Findings

What do systematic reviews say?

7 questions · 7 findings · 2 reviews · Colorectal · Headline outcomes only

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No studies found 0 · 0%GRADE not reported 0 · 0%Very low 2 · 28.6%Low 2 · 28.6%Moderate 2 · 28.6%High 1 · 14.3%

Lateral pararectal vs transrectal enterostomy placement

parastomal hernia (NRS) clinical examination, CT scan, or botha · people undergoing enterostomy placement for any reason

It is very uncertain whether lateral pararectal changes parastomal hernia (NRS) clinical examination, CT scan, or botha compared with transrectal enterostomy placement (very low certainty).

1 finding from 1 review

Lateral pararectal versus transrectal stoma placement for prevention of parastomal herniation 2019 · Cochrane Headline outcomes only
RR 1.22 [0.84, 1.75]
10 studies · 864 participants
Very low

Lateral pararectal vs transrectal enterostomy placement

parastomal hernia (RCT) clinical exam, sonography, intraoperatively, or combination, during stoma reversal · people undergoing enterostomy placement for any reason

Lateral pararectal showed no clear difference in parastomal hernia (RCT) clinical exam, sonography, intraoperatively,… compared with transrectal enterostomy placement (low certainty).

1 finding from 1 review

Lateral pararectal versus transrectal stoma placement for prevention of parastomal herniation 2019 · Cochrane Headline outcomes only
RR 1.34 [0.4, 4.48]
1 study · 56 participants
Low

Lateral pararectal vs transrectal enterostomy placement

stomal prolapse clinical exam, documented on a standard pro forma · people undergoing enterostomy placement for any reason

It is very uncertain whether lateral pararectal changes stomal prolapse clinical exam, documented on a standard pro forma compared with transrectal enterostomy placement (very low certainty).

1 finding from 1 review

Lateral pararectal versus transrectal stoma placement for prevention of parastomal herniation 2019 · Cochrane Headline outcomes only
RR 1.23 [0.39, 3.85]
1 study · 145 participants
Very low

Lateral pararectal vs transrectal enterostomy placement

ileus or stenosis clinical exam, sonography · people undergoing enterostomy placement for any reason

Lateral pararectal showed no clear difference in ileus or stenosis clinical exam, sonography compared with transrectal enterostomy placement (low certainty).

1 finding from 1 review

Lateral pararectal versus transrectal stoma placement for prevention of parastomal herniation 2019 · Cochrane Headline outcomes only
RR 2 [0.19, 20.9]
1 study · 60 participants
Low

Lateral pararectal vs transrectal enterostomy placement

skin irritation clinical exam, intraoperative exam, or both, during stoma reversal · people undergoing enterostomy placement for any reason

Lateral pararectal showed no clear difference in skin irritation clinical exam, intraoperative exam, or both, during… compared with transrectal enterostomy placement (moderate certainty).

1 finding from 1 review

Lateral pararectal versus transrectal stoma placement for prevention of parastomal herniation 2019 · Cochrane Headline outcomes only
RR 0.67 [0.21, 2.13]
1 study · 60 participants
Moderate

Open vs closed partial lateral internal sphincterotomy

Persistence of the anal fissure · patients with fissure in ano

Open showed no clear difference in persistence of the anal fissure compared with closed partial lateral internal sphincterotomy (high certainty).

1 finding from 1 review

Operative procedures for fissure in ano 2011 · Cochrane Headline outcomes only
OR 1 [0.4, 2.48]
5 studies · 336 participants
High

Open vs closed partial lateral internal sphincterotomy

Minor incontinence to flatus · patients with fissure in ano

Open showed no clear difference in minor incontinence to flatus compared with closed partial lateral internal sphincterotomy (moderate certainty).

1 finding from 1 review

Operative procedures for fissure in ano 2011 · Cochrane Headline outcomes only
OR 0.87 [0.41, 1.83]
5 studies · 336 participants
Moderate