Wound complications following surgery to the lymph nodes: A protocol for a systematic review and meta-analysis.

<h4>Background</h4>Malignancies that spread to the lymph nodes may be identified through surgical biopsy, and treatment of metastatic disease may be through lymph node dissection. These surgeries, however, may be associated with significant adverse outcomes, particularly wound complicati...

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Main Authors: Ikemsinachi C Nzenwa, Hassan A Iqbal, Claire Hardie, George E Smith, Paolo L Matteucci, Joshua P Totty
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0272490
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author Ikemsinachi C Nzenwa
Hassan A Iqbal
Claire Hardie
George E Smith
Paolo L Matteucci
Joshua P Totty
author_facet Ikemsinachi C Nzenwa
Hassan A Iqbal
Claire Hardie
George E Smith
Paolo L Matteucci
Joshua P Totty
author_sort Ikemsinachi C Nzenwa
collection DOAJ
description <h4>Background</h4>Malignancies that spread to the lymph nodes may be identified through surgical biopsy, and treatment of metastatic disease may be through lymph node dissection. These surgeries, however, may be associated with significant adverse outcomes, particularly wound complications, the true incidence of which remains unknown. Multiple studies have reported their individual rates of complications in isolation. The aim of this study will be to systematically evaluate data that presents the incidence of wound complications in patients undergoing these surgeries.<h4>Methods</h4>We have designed and registered a protocol for a systematic review and meta-analysis of studies presenting incidence data. We will search MEDLINE, EMBASE and CENTRAL for relevant articles. Meta-analysis will be undertaken to synthesise an overall incidence of surgical site infection, wound dehiscence, haematoma and seroma. Subgroup analyses will investigate the effects of anatomical location, primary malignancy and study design on pooled incidence. Risk of bias will be evaluated for each included study using bespoke tools matched to the study design.<h4>Discussion</h4>The results of this study will provide the incidence of wound complications and secondary complications following lymph node surgery. This will directly impact upon the consent process, and may influence the nature of future research studies aimed at reducing post-operative complications.
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spelling doaj.art-779db40270e14cf6b70c9895535ff3b22022-12-22T04:05:04ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01178e027249010.1371/journal.pone.0272490Wound complications following surgery to the lymph nodes: A protocol for a systematic review and meta-analysis.Ikemsinachi C NzenwaHassan A IqbalClaire HardieGeorge E SmithPaolo L MatteucciJoshua P Totty<h4>Background</h4>Malignancies that spread to the lymph nodes may be identified through surgical biopsy, and treatment of metastatic disease may be through lymph node dissection. These surgeries, however, may be associated with significant adverse outcomes, particularly wound complications, the true incidence of which remains unknown. Multiple studies have reported their individual rates of complications in isolation. The aim of this study will be to systematically evaluate data that presents the incidence of wound complications in patients undergoing these surgeries.<h4>Methods</h4>We have designed and registered a protocol for a systematic review and meta-analysis of studies presenting incidence data. We will search MEDLINE, EMBASE and CENTRAL for relevant articles. Meta-analysis will be undertaken to synthesise an overall incidence of surgical site infection, wound dehiscence, haematoma and seroma. Subgroup analyses will investigate the effects of anatomical location, primary malignancy and study design on pooled incidence. Risk of bias will be evaluated for each included study using bespoke tools matched to the study design.<h4>Discussion</h4>The results of this study will provide the incidence of wound complications and secondary complications following lymph node surgery. This will directly impact upon the consent process, and may influence the nature of future research studies aimed at reducing post-operative complications.https://doi.org/10.1371/journal.pone.0272490
spellingShingle Ikemsinachi C Nzenwa
Hassan A Iqbal
Claire Hardie
George E Smith
Paolo L Matteucci
Joshua P Totty
Wound complications following surgery to the lymph nodes: A protocol for a systematic review and meta-analysis.
PLoS ONE
title Wound complications following surgery to the lymph nodes: A protocol for a systematic review and meta-analysis.
title_full Wound complications following surgery to the lymph nodes: A protocol for a systematic review and meta-analysis.
title_fullStr Wound complications following surgery to the lymph nodes: A protocol for a systematic review and meta-analysis.
title_full_unstemmed Wound complications following surgery to the lymph nodes: A protocol for a systematic review and meta-analysis.
title_short Wound complications following surgery to the lymph nodes: A protocol for a systematic review and meta-analysis.
title_sort wound complications following surgery to the lymph nodes a protocol for a systematic review and meta analysis
url https://doi.org/10.1371/journal.pone.0272490
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