TIVS versus Non-TIVS management of limb vascular injury in limb salvage: systematic review and meta-analysis.

IF 2.1 3区医学 Q2 SURGERY

Langenbeck's Archives of Surgery Pub Date : 2025-03-11 DOI:10.1007/s00423-025-03657-0

Dongchao Xiao, Feng Zhu, Sihong Li, Junjie Li, Miaozhong Li, Chenlin Lu, Jiadong Pan, Xin Wang

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引用次数: 0

Abstract

Background: To compare the postoperative complications between temporary intravascular shunts (TIVS) and non-TIVS management in limb salvage surgery for severe limb trauma, and to provide reference for clinical decision making.

Methods: The literature on postoperative complications of limb salvage with and without TIVS was searched in PubMed, Cochrane Library, Embase and MEDLINE from January 2000 to December 2023. References were screened and extracted according to inclusion and exclusion criteria, and meta-analysis was performed using RevMan5.4 software.

Results: 8 studies were included, including 1375 cases, 329 of which used TIVS and 1046 of which did not. Compared with no TIVS group, TIVS group was associated with a lower rate of amputation (OR = 0.48, 95%CI: [0.29, 0.82], P = 0.007) and less limb ischemic time (SMD = -0.96, 95%CI: [-1.17, -0.74], P < 0.00001), the incidence of thrombosis (OR = 1.48, 95%CI: [0.46, 4.78], P = 0.51), fasciotomy (OR = 0.84, 95%CI: [0.30, 2.36], P = 0.75) and infection (OR = 0.88, 95%CI: [0.35, 2.19], P = 0.78) were not statistically significant.

Conclusion: Compared with no TIVS group, TIVS group may reduce amputation rate and limb ischemia time, prospective multi-centre studies are needed for further evaluation.

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来源期刊

Langenbeck's Archives of Surgery 医学-外科

CiteScore

3.30

自引率

8.70%

发文量

342

审稿时长

4-8 weeks

期刊介绍： Langenbeck''s Archives of Surgery aims to publish the best results in the field of clinical surgery and basic surgical research. The main focus is on providing the highest level of clinical research and clinically relevant basic research. The journal, published exclusively in English, will provide an international discussion forum for the controlled results of clinical surgery. The majority of published contributions will be original articles reporting on clinical data from general and visceral surgery, while endocrine surgery will also be covered. Papers on basic surgical principles from the fields of traumatology, vascular and thoracic surgery are also welcome. Evidence-based medicine is an important criterion for the acceptance of papers.