BPG is committed to discovery and dissemination of knowledge
Articles Published Processes
5/21/2026 7:49:50 AM | Browse: 1 | Download: 0
 |
Received |
|
2025-12-22 07:06 |
|
Peer-Review Started |
|
2025-12-22 07:06 |
|
First Decision by Editorial Office Director |
|
2025-12-31 08:21 |
|
Return for Revision |
|
2025-12-31 08:21 |
|
Revised |
|
2026-01-08 16:42 |
 |
Publication Fee Transferred |
|
|
|
Second Decision by Editor |
|
2026-01-27 02:40 |
|
Second Decision by Editor-in-Chief |
|
|
|
Final Decision by Editorial Office Director |
|
2026-01-27 08:29 |
|
Articles in Press |
|
2026-01-27 08:29 |
|
Edit the Manuscript by Language Editor |
|
|
|
Typeset the Manuscript |
|
2026-04-28 07:32 |
|
Publish the Manuscript Online |
|
2026-05-21 07:49 |
| ISSN |
2220-3141(online) |
| Open Access |
This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/ |
| Copyright |
© The Author(s) 2026. Published by Baishideng Publishing Group Inc. All rights reserved. |
| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
|
| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
|
| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Surgery |
| Manuscript Type |
Meta-Analysis |
| Article Title |
Surgical fecal diversion vs non-diversion in perineal necrotizing soft tissue infections: A systematic review and meta-analysis
|
| Manuscript Source |
Invited Manuscript |
| All Author List |
Marcelo Augusto Fontenelle Ribeiro Junior, Sharon M Henry, Husna Irfan Thalib, Sariya Khan, Agata Grochowska-Krystman, Lucas Fontenelle Vieira, Sachin Reddi and Rafael Dib Possiedi |
| ORCID |
|
| Funding Agency and Grant Number |
|
| Corresponding Author |
Marcelo Augusto Fontenelle Ribeiro Junior, Director, FACS, Full Professor, MD, PhD, Department of Surgery, R Adams Cowley Shock Trauma Center, University of Maryland, 22 S Greene St-Baltimore, Baltimore, MD 21201, United States. drmribeiro@gmail.com |
| Key Words |
Nonsurgical fecal diversion; Perianal sepsis; Flexible fecal management system; Flexi-seal; Colostomy, surgical fecal diversion; Fournier’s gangrene; Fecal incontinence catheter; Evacuation management; Necrotizing fasciitis |
| Core Tip |
This systematic review and meta-analysis of thirty-six studies found no consistent differences between non-diversion and surgical fecal diversion (SFD) in mortality, intensive care unit admission or the number of surgical procedures. Hospital length of stay showed significant heterogeneity, with sensitivity analysis favoring non-diversion after exclusion of one outlier study. Overall certainty of evidence was very low, mainly due to confounding by indication and inconsistent group definitions. These findings do not demonstrate a clear overall advantage of routine SFD and support the need for standardized criteria and prospective studies in Perineal necrotizing soft tissue infections. |
| Publish Date |
2026-05-21 07:49 |
| Citation |
Ribeiro Junior MAF, M Henry S, Thalib HI, Khan S, Grochowska-Krystman A, Fontenelle Vieira L, Reddi S, Dib Possiedi R. Surgical fecal diversion vs non-diversion in perineal necrotizing soft tissue infections: A systematic review and meta-analysis. World J Crit Care Med 2026; 15(2): 117985 |
| URL |
https://www.wjgnet.com/2220-3141/full/v15/i2/117985.htm |
| DOI |
https://dx.doi.org/10.5492/wjccm.v15.i2.117985 |
All content on this site: Copyright © 1993-2026 Baishideng Publishing Group Inc, its licensors, and contributors. All rights are reserved, including those for text and data mining, AI training, and similar technologies. For all open access content, the relevant licensing terms apply.
