Needle aspiration treatment vs. incision of acute simple perianal abscess: randomized controlled study

Sørensen, K; Möller, Sören; Qvist, Niels

doi:10.1007/s00384-021-03845-6

Cited by 9 publications

(7 citation statements)

References 23 publications

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“…The principle of treatment for anorectal abscess is drainage and patency. The current surgical treatment is also the mainstay, such as Needle aspiration treatment [27], incision and seton drainage, and etc [28]. Nevertheless, postoperative pain, urinary incontinence, anal incontinence, and healing time of the wound after anal stula and anorectal abscesses should not be underestimated.…”

Section: Discussionmentioning

confidence: 99%

Restricted Cubic Spline Model Analysis of the Association between Anal Fistula and Anorectal Abscess incidence and Body Mass Index

Ye,

Huang,

Zheng

et al. 2023

Preprint

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Background The epidemiological profile of anal fistula and anorectal abscess has not been well studied. Based on the results of a retrospective cross-sectional survey, we aimed to investigate the potential influential factors associated with anal fistula and anorectal abscess. Methods We conducted a retrospective analysis of patients between January 2017 and May 2022. A comprehensive questionnaire was designed to collect potential influential factors, all the participants were divided into patients with anal fistula or perianal abscess and healthy control group. Multiple logistic regression was used to identify factors in significant association with anal fistula and perianal abscess. Additionally, we combined restricted cubic spline regression to examine the dose-response relationship between factors and the risk of developing anal fistula or anorectal abscess. Results The present study included 1223 participants, with 275 anal fistulas, 184 anorectal abscesses, and 765 healthy controls. We found no statistically significant differences between patients and controls in basic information and preoperative assessment of life factors, except for body mass index. It was indicated that people with overweight or obesity were more prone to anal fistula or anorectal abscess than normal-weight individuals. The dose-response research indicated the J-shaped trend between the ascending BMI levels and the higher risk of suffering from anal fistula and anorectal abscess. Conclusions Our findings indicate that overweight and obesity are risk factors for anal fistula and anorectal abscess, which plays a role in the prevention of anorectal diseases. This provides some theoretical basis for clinicians to provide health education to their patients.

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Section: Discussionmentioning

confidence: 99%

Restricted Cubic Spline Model Analysis of the Association between Anal Fistula and Anorectal Abscess incidence and Body Mass Index

Ye,

Huang,

Zheng

et al. 2023

Preprint

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“…The recurrence rate with needle aspiration was 41% compared with 15% with standard treatment. 40 Therefore, needle aspiration cannot be recommended as an alternative to surgical drainage.…”

Section: Needle Aspirationmentioning

confidence: 99%

Anorectal Abscess

Kata,

Abelson

2023

Clin Colon Rectal Surg

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Anorectal abscesses are a common colorectal emergency. The hallmark of treatment is obtaining source control while avoiding injury to the underlying sphincter complex. Understanding the anatomy of an anorectal abscess is critical to planning the appropriate drainage strategy and decreasing the risk of complex fistula formation. Use of antibiotics should be reserved for those with extensive cellulitis, signs of systemic infection, or patients who are immunocompromised. Whether antibiotics prevent future fistula formation is an area of active research. Primary fistulotomy at time of the index drainage is controversial; however, there may be situations where it is appropriate. It is important to counsel patients that after effective drainage of an anorectal abscess, they have a 30 to 50% chance of developing an anal fistula that will then require further treatment.

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“…A recent randomized prospective study on needle aspiration treatment vs. incision and drainage of acute simple perianal abscess emphasized the importance of a complete drainage of the perianal abscess, with recurrence rates of 41% following needle aspiration compared to 15% after incision and drainage [25].…”

Section: C -In Patients With An Anorectal Abscess What Are the Indications For Surgical Treatment And What Is The Appropriate Timing For mentioning

confidence: 99%

Anorectal emergencies: WSES-AAST guidelines

et al. 2021

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Anorectal emergencies comprise a wide variety of diseases that share common symptoms, i.e., anorectal pain or bleeding and might require immediate management. While most of the underlying conditions do not need inpatient management, some of them could be life-threatening and need prompt recognition and treatment. It is well known that an incorrect diagnosis is frequent for anorectal diseases and that a delayed diagnosis is related to an impaired outcome. This paper aims to improve the knowledge and the awareness on this specific topic and to provide a useful tool for every physician dealing with anorectal emergencies.The present guidelines have been developed according to the GRADE methodology. To create these guidelines, a panel of experts was designed and charged by the boards of the World Society of Emergency Surgery (WSES) and American Association for the Surgery of Trauma (AAST) to perform a systematic review of the available literature and to provide evidence-based statements with immediate practical application. All the statements were presented and discussed during the WSES-AAST-WJES Consensus Conference on Anorectal Emergencies, and for each statement, a consensus among the WSES-AAST panel of experts was reached. We structured our work into seven main topics to cover the entire management of patients with anorectal emergencies and to provide an up-to-date, easy-to-use tool that can help physicians and surgeons during the decision-making process.

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Needle aspiration treatment vs. incision of acute simple perianal abscess: randomized controlled study

Cited by 9 publications

References 23 publications

Restricted Cubic Spline Model Analysis of the Association between Anal Fistula and Anorectal Abscess incidence and Body Mass Index

Restricted Cubic Spline Model Analysis of the Association between Anal Fistula and Anorectal Abscess incidence and Body Mass Index

Anorectal Abscess

Anorectal emergencies: WSES-AAST guidelines

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