor elderly falls. Poor construction and lack of adequate lighting mainly cause outdoor falls. Regular eye examinations, management of vertigo, improvement of the balance and strength of the lower limbs, and reduction of fear of impending falls are the intrinsic factors that help prevent falls the most.
    MeSH term(s) Aged ; Aging ; Cross-Sectional Studies ; Greece ; Humans ; Occupational Therapy ; Risk Factors
    Language English
    Publishing date 2022-01-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2095334-3
    ISSN 1557-0703 ; 0966-7903
    ISSN (online) 1557-0703
    ISSN 0966-7903
    DOI 10.1155/2022/9292673
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  8. Article ; Online: Effects of Joint Mobilization Versus Acupuncture on Pain and Functional Ability in People with Chronic Neck Pain: A Randomized Controlled Trial of Comparative Effectiveness.

    Voulgarakis, Petros / Iakovidis, Paris / Lytras, Dimitrios / Chatziprodromidou, Ioanna P / Kottaras, Anastasios / Apostolou, Thomas

    Journal of acupuncture and meridian studies

    2022  Volume 14, Issue 6, Page(s) 231–237

    Abstract: Background: Chronic Neck Pain (CNP) is one of the main contributing factors to disability in people of working age.: Objectives: The aim of this randomized clinical trial was to compare the efficacy between acupuncture and joint mobilization on pain ... ...

    Abstract Background: Chronic Neck Pain (CNP) is one of the main contributing factors to disability in people of working age.
    Objectives: The aim of this randomized clinical trial was to compare the efficacy between acupuncture and joint mobilization on pain and disability in patients with CNP.
    Methods: The study involved 45 men and women with CNP, divided into three groups of 15 each. The first group followed a manual therapy protocol with joint mobilization for eight weeks three times per week. The second group followed an acupuncture protocol of equal duration and frequency, while the third group did not follow any treatment. Pain with the Visual Analog Scale (VAS) for pain and functional limitations with the Neck Disability Index (NDI) questionnaire were assessed before and after an 8-week intervention. Analysis of variance was applied while post-hoc comparisons were made to determine the differences among the groups at each time of measurement.
    Results: Both intervention groups showed statistically significant differences compared to the control group after the end of the intervention in both the VAS and the NDI scores (
    Conclusion: Both joint mobilization and acupuncture appear to be effective interventions in reducing pain and improving functional ability in people with CNP. However, acupuncture appears to have a greater analgesic effect than joint mobilization.
    MeSH term(s) Acupuncture ; Acupuncture Therapy/methods ; Chronic Pain/therapy ; Female ; Humans ; Male ; Neck Pain/therapy ; Treatment Outcome
    Language English
    Publishing date 2022-06-30
    Publishing country Korea (South)
    Document type Journal Article ; Randomized Controlled Trial
    ZDB-ID 2496980-1
    ISSN 2093-8152 ; 2005-2901
    ISSN (online) 2093-8152
    ISSN 2005-2901
    DOI 10.51507/j.jams.2021.14.6.231
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  9. Article ; Online: Comparison of two different manual techniques for an exercise program for the management of chronic neck pain: A randomized clinical trial study.

    Lytras, Dimitrios / Sykaras, Evaggelos / Iakovidis, Paris / Kasimis, Konstantinos / Kottaras, Anastasios / Mouratidou, Charikleia

    Journal of back and musculoskeletal rehabilitation

    2022  Volume 36, Issue 1, Page(s) 199–216

    Abstract: Background: Both spinal manipulation (SM) and Integrated Neuromuscular Inhibition Technique (INIT) have a positive effect in individuals with chronic neck pain (CNP), especially when they are combined with therapeutic exercise (TE). However, it has not ... ...

    Abstract Background: Both spinal manipulation (SM) and Integrated Neuromuscular Inhibition Technique (INIT) have a positive effect in individuals with chronic neck pain (CNP), especially when they are combined with therapeutic exercise (TE). However, it has not been determined which of the above combinations is more effective in patients with CNP.
    Objective: To compare the efficacy of two different manual techniques (SM and INIT), when combined with the same TE program in the management of CNP.
    Methods: Eighty women with CNP, allocated into four groups of 20 persons each. The first group followed a 10-week TE program, the second TE and INIT, the third TE and SM, and the fourth was the control group. The Visual Analogue Scale (VAS) for pain, Neck Disability Index (NDI), Pressure Pain Threshold (PPT) of the neck muscles, neck active Range of Motion (ROM), Maximum Isometric Strength (MIS) of the neck muscles, craniocervical flexion test (CCFT) and SF-36 questionnaire scores were evaluated before, during and after the treatment period, with a six-month follow-up.
    Results: There was between groups differences between the three intervention groups and the control group (p< 05), with the positive effects being maintained until the six-month follow-up. However, this improvement occurred earlier in the "TE + INIT" and "TE + SM" groups than in the "TE" group. Differences between the "TE + INIT" and the "TE + SM" groups were noticed only in the neck muscles PPT values, in which the "TE + INIT" group showed greater improvement. Furthermore, some non-statistically significant indications for further improvement of "TE + SM" were noted in the left lateral flexion ROM.
    Conclusion: The addition of INIT as well as SM in the same TE program can further increase the beneficial effect of exercise in women with CNP. In most measurements both combinations seem to be equally effective. However, INIT improved more local muscle tenderness, whereas SM aided more in the neck lateral flexion ROM.
    MeSH term(s) Humans ; Female ; Neck Pain/therapy ; Chronic Pain/therapy ; Exercise Therapy/methods ; Pain Measurement ; Pain Threshold/physiology ; Range of Motion, Articular/physiology ; Treatment Outcome
    Language English
    Publishing date 2022-09-25
    Publishing country Netherlands
    Document type Randomized Controlled Trial ; Journal Article
    ZDB-ID 1184721-9
    ISSN 1878-6324 ; 1053-8127
    ISSN (online) 1878-6324
    ISSN 1053-8127
    DOI 10.3233/BMR-220003
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  10. Article ; Online: Comparison of wound closure techniques after thyroid and parathyroid surgery: an updated systematic review and network meta-analysis.

    Perivoliotis, Konstantinos / Christodoulou, Prokopis / Liapis, Stavros / Ziamas, Dimitrios / Ntentas, Ioannis / Lytras, Dimitrios

    Updates in surgery

    2022  Volume 74, Issue 4, Page(s) 1225–1237

    Abstract: We designed and conducted the present study to evaluate the optimal wound closure technique after thyroid and parathyroid surgery in terms of perioperative safety, efficacy, and cosmetic outcomes. A systematic literature review and network meta-analysis ( ...

    Abstract We designed and conducted the present study to evaluate the optimal wound closure technique after thyroid and parathyroid surgery in terms of perioperative safety, efficacy, and cosmetic outcomes. A systematic literature review and network meta-analysis (NMA) was performed according to the Cochrane Handbook for Systematic Reviews of Interventions and the PRISMA guidelines. Literature screening was completed at 10/12/2021. A random effects multivariate network meta-analysis under a frequentist framework was implemented. Statistical significance was considered at the level of p < 0.05. Overall, 18 studies and 1314 patients were included. Conventional sutures (CS) received the best ranking (SUCRA: 90.1%) in wound-related morbidity. Metal clips (MC) was the best option for reducing the overall operation (SUCRA: 99%) and wound closure (SUCRA: 72.3%) duration. Moreover, adhesive strips (AS) had the higher probability of minimizing postoperative pain during the 2nd and 3rd postoperative days. Subcuticular suture (SS) was the most probable method for achieving optimal, long-term, patient-assessed, and surgeon-assessed cosmesis. However, MC had the highest mid and long term, independent-assessed, scar ranking (SUCRA 80.5% and 62.9%). Based on the inconclusive results and the several study limitations, further large-scale RCTs are required.
    MeSH term(s) Endocrine Surgical Procedures ; Humans ; Network Meta-Analysis ; Suture Techniques ; Sutures ; Thyroid Gland ; Wound Closure Techniques
    Language English
    Publishing date 2022-05-23
    Publishing country Italy
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 2572692-4
    ISSN 2038-3312 ; 2038-131X
    ISSN (online) 2038-3312
    ISSN 2038-131X
    DOI 10.1007/s13304-022-01296-4
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