Cochrane · systematic review · CD013153

Transverse versus vertical groin incision for femoral artery approach

Canteras, M, Baptista‐Silva, JCC, do Carmo Novaes, F, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

VascularAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
2
No studies
5
Included studies
NR
No studies 5 · 71.4%Ungraded 0 · 0%Very low 1 · 14.3%Low 1 · 14.3%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Transverse groin incision versus vertical groin incision for femoral artery approach during vascular procedures

Population: patients undergoing surgery with femoral artery approach
7 questions
OutcomeEffectEvidenceStatus / GRADE
Surgical site infection (10 to 28 days)
Transverse groin incision vs vertical groin incision
RR 0.25 [0.08, 0.76]1 study · 283 participantsLow
Downgraded: risk of bias, imprecision
Lymphatic complications: Lymphatic leak (28 days) Lymphatic collection (28 days)
Transverse groin incision vs vertical groin incision
RR 0.46 [0.2, 1.02]116 participantsVery low
Downgraded: risk of bias, imprecision
Infection of the vascular graft (endoprosthesis /prosthesis) (early, ≤ 4 months; late, > 4 months)
Transverse groin incision vs vertical groin incision
no estimate extractedNRNo studies
Prolonged hospitalization (> 1 week)
Transverse groin incision vs vertical groin incision
no estimate extractedNRNo studies
Reoperative surgery (≤ 30 days; > 30 days)
Transverse groin incision vs vertical groin incision
no estimate extractedNRNo studies
Death
Transverse groin incision vs vertical groin incision
no estimate extractedNRNo studies
Neurological deficit (e.g. paresthesia)
Transverse groin incision vs vertical groin incision
no estimate extractedNRNo studies