Latest Articles
ANORECTAL ABSCESS-what are the indications for fistula treatment in the acute setting?
In patients with an anorectal abscess with a concomitant fistula, the indications for fistula treatment in the acute setting are primarily based on the presence of an obvious fistula tract at the time of abscess drainage. According to the World Society of...
ANAL FISSURE-which are the appropriate imaging investigations?
In patients with suspected acute anal fissure, the appropriate imaging investigations depend on the clinical presentation. According to the World Society of Emergency Surgery and the American Association for the Surgery of Trauma guidelines, no imaging...
ANAL FISSURE-what is the appropriate approach for pain control?
In patients with an acute anal fissure, the appropriate approach for pain control involves a combination of topical anesthetics and oral analgesics. The World Society of Emergency Surgery and the American Association for the Surgery of Trauma recommend the use of...
ANAL FISSURE-what is the role of clinical examination and biochemical investigations?
In patients with suspected acute anal fissure, the role of clinical examination is paramount. The diagnosis is typically confirmed through a physical examination, where a fissure is identified as a split in the squamous epithelium at or just inside the anal...
ANAL FISSURE-is there a role for antibiotic therapy?
In patients with an acute anal fissure, the role of antibiotic therapy is generally limited. The World Society of Emergency Surgery and the American Association for the Surgery of Trauma (WSES-AAST) guidelines suggest that antibiotics should be reserved for cases...
ANAL FISSURE-what is the most appropriate surgical approach?
In patients with an acute anal fissure, the most appropriate surgical approach is lateral internal sphincterotomy (LIS). This procedure is favored due to its high rates of healing, technical simplicity, minimal morbidity, and rapid symptom relief. The American...
ANAL FISSURE-what is the role of non-operative management?
In patients with an acute anal fissure, non-operative management is the first-line treatment. The American Gastroenterological Association recommends initial therapy with sitz baths and fiber supplements such as psyllium. These measures aim to promote...
ANORECTAL ABSCESS-what is the role of wound packing after surgical drainage?
In patients with an anorectal abscess, the role of wound packing after surgical drainage is controversial and not supported by strong evidence. Several studies and guidelines have evaluated the efficacy and outcomes of wound packing post-incision and drainage of...
ANAL FISSURE-what are the indications for surgical treatment and what is the appropriate timing for surgery?
In patients with an acute anal fissure, surgical treatment is generally not recommended. The World Society of Emergency Surgery and the American Association for the Surgery of Trauma suggest against surgical treatment for acute anal fissures, based on...
ACTIVE SURVEILLANCE-What is active surveillance in healthcare?
What is active surveillance in healthcare? In healthcare, active surveillance usually means a structured, preplanned strategy of close monitoring rather than immediate intervention. In the supplied literature, it is used in two main ways: to...
