BACKGROUND: Some primary studies compare manual and mechanical pharyngeal closures after total laryngectomy. The purpose of this study was to evaluate the advantages of the mechanical suture in pharyngeal closure. METHODS: The literature survey included research in MEDLINE, EMBASE, and LILACS. The intervention analyzed was stapler-assisted pharyngeal closure, whereas the control group was manual suture pharyngeal closure. RESULTS: The survey resulted in 319 studies. However, 4 studies were selected (417 patients). In the group of patients in whom the stapler was used, the incidence of pharyngocutaneous fistula was 8.7%, whereas in the other, it was 22.9%, with an absolute risk reduction of 15% (95% confidence interval [CI], 0.02-0.28; p = .02; I(2) = 66%). Regarding the surgical time, the average difference was 80 minutes in favor of the stapler group (95% CI, 23.16-136.58 minutes; p < .006). CONCLUSION: The difference for starting oral feeding was 8 days in favor of the mechanical suture (95% CI, 4.01-11.73 days; p < .001). Patients who underwent mechanical suture had a shorter hospitalization period.
BACKGROUND: Some primary studies compare manual and mechanical pharyngeal closures after total laryngectomy. The purpose of this study was to evaluate the advantages of the mechanical suture in pharyngeal closure. METHODS: The literature survey included research in MEDLINE, EMBASE, and LILACS. The intervention analyzed was stapler-assisted pharyngeal closure, whereas the control group was manual suture pharyngeal closure. RESULTS: The survey resulted in 319 studies. However, 4 studies were selected (417 patients). In the group of patients in whom the stapler was used, the incidence of pharyngocutaneous fistula was 8.7%, whereas in the other, it was 22.9%, with an absolute risk reduction of 15% (95% confidence interval [CI], 0.02-0.28; p = .02; I(2) = 66%). Regarding the surgical time, the average difference was 80 minutes in favor of the stapler group (95% CI, 23.16-136.58 minutes; p < .006). CONCLUSION: The difference for starting oral feeding was 8 days in favor of the mechanical suture (95% CI, 4.01-11.73 days; p < .001). Patients who underwent mechanical suture had a shorter hospitalization period.
Authors: Carlos M Chiesa-Estomba; Miguel Mayo-Yanez; Jose M Palacios-García; Jerome R Lechien; Gerrit Viljoen; Petros D Karkos; Maria R Barillari; Jose A González-García; Jon A Sistiaga-Suarez; Jesus Herranz González-Botas; Tareck Ayad; Alfio Ferlito Journal: Oncol Ther Date: 2022-03-31
Authors: Eleni M Benson; Richard M Hirata; Carol B Thompson; Patrick K Ha; Carole Fakhry; John R Saunders; Joseph A Califano; Demetri Arnaoutakis; Marshall Levine; Mei Tang; Geoffrey Neuner; Barbara P Messing; Ray G F Blanco Journal: Am J Otolaryngol Date: 2014-09-02 Impact factor: 1.808
Authors: Asif Ali Arain; Muhammad Shaheryar Ahmed Rajput; Shabbir Akhtar; Arsalan A Rajput; Mohammad Adeel; Ahmad Hatem; Ahmed Nadeem Abbasi Journal: Cureus Date: 2020-04-06