{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T07:11:29Z","timestamp":1767165089732,"version":"build-2238731810"},"reference-count":43,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,4,23]],"date-time":"2024-04-23T00:00:00Z","timestamp":1713830400000},"content-version":"vor","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2024,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Mechanical bowel preparation (MBP), a routine nursing procedure before paediatric bowel surgery, is widely should in clinical practice, but its necessity remains controversial. In a systematic review and meta\u2010analysis, we evaluated the effect of preoperative MBP in paediatric bowel surgery on postoperative wound\u2010related complications in order to analyse the clinical application value of MBP in paediatric bowel surgery. As of November 2023, we searched four online databases: the Cochrane Library, Embase, PubMed, and Web of Science. Two investigators screened the collected studies against inclusion and exclusion criteria, and ROBINS\u2010I was used to evaluate the quality of studies. Using RevMan5.3, a meta\u2010analysis of the collected data was performed, and a fixed\u2010effect model or a random\u2010effect model was used to analyse OR, 95% CI, SMD, and MD. A total of 11 studies with 2556 patients were included. Most of studies had moderate\u2010to\u2010severe quality bias. The results of meta\u2010analysis showed no statistically significant difference in the incidence of complications related to postoperative infections in children with MBP before bowel surgery versus those with No MBP, wound infection (OR 1.11, 95% CI:0.76\u2009~\u20091.61,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.59,\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u20095%), intra\u2010abdominal infection (OR 1.26, 95% CI:0.58\u2009~\u20092.77,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.56,\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u20099%). There was no significant difference in the risk of postoperative bowel anastomotic leak (OR 1.07, 95% CI:0.68\u2009~\u20091.68,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.78,\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u200912%), and anastomotic dehiscence (OR 1.67, 95% CI:0.13\u2009~\u200922.20,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.70,\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u200973%). Patients' intestinal obstruction did not show an advantage of undergoing MBP preoperatively, with an incidence of intestinal obstruction (OR 1.95, 95% CI:0.55\u2009~\u20096.93,\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.30,\n                    <jats:italic>I<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    \u2009=\u20090%). Based on existing evidence that preoperative MBP in paediatric bowel surgery did not reduce the risk of postoperative wound complications, we cautiously assume that MBP before surgery is unnecessary for children undergoing elective bowel surgery. However, due to the limited number of study participants selected for this study and the overall low quality of evidence, the results need to be interpreted with caution. It is suggested that more high quality, large\u2010sample, multicenter clinical trials are required to validate our findings.\n                  <\/jats:p>","DOI":"10.1111\/iwj.14884","type":"journal-article","created":{"date-parts":[[2024,4,24]],"date-time":"2024-04-24T01:00:23Z","timestamp":1713920423000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["RETRACTED: The effect of preoperative mechanical bowel preparation in paediatric bowel surgery on postoperative wound related complications: A meta\u2010analysis"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9795-1889","authenticated-orcid":false,"given":"Meixue","family":"Chen","sequence":"first","affiliation":[{"name":"Department of Pediatrics Dongguan Maternal and Child Health Care Hospital  Dongguan 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