Evidence map›Paper›PMID 39332832›Full record

SynthesisCanadian journal of surgery. Journal canadien de chirurgie

Role of prolonged packing in postoperative anorectal abscess management: a systematic review and meta-analysis.

Dain Raina Kim, Kevin Verhoeff, Uzair Jogiat, Alex Miles, Janice Y Kung, Valentin Mocanu

Abstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Canadian journal of surgery. Journal canadien de chirurgie. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Dain Raina KimFrom the Department of Medicine, University of Saskatchewan, Saskatoon, Sask. (Kim); the Department of Surgery, University of Alberta Hospital, University of Alberta, Edmonton, Alta. (Verhoeff, Jogiat, Miles, Mocanu); the John W. Scott Health Sciences Library, University of Alberta, Edmonton, Alta. (Kung).
Kevin VerhoeffFrom the Department of Medicine, University of Saskatchewan, Saskatoon, Sask. (Kim); the Department of Surgery, University of Alberta Hospital, University of Alberta, Edmonton, Alta. (Verhoeff, Jogiat, Miles, Mocanu); the John W. Scott Health Sciences Library, University of Alberta, Edmonton, Alta. (Kung).
Uzair JogiatFrom the Department of Medicine, University of Saskatchewan, Saskatoon, Sask. (Kim); the Department of Surgery, University of Alberta Hospital, University of Alberta, Edmonton, Alta. (Verhoeff, Jogiat, Miles, Mocanu); the John W. Scott Health Sciences Library, University of Alberta, Edmonton, Alta. (Kung).
Alex MilesFrom the Department of Medicine, University of Saskatchewan, Saskatoon, Sask. (Kim); the Department of Surgery, University of Alberta Hospital, University of Alberta, Edmonton, Alta. (Verhoeff, Jogiat, Miles, Mocanu); the John W. Scott Health Sciences Library, University of Alberta, Edmonton, Alta. (Kung).
Janice Y KungFrom the Department of Medicine, University of Saskatchewan, Saskatoon, Sask. (Kim); the Department of Surgery, University of Alberta Hospital, University of Alberta, Edmonton, Alta. (Verhoeff, Jogiat, Miles, Mocanu); the John W. Scott Health Sciences Library, University of Alberta, Edmonton, Alta. (Kung).
Valentin MocanuFrom the Department of Medicine, University of Saskatchewan, Saskatoon, Sask. (Kim); the Department of Surgery, University of Alberta Hospital, University of Alberta, Edmonton, Alta. (Verhoeff, Jogiat, Miles, Mocanu); the John W. Scott Health Sciences Library, University of Alberta, Edmonton, Alta. (Kung) vmocanu@ualberta.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundProlonged packing of anorectal abscess cavities with internal dressings after incision and drainage is frequently used, but the efficacy of this practice remains controversial. Some studies highlight its use in hemostasis and preventing fistula and abscess recurrence, whereas others describe its economic burden and increase in pain. In this systematic review, we examine current evidence on the impact of packing after incision and drainage for anorectal abscesses.

methodsThe medical librarian conducted a comprehensive literature search on January 5, 2023. We conducted the meta-analysis using RevMan 5.4.1 software with a Mantel-Haenszel random-effects model.

resultsWe identified 3 randomized controlled trials, comprising 490 patients. Of those, 241 patients (49%) received postoperative packing; most patients were male (

conclusionIn this systematic review of current evidence highlighting the impact of packing after incision and drainage for anorectal abscesses, we found that the practice is not associated with significant differences in abscess recurrence and fistula formation, but is associated with increased postoperative pain and delayed wound healing.

Indexed as

AbscessDrainageRectal DiseasesAnus DiseasesBandagesHumansPostoperative CarePostoperative ComplicationsRecurrenceWound Healing

Identifiers

PMID39332832
PMCPMC11444685

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.