This was the article of choice that I picked to present as it was pertinent to my third soap note of the final site visit that related to wound packing in perianal abscesses. A perianal abscess is a subcutaneous or submucosal superficial collection of pus located in the perianal region overlying the intersphincteric space. This was a high quality systematic review and meta-analysis that looked into the use of packing in management of perianal abscesses. The author mentioned that historically, the incised wound is left open to heal by secondary intention, with the remaining abscess cavity packed with internal wound dressings, such as ribbon gauze or alginate dressings. The evidence from this meta-analysis suggests that there may be no significant benefit in the use of packing in perianal abscess wounds after incision and drainage. It’s important to note that the recommendations of this meta-analysis were not strong as it lacked a great patient population since it only reviewed three RCTs. More evidence from high quality randomized clinical trials are needed to make sure that this claim still remains relevant.