{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,10]],"date-time":"2024-09-10T20:40:24Z","timestamp":1726000824199},"reference-count":11,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T00:00:00Z","timestamp":1636675200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T00:00:00Z","timestamp":1636675200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T00:00:00Z","timestamp":1636675200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Various tubes may be fixed to the skin by ligation using silk sutures after gastrointestinal surgery. We investigated the effects of a skin substitute, \u201cNonaht\u00ae,\u201d on pain and skin inflammation at the fixation sites of various tubes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The effects of tubes (abdominal drains, small intestinal feeding tubes, and bile duct drainage tubes) fixed in place using either silk sutures or Nonaht were compared for 1\u20133\u00a0months.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median pain scores at the fixation site when abdominal drains were removed were 1.0 with silk sutures and 0 with Nonaht (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Scarring at the fixation site at postoperative month (POM) 1 occurred in 13 of 28 cases in the silk suture group and in no cases in the Nonaht group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). The median pain scores at the fixation site with long\u2010term tubes on postoperative day (POD) 14 and POM 1 were 2.0 and 1.0, respectively, with silk sutures, and none at all time points with Nonaht (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Scarring at the fixation site at POM 3 occurred in all 10 cases in the silk suture group and in no cases in the Nonaht group (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Patients with conventional skin fixation of tubes using silk sutures were continuously aware of pain at the fixation site and developed skin damage and subsequent scar formation, especially for tubes inserted for\u2009\u2265\u20091\u00a0month. The use of Nonaht may reduce the incidence of dermatitis and wound infections at tube fixation sites, thereby promoting early postoperative recovery.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-021-06376-x","type":"journal-article","created":{"date-parts":[[2021,11,12]],"date-time":"2021-11-12T17:13:43Z","timestamp":1636737223000},"page":"542-549","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Prospective Study to Evaluate the Safety and Efficacy of a New Surgical Tube Fixation Method: A Pilot Study"],"prefix":"10.1002","volume":"46","author":[{"given":"Masaki","family":"Kaibori","sequence":"first","affiliation":[{"name":"Department of Surgery Kansai Medical University 2\u20105\u20101 Shinmachi 573\u20101191 Hirakata Osaka Japan"},{"name":"Next\u2010Generation Minimally Invasive Surgery Kansai Medical University 573\u20101191 Hirakata Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideyuki","family":"Matsushima","sequence":"additional","affiliation":[{"name":"Department of Surgery Kansai Medical University 2\u20105\u20101 Shinmachi 573\u20101191 Hirakata Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kosuke","family":"Matsui","sequence":"additional","affiliation":[{"name":"Department of Surgery Kansai Medical University 2\u20105\u20101 Shinmachi 573\u20101191 Hirakata Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hisashi","family":"Kosaka","sequence":"additional","affiliation":[{"name":"Department of Surgery Kansai Medical University 2\u20105\u20101 Shinmachi 573\u20101191 Hirakata Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidekazu","family":"Yamamoto","sequence":"additional","affiliation":[{"name":"Department of Surgery Kansai Medical University 2\u20105\u20101 Shinmachi 573\u20101191 Hirakata Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kengo","family":"Yoshii","sequence":"additional","affiliation":[{"name":"Department of Medical Statistics Kyoto Prefectural University of Medicine 602\u20108566 Kyoto Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsugu","family":"Sekimoto","sequence":"additional","affiliation":[{"name":"Department of Surgery Kansai Medical University 2\u20105\u20101 Shinmachi 573\u20101191 Hirakata Osaka Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,11,12]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445\u20102197.2008.04778.x"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12258"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/SLE.0000000000000369"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/JPR.S131692"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/EJA.0000000000001450"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.10505"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejso.2020.05.009"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598\u2010021\u201082333\u2010x"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2019.05.006"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2012.08.016"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595\u2010019\u201001813\u2010w"}],"container-title":["World 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October 2021","order":1,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 November 2021","order":2,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"None of the authors has any financial support or relationships that may represent a conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All patients provided written informed consent to participate in this study. The study protocol was approved by the institutional ethics committee of Kansai Medical University (reference number: KMU 2020210).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}