Summary of Evidence for Perioperative Management of Day Surgery Patients Undergoing Anorectal Surgery.
Yahui Gao, Mindan Wang, Yingying Jiang
PMID 41527738WHAT IT FOUND
This review synthesizes 46 evidence items for day-case anorectal surgery, emphasizing targeted preoperative assessment, avoiding routine antibiotics or bowel prep, and strict discharge criteria like a recovery score above 9.
It guides nursing and surgical teams on perioperative care steps.
Key findings
01Prophylactic antibiotics are not routinely required for anorectal day surgery due to low infection rates, except for patients with immunosuppression or widespread cellulitis.
02Complete mechanical bowel preparation is not required for most anorectal surgeries, only for concurrent sphincter reconstruction or extensive rotation flap surgery.
03Discharge from day surgery should be guided by an improved anaesthesia recovery score, where a score above 9 indicates readiness for discharge.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Most evidence came from guidelines, expert consensus, and clinical decision aids, not high-quality randomized controlled trials, which lowers the certainty of the recommendations. The included studies were mainly from Western countries, which may limit the applicability of the guidelines to other healthcare settings or populations. The review lacked long-term follow-up data, so the impact of these management strategies on long-term recurrence or outcomes is unknown. Only 8 articles were included after screening 1842, suggesting a fragmented evidence base for this specific day-surgery model.
Declared interests
The authors declare no conflicts of interest. Funding is not explicitly detailed in the provided text beyond the ethical approval statement.
The easy way to misread this
Do not treat these recommendations as high-certainty evidence from trials. They are synthesized from guidelines and expert consensus, which may reflect local practices or older evidence rather than robust clinical trial results.