{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T15:16:23Z","timestamp":1792682183854,"version":"4.5.0"},"reference-count":10,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T00:00:00Z","timestamp":1714348800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Current guidelines for management of anorectal abscesses make no recommendations for operative vs bedside incision and drainage (I&amp;D). The purpose of this study was to determine if management in the operating room is necessary to adequately drain anorectal abscesses and prevent short-term complications for patients presenting to the emergency department (ED).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with perirectal abscesses were identified and divided into two groups based on intervention type: \u201cbedside\u201d or \u201coperative.\u201d Demographic, laboratory, and encounter data were obtained from the medical record. Study outcomes included 30-day complications (return to the ED, reintervention, and readmission). Data were analyzed with univariate and multivariate analyses using SPSS (version 28).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 113 patients with anorectal abscesses were identified. Sixty-six (58%) underwent bedside I&amp;D and 47 (42%) operative I&amp;D. The overall complication rate was 10%. A total of 9 patients (6 bedside and 3 operative) returned to the ED. Six of these patients required reintervention (5 bedside and 1 operative), and 1 was readmitted. Two patients from the bedside group required a second I&amp;D during their index admission. Pre-procedure SIRS ( P = .02) was found to be associated with 30-day complications. Provider specialty and training level were not associated with 30-day complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>In this study, for patients presenting to the ED, bedside drainage was found to be an adequate management strategy to achieve complete drainage without a significant increase in the rate of complications when compared to operative drainage.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348241248785","type":"journal-article","created":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T20:44:15Z","timestamp":1714423455000},"page":"2609-2613","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["\u201cEmergency Room Incision and Drainage of Perirectal Abscess is Equivalent to Incision and Drainage in the Operating Room\u201d"],"prefix":"10.1177","volume":"90","author":[{"given":"Seija A.","family":"Maniskas","sequence":"first","affiliation":[{"name":"Department of Surgery, Huntington Health, Pasadena, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mallory I.","family":"Jebbia","sequence":"additional","affiliation":[{"name":"Department of Surgery, Huntington Health, Pasadena, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dena","family":"Nasir","sequence":"additional","affiliation":[{"name":"Department of Surgery, Huntington Health, Pasadena, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriel","family":"Akopian","sequence":"additional","affiliation":[{"name":"Department of Surgery, Huntington Health, Pasadena, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Howard S.","family":"Kaufman","sequence":"additional","affiliation":[{"name":"Department of Surgery, Huntington Health, Pasadena, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juliane Y.","family":"Golan","sequence":"additional","affiliation":[{"name":"Department of Surgery, Huntington Health, Pasadena, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,4,29]]},"reference":[{"key":"bibr1-00031348241248785","volume-title":"StatPearls. Treasure Island (FL)","author":"Turner SV","year":"2023"},{"key":"bibr2-00031348241248785","doi-asserted-by":"publisher","DOI":"10.1007\/BF02237048"},{"key":"bibr3-00031348241248785","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000000733"},{"key":"bibr4-00031348241248785","doi-asserted-by":"publisher","DOI":"10.1097\/DCR.0000000000001653"},{"key":"bibr5-00031348241248785","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2022.09.005"},{"key":"bibr6-00031348241248785","doi-asserted-by":"publisher","DOI":"10.1007\/BF02604266"},{"key":"bibr7-00031348241248785","doi-asserted-by":"publisher","DOI":"10.1007\/BF02553848"},{"key":"bibr8-00031348241248785","doi-asserted-by":"publisher","DOI":"10.1007\/BF02234599"},{"key":"bibr9-00031348241248785","doi-asserted-by":"publisher","DOI":"10.1007\/BF02553995"},{"issue":"8","key":"bibr10-00031348241248785","first-page":"686","volume":"63","author":"Cox SW","year":"1997","journal-title":"Am Surg"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241248785","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348241248785","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348241248785","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:40:02Z","timestamp":1777380002000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348241248785"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,29]]},"references-count":10,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2024,10]]}},"alternative-id":["10.1177\/00031348241248785"],"URL":"https:\/\/doi.org\/10.1177\/00031348241248785","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,29]]}}}