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A meta‐analysis examined the effect of stoma on surgical site wound infection in colorectal cancer

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To assess the impact of a stoma on surgical site wound infection in colorectal cancer, we conducted a meta‐analysis. A thorough review of the literature up to September 2022 revealed… Click to show full abstract

To assess the impact of a stoma on surgical site wound infection in colorectal cancer, we conducted a meta‐analysis. A thorough review of the literature up to September 2022 revealed that 3223 participants had colorectal cancer at the start of the investigations; 258 of them had a stoma, while 2965 did not have a stoma. Using dichotomous or contentious methods and a random or fixed‐effect model, odds ratios (OR) and mean difference (MD) with 95% confidence intervals (CIs) were estimated to evaluate the impact of a stoma on surgical site wound infection in colorectal cancer. The stoma present had significantly higher surgical site wound infections (OR, 4.37; 95% CI, 3.08–6.21; P < 0.001) with no heterogeneity (I2 = 12%) compared to stoma absent in colorectal cancer. The stoma present had significantly higher surgical site wound infections compared to the stoma absent in colorectal cancer. The low number of selected studies in the meta‐analysis calls for care when analysing the results.

Keywords: surgical site; colorectal cancer; stoma; site wound

Journal Title: International Wound Journal
Year Published: 2022

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