SynthesisWorld journal of emergency surgery : WJES2021
Anorectal emergencies: WSES-AAST guidelines.
Synthesis in World journal of emergency surgery : WJES, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07295886 (Observational Study on the Use of Topical Nifedipine 0.3% and Lidocaine 1.5% in Acute Uncomplicated Hemorrhoidal Disease), which is not on this map. Cited by 49 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Observational Study on the Use of Topical Nifedipine 0.3% and Lidocaine 1.5% in Acute Uncomplicated Hemorrhoidal Disease
Who cites it
49 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- Operative versus nonoperative treatment of thrombosed external hemorrhoids: a systematic review and meta-analysis.Updates in surgery · 2026Pooled it
- Comparison between perineal and abdominal approaches for the surgical treatment of recurrent external rectal prolapse: a systematic review and meta-analysis.International journal of colorectal disease · 2025Pooled it
- Sclerotherapy for hemorrhoidal disease: systematic review and meta-analysis.Techniques in coloproctology · 2024Pooled it
- Role of prolonged packing in postoperative anorectal abscess management: a systematic review and meta-analysis.Canadian journal of surgery. Journal canadien de chirurgiePooled it
- A multicentre, open-label, single-arm phase II trial of the efficacy and safety of sclerotherapy using 3% polidocanol foam to treat second-degree haemorrhoids (SCLEROFOAM).Techniques in coloproctology · 2022Trial
- Laparoscopic management of a rectal foreign body complicated by rectovaginal fistula and pelvic abscess.Journal of surgical case reports · 2026Article
- Unraveling the Causes of Perianal Itching: Magnetic Resonance Imaging as a Diagnostic Tool for Perianal Fistulas and Its Mimics.Annals of African medicine · 2026Observational
- Surgically Treated Perianal Abscess in Children: Clinical Characteristics and Subsequent Diagnosis of Crohn's Disease.European journal of pediatrics · 2026Article
- Extensive Rectal Ischemia with Perforation: A Rare Case of Whole-Segment Ischemic Injury.Reports (MDPI) · 2026Article
- Treatment method selection for perianal abscesses: bedside or operating room? a single center, retrospective study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026Article
- Benign anorectal conditions in a rural referral Sudanese hospital: a four-year retrospective review of patients' characteristics in a low-resource setting.BMC surgery · 2026Article
- A 34-Year-Old Man With a Traumatic Penetrating Injury of the Buttock and Occult Retained Foreign Body Resulting in a High Anal Fistula Managed by Trans-Sphincteric Surgery.The American journal of case reports · 2026Article
- Case Report: Transanal extraction combined with wound management for a broken glass foreign body and associated rectal injuries.Frontiers in surgery · 2026Article
- Benign lesions prolapsing through the anus: a differential diagnostic algorithm and evidence-based surgical management-a narrative review.Frontiers in surgery · 2026Review
- Testicular endocrine function recovers following Fournier's gangrene.American journal of clinical and experimental urology · 2026Article
- Rectal artery embolization: recent advances and research progress.Frontiers in medicine · 2026Review
- Comparison between vacuum sealing drainage (VSD) and conventional dressing for fournier's gangrene: a single-centre retrospective study.BMC surgery · 2025Article
- Article
- Fused Ischiorectal Phlegmon with Pre- and Retroperitoneal Extension: Case Report and Narrative Literature Review.Journal of clinical medicine · 2025Review
- Assessment of long-term outcomes following Milligan-Morgan hemorrhoidectomy with Doppler transperineal ultrasound and endoscopy: a pilot study.International journal of colorectal disease · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
44 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Anorectal emergencies comprise a wide variety of diseases that share common symptoms, i.e., anorectal pain or bleeding and might require immediate management. While most of the underlying conditions do not need inpatient management, some of them could be life-threatening and need prompt recognition and treatment. It is well known that an incorrect diagnosis is frequent for anorectal diseases and that a delayed diagnosis is related to an impaired outcome. This paper aims to improve the knowledge and the awareness on this specific topic and to provide a useful tool for every physician dealing with anorectal emergencies.The present guidelines have been developed according to the GRADE methodology. To create these guidelines, a panel of experts was designed and charged by the boards of the World Society of Emergency Surgery (WSES) and American Association for the Surgery of Trauma (AAST) to perform a systematic review of the available literature and to provide evidence-based statements with immediate practical application. All the statements were presented and discussed during the WSES-AAST-WJES Consensus Conference on Anorectal Emergencies, and for each statement, a consensus among the WSES-AAST panel of experts was reached. We structured our work into seven main topics to cover the entire management of patients with anorectal emergencies and to provide an up-to-date, easy-to-use tool that can help physicians and surgeons during the decision-making process.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.