Cochrane · systematic review · CD006319
Surgical intervention for anorectal fistula
Jacob, TJ, Perakath, B, Keighley, MR · Cochrane Database of Systematic Reviews · 2010 · Cochrane Library
ColorectalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
16
current version
GRADE rated
16
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 6.3%Moderate 10 · 62.5%High 5 · 31.3%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
IAS preserving seton compared to Conventional seton for anorectal fistula
Population: patients with anorectal fistula
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence IAS preserving seton vs Conventional seton | OR 1.88 [0.15, 22.88] | 1 study · 34 participants | Moderate Downgraded: imprecision |
Incontinence IAS preserving seton vs Conventional seton | OR 0.41 [0.03, 5.03] | 1 study · 34 participants | Moderate Downgraded: imprecision |
Ayurvedic seton compared to Conventional fistulotomy for anorectal fistula
Population: patients with anorectal fistula
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence Ayurvedic seton vs Conventional fistulotomy | OR 0.38 [0.02, 9.64] | 1 study · 100 participants | Moderate Downgraded: risk of bias, imprecision |
Incontinence Ayurvedic seton vs Conventional fistulotomy | OR 2.07 [0.47, 9.19] | 1 study · 100 participants | Moderate Downgraded: imprecision |
Fibrin glue compared to Conventional fistulotomy / seton for anorectal fistula
Population: patients with anorectal fistula
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence simple fistula Fibrin glue vs Conventional fistulotomy / seton | OR 15 [0.6, 376.7] | 1 study · 13 participants | Moderate Downgraded: imprecision |
Incontinence simple fistula Fibrin glue vs Conventional fistulotomy / seton | no estimate extracted | 1 study · 13 participants | High |
Radiofrequency compared to Conventional fistula surgery for anorectal fistula
Population: patients with anorectal fistula
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence Radiofrequency vs Conventional fistula surgery | OR 0.73 [0.15, 3.48] | 2 studies · 122 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Incontinence Radiofrequency vs Conventional fistula surgery | OR 0.44 [0.14, 1.41] | 2 studies · 122 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency |
Fistulotomy compared to Marsupialization fistulotomy for anorectal fistula
Population: patients with anorectal fistula
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence Fistulotomy vs Marsupialization fistulotomy | OR 1.26 [0.27, 5.97] | 2 studies · 137 participants | Moderate Downgraded: imprecision |
Incontinence Fistulotomy vs Marsupialization fistulotomy | OR 2.29 [0.66, 7.97] | 2 studies · 137 participants | Moderate Downgraded: imprecision, inconsistency |
Advancement flap compared to Fibrin glue with Flap repair for anorectal fistula
Population: patients with anorectal fistula
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence Advancement flap vs Fibrin glue with Flap repair | OR 0.29 [0.09, 0.92] | 1 study · 58 participants | High |
Incontinence Advancement flap vs Fibrin glue with Flap repair | no estimate extracted | 1 study · 58 participants | High |
Fistulotomy compared to Fistulectomy for anorectal fistula
Population: patients with anorectal fistula
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence Fistulotomy vs Fistulectomy | OR 1.36 [0.2, 9.02] | 1 study · 45 participants | Moderate Downgraded: imprecision |
Incontinence Fistulotomy vs Fistulectomy | OR 0.26 [0.02, 2.72] | 1 study · 45 participants | Moderate Downgraded: imprecision |
Island flap anoplasty compared to Fistulotomy / seton for anorectal fistula
Population: patients with anorectal fistula
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Recurrence Island flap anoplasty vs Fistulotomy / seton | no estimate extracted | 1 study · 20 participants | High |
Incontinence Island flap anoplasty vs Fistulotomy / seton | no estimate extracted | 1 study · 20 participants | High |