Effect of transconjunctival sutureless vitrectomy versus 20-G vitrectomy on surgical wound closure in patients: A meta-analysis

作者全名："Huang, Yan; Sun, Jun; Wang, Jimin; Zhang, Xuedong; Chen, Zhongpei"

作者地址："[Huang, Yan; Sun, Jun; Wang, Jimin] Peoples Hosp Yubei Dist Chongqing, Chongqing, Peoples R China; [Zhang, Xuedong] Chongqing Med Univ, Ophthalmol Dept, Affiliated Hosp 1, Chongqing, Peoples R China; [Chen, Zhongpei] Chongqing Hosp Tradit Chinese Med, Endocrinol Dept, Chongqing, Peoples R China; [Chen, Zhongpei] Chongqing Hosp Tradit Chinese Med, Endocrinol Dept, 6 Panxi Qizhi Rd, Chongqing 400011, Peoples R China; [Zhang, Xuedong] Chongqing Med Univ, Affiliated Hosp 1, Ophthalmol Dept, 1 Yuanjiagang Youyi Rd, Chongqing 400011, Peoples R China"

通信作者："Chen, ZP (通讯作者)，Chongqing Hosp Tradit Chinese Med, Endocrinol Dept, 6 Panxi Qizhi Rd, Chongqing 400011, Peoples R China.; Zhang, XD (通讯作者)，Chongqing Med Univ, Affiliated Hosp 1, Ophthalmol Dept, 1 Yuanjiagang Youyi Rd, Chongqing 400011, Peoples R China."

来源：INTERNATIONAL WOUND JOURNAL

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001155712700001

JCR分区：Q1

影响因子：2.6

年份：2024

卷号：21

期号：2

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结束页：　

文献类型：Article

关键词：transconjunctival sutureless (TSV); vitrectomy; wound closure; wound opening

摘要："A meta-analysis was conducted to evaluate the impact of transconjunctival sutureless vitrectomy (TSV) over 20 G vitrectomy on wound healing, as well as the requirements for closing the wound in order to treat vitreoretinal diseases. Among the 500 cases who had been treated with vitrectomy to September 2023, 250 were treated by transconjunctiva without vitrectomy and 250 were treated with 20 G vitrectomy. The odds ratio (OR) and mean difference (MD) of 95% confidence interval (CI) were computed to evaluate the influence of wound opening and closing on vitrectomy diseases. The evaluation of vitreoretinal diseases was performed with either a random-or fixed-effect model, which involved TSV compared to 20 G vitrectomy. Compared to 20 G vitrectomy, the opening time of the wound in TSV was less (MD, -2.03; 95% CI, -2.87, -1.19; p < 0.0001); Compared to 20 G vitrectomy, the closing time of the wound was less (MD, -4.84; 95% CI, -6.38, -3.03; p < 0.0001); Nevertheless, there were no statistically significant differences in the incidence of vitreous haemorrhage after TSV surgery compared with 20 G vitrectomy (OR, 0.74; 95% CI, 0.25, 2.18; p = 0.59). TSV vitrectomy can shorten the duration of the operation and speed up the healing of the wound. It is suggested that additional studies be carried out with a larger sample size in order to verify this conclusion."

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