Department of General Surgery, Ealing Hospital, London North West University Healthcare, NHS Foundation Trust, London, UK.
Department of General Surgery, Hillingdon Hospital, Hillington Hospitals NHS Foundation Trust, London, UK.
Br J Hosp Med (Lond). 2023 Nov 2;84(11):1-6. doi: 10.12968/hmed.2023.0308. Epub 2023 Nov 27.
A best evidence topic in general surgery was written according to a structured protocol, to address the question: in adult patients with perianal abscesses, should postoperative wound packing be undertaken considering the rates of pain experienced, wound healing and abscess recurrence? The literature search identified 159 papers on Ovid, Embase and Medline and 48 on PubMed. These were independently screened, and three articles were included in this review as these offered the best information to answer the question. One was a systematic review without meta-analysis, one was a randomised controlled trial and one was a multicentre observational study. Review of these articles led the authors to conclude that routine postoperative packing of perianal abscesses following incision and drainage is costly, associated with increased pain and confers no protection against recurrence of abscesses or formation of fistulae.
一篇普通外科的最佳证据主题文章是按照结构化方案撰写的，旨在解决以下问题：对于患有肛周脓肿的成年患者，考虑到疼痛发生率、伤口愈合和脓肿复发率，是否应进行术后伤口填塞？通过在 Ovid、Embase 和 Medline 上搜索，共确定了 159 篇论文，在 PubMed 上则有 48 篇。这些论文被独立筛选，有 3 篇文章被纳入本次综述，因为这些文章提供了最好的信息来回答这个问题。其中一篇是没有荟萃分析的系统评价，一篇是随机对照试验，一篇是多中心观察性研究。对这些文章的回顾使作者得出结论，常规对切开引流后的肛周脓肿进行术后填塞既昂贵，又会增加疼痛，并且不能预防脓肿复发或瘘管形成。
