The best surgical strategy for anal fistula based on a network meta-analysis.

ABSTRACT:

Objective

To determine a superior surgical treatment for anal fistula through a network meta-analysis and to provide the best direction for development in this field.

Methods

We conducted a systematic literature search of the PubMed, Embase and Cochrane Library databases and extracted data from randomized controlled trials, which compared healing time, incontinence and recurrence associated with surgical strategies for anal fistula. A network meta-analysis was conducted using ADDIS software by evaluating the 3 parameters. Cumulative probability values were utilized to rank the strategies under examination. Inconsistencies were also tested using node-splitting models.

Results

Twenty articles with 1663 patients were included. Fistulotomy plus marsupialisation had the sh

SUBMITTER: Wang Q 

PROVIDER: S-EPMC5716793 | biostudies-literature | 2017 Nov

REPOSITORIES: biostudies-literature