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Asian Journal of Surgery Mar 2024
Topics: Humans; Abscess; Anus Diseases; Rectal Fistula
PubMed: 38143172
DOI: 10.1016/j.asjsur.2023.12.071 -
Annals of the Royal College of Surgeons... Nov 1992The records of 16 children presenting with a diagnosis of perianal abscess, over a 5-year period, were reviewed. The clinical and microbiological features of paediatric...
The records of 16 children presenting with a diagnosis of perianal abscess, over a 5-year period, were reviewed. The clinical and microbiological features of paediatric perianal abscesses are similar to those found in adults, although the incidence of associated diseases is higher in paediatric patients. Perianal abscesses in children are best treated by incision and drainage. The presence of an underlying contributing disease should be excluded.
Topics: Abscess; Age Factors; Anal Canal; Anus Diseases; Child; Child, Preschool; Drainage; Female; Humans; Infant; Male; Rectal Fistula; Sex Factors
PubMed: 1471832
DOI: No ID Found -
Diseases of the Colon and Rectum Feb 2020
Topics: Abscess; Adult; Anus Diseases; Diagnosis, Differential; Drainage; Humans; Male; Physical Examination; Rectal Fistula; Rectum
PubMed: 31914108
DOI: 10.1097/DCR.0000000000001576 -
BMJ Case Reports May 2022We present a case of vaginocutaneous fistula 10 years after pelvic floor reconstruction using transvaginal mesh implantation. The female patient in her mid-60s presented...
We present a case of vaginocutaneous fistula 10 years after pelvic floor reconstruction using transvaginal mesh implantation. The female patient in her mid-60s presented with typical symptoms of perianal abscess. After undergoing three surgical operations, the perianal infection was shown to be due to the implanted mesh as a late complication of the reconstruction. The patient was successfully managed with limited removal of the mesh tails. The case highlights one of the late complications of pelvic floor reconstruction using synthetic meshes.
Topics: Abscess; Anus Diseases; Female; Fistula; Humans; Pelvic Floor; Pelvic Organ Prolapse; Plastic Surgery Procedures; Surgical Mesh
PubMed: 35568416
DOI: 10.1136/bcr-2021-247339 -
Pediatric Surgery International Dec 2002Perianal abscess (PA) is a common condition encountered in childhood, but its optimal primary treatment is uncertain. Treatment of PA by incision and drainage (I & D)...
Perianal abscess (PA) is a common condition encountered in childhood, but its optimal primary treatment is uncertain. Treatment of PA by incision and drainage (I & D) alone is associated with an unacceptably high recurrence rate, either as fistula-in-ano (FIA) or as PA. To identify possible causes of recurrence and assess the value of concomitant laying open of a fistulous tract at the time of primary incision and drainage, the case notes of all children who presented to our institution with a PA between January 1992 and January 1997 were reviewed retrospectively. Thirty-three cases were identified (29 boys and 4 girls). A fistulous tract was identified and laid open at the time of primary drainage in 20 cases, whilst 13 were treated by I & D alone. Following primary drainage, there were 7 recurrences (21.2%) (FIA 5 and PA 2). All recurrences had been primarily treated by drainage alone, whilst there were no recurrences in patients who had also undergone fistulotomy at the time of primary drainage. Thus the primary treatment of PA in childhood should involve a careful search for a coexisting fistula and treatment of this by fistulotomy.
Topics: Abscess; Adolescent; Anus Diseases; Child; Child, Preschool; Drainage; Female; Fissure in Ano; Humans; Infant; Infant, Newborn; Male; Recurrence; Retrospective Studies; Treatment Outcome
PubMed: 12598965
DOI: 10.1007/s00383-002-0761-z -
Scientific Reports Oct 2023Natural course of perianal abscess (PA) in infancy remains obscure. This study aimed to investigate the natural course of infants with PA after conservative treatment. A...
Natural course of perianal abscess (PA) in infancy remains obscure. This study aimed to investigate the natural course of infants with PA after conservative treatment. A retrospective cohort study was conducted in infants with PA who were treated conservatively (due to the parents' refusal of surgery), for more than 2 months between 2014 and 2020 at a single tertiary center. 153 patients (149 boys and 4 girls) were identified. The median follow-up was 5.3 years (range 3-8.2 years). Initially, 119 patients (77.8%) were completely cured by conservative treatment, and 34 (22.2%) failed. Among the 34 patients, 23 continued conservative treatment (20 cure, 3 fistula formation) and 11 underwent surgery. After conservative treatment, the rate of fistula formation, abscess recurrence, and new-onset abscess were 15.0%, 4.6%, and 6.5%, respectively. Overall, 139 patients (90.8%) were cured conservatively without surgery, and 11 (7.2%) underwent surgical management. In addition, 3 (2.0%) patients developed fistula-in-ano (under observation). PA in infants may be a time-limited and self-limited condition. Conservative management should be the first choice of treatment in most cases. Longer periods of conservative treatment may achieve better clinical outcomes in selected cases. There will be a percentage of patients (about 10%) that would require surgical treatment.
Topics: Male; Female; Humans; Infant; Retrospective Studies; Abscess; Treatment Outcome; Drainage; Anus Diseases; Rectal Fistula
PubMed: 37891236
DOI: 10.1038/s41598-023-45751-7 -
International Journal of Colorectal... Jul 2016
Review
Topics: Abscess; Adult; Anal Canal; Diagnosis, Differential; Endometriosis; Female; Humans; Recurrence
PubMed: 26715434
DOI: 10.1007/s00384-015-2489-y -
Asian Journal of Surgery Aug 2023
Topics: Humans; Crohn Disease; Abscess; Anus Diseases; Rectal Fistula; Patients
PubMed: 36990810
DOI: 10.1016/j.asjsur.2023.03.032 -
Pediatric Surgery International Oct 2011The aims of this study are to evaluate the clinical characteristics of perianal abscess and fistula-in-ano in children, and to assess our experience in treatment, and to...
PURPOSE
The aims of this study are to evaluate the clinical characteristics of perianal abscess and fistula-in-ano in children, and to assess our experience in treatment, and to identify factors that affected the clinical outcomes.
METHODS
A retrospective review of children with perianal abscess and fistula-in-ano was carried out in a tertiary care children's hospital from January 2005 to December 2010. Demographic information of the patients, localization of the lesions, treatment procedures, microbial organisms in pus, usage of antibiotics, abscess recurrence, development of fistula-in-ano, and duration of symptoms were recorded. Patients with systemic diseases and inflammatory bowel diseases were excluded from the study.
RESULTS
A total of 158 children (146 males, 12 females) treated for perianal abscess and fistula-in-ano with a median age of 7.2 months (ranging 16 days to 18 years) were eligible for the study. Initial examination of the 136 patients revealed perianal abscess and 22 patients with fistula-in-ano. Primary treatment was incision and drainage (I/D) for the fluctuating perianal abscess (73.5%), and local care for the spontaneously (S/D) drained abscess (26.5%) with or without antibiotic therapy. Patients were divided into two groups according to age distribution, 98 of the patients were younger than 12 months, and 60 were older than 12 months of age. There was no significant difference in sex distribution, localization of the lesions, treatment procedures, recurrence of abscess and fistula-in-ano formation between the two age groups (p > 0.05). Recurrence rates (27% in I/D and 30.6% in S/D, p > 0.05) and development of fistula-in-ano (20% in I/D and 27.8 in S/D, p > 0.05) were not significant I/D and S/D groups. Kind of the microorganisms in pus swaps did not effect the fistula-in-ano formation. Usage of antibiotics significantly reduced the development of fistula-in-ano (p = 0.001), but did not effect the recurrence of perianal abscess (p > 0.05). The mean follow-up period was 10.6 ± 8.6 months. While the 9 of the overall 52 fistula-in-ano (22 initial, 30 after abscess treatment) were resolved spontaneously, 43 of the remaining needed surgical intervention (fistulotomy/fistulectomy).
CONCLUSIONS
Although management of perianal abscess is still controversial, simple drainage of the perianal abscess with additional antibiotic therapy reduces the development of fistula-in-ano. Fistula-in-ano within children has a chance of spontaneous resolution thus the immediate surgical intervention should be avoided.
Topics: Abscess; Adolescent; Anti-Bacterial Agents; Anus Diseases; Child; Child, Preschool; Drainage; Female; Humans; Infant; Infant, Newborn; Male; Rectal Fistula; Recurrence; Retrospective Studies; Sex Distribution; Turkey
PubMed: 21785979
DOI: 10.1007/s00383-011-2956-7 -
Asian Journal of Surgery Sep 2023
Topics: Humans; Fasciitis, Necrotizing; Abscess; Anus Diseases; Magnetic Resonance Imaging
PubMed: 37059679
DOI: 10.1016/j.asjsur.2023.03.139