Surgical fecal diversion vs non-diversion in perineal necrotizing soft tissue infections: A systematic review and meta-analysis

doi:10.5492/wjccm.v15.i2.117985

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World Journal of Critical Care Medicine

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2220-3141

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Meta-Analysis

Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.

World J Crit Care Med. Jun 9, 2026; 15(2): 117985
Published online Jun 9, 2026. doi: 10.5492/wjccm.v15.i2.117985

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Figure 1 Study selection process flow diagram.

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Figure 2 Hospital length of stay in non-diversion vs surgical fecal diversion. A: Outcome: Mean difference (days); B: Sensitivity analysis excluding Mahmood et al[32]. ^aCl calculated by Wald-type method. ^bTau² calculated by Restricted Maximum-Likelihood method.

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Figure 3 Clinical outcomes comparing non-diversion vs surgical fecal diversion in patients with perineal necrotizing soft tissue infections. A: Proportion of patients requiring intensive care unit admission (odds ratio); B: Number of surgical procedures performed (mean difference); C: Mortality (odds ratio). ^aCl calculated by Wald-type method. ^bTau² calculated by Restricted Maximum-Likelihood method.

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Figure 4 Funnel plot assessing publication bias. A: Mortality in surgical fecal diversion (SFD) vs non-diversion; B: Hospital length of stay in SFD vs non-diversion.

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

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 [DOI: 10.5492/wjccm.v15.i2.117985]

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