Skip to main content
. 2016 Jan 4;2016(1):CD002764. doi: 10.1002/14651858.CD002764.pub2

Perri 2014.

Methods Retrospective review
Participants 68 procedures on 62 patients with gynaecological malignancies between October 2004 and January 2013 at a single centre
Interventions 68 surgical procedures: colostomy 18, ileostomy 27, resection/bypass and anastomosis 13, colonic stent 1, gastrostomy 5, gastroenterostomy 4
Outcomes Deaths prior to discharge: n = 18, within 3 to 81 days (median 25 days)
Postoperative survival: median 106 days (range 3 to 1342)
30‐day mortality = 14.7%
60‐day mortality = 29.4%
Postoperative oral intake = 65%
Postoperative chemotherapy (additional) = 53%
Re‐obstruction: 10/62 median 4.3 months (1 to 36 months)
Severe complications: sepsis 5; leak from anastomosis 6; necrotising fascitis 2
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Patients allocated to surgery by clinician/patient choice and followed up
Allocation concealment (selection bias) High risk Patients allocated to surgery by clinician/patient choice and followed up
Blinding (performance bias and detection bias) 
 All outcomes High risk Patients allocated to surgery by clinician/patient choice and followed up
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Patients allocated to surgery by clinician/patient choice and followed up
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Patients allocated to surgery by clinician/patient choice and followed up
Selective reporting (reporting bias) Unclear risk Not clear if resolution of bowel obstruction is synonymous with relief of symptoms
Not reported by procedure