Perianal Abscesses and Fistulas in Infants and Children

Gosemann, Jan‐Hendrik; Lacher, Martin

doi:10.1055/s-0040-1716726

Cited by 14 publications

(6 citation statements)

References 17 publications

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“…Christison-Lagay et al in 2007 demonstrated that antibiotic use for perianal abscess decreased the likelihood of fistula formation. While 30.4% of the surgically treated group in this study developed complications mainly in a recurrent abscess or fistula formation, this was slightly higher than some other studies 8 .…”

Section: Resultscontrasting

confidence: 74%

Acquired Ano Rectal Conditions (AARC) in Children Seen at Gezira National Center for Pediatric Surgery (GNCPS-Sudan), Epidemiology, Management, and Outcome

2021

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The study's main objective is to determine the epidemiology, treatment, and outcome of the acquired anorectal conditions seen at the GNCPS. This study was a retrospective and prospective descriptive hospital-based study involving (131) child with Acquired anorectal conditions (AARC) who presented to GNCPS during the two-year study period. Data regarding the presentation, management, and post-operative course to look after complications and outcomes were collected. Data were collected using a formulated questionnaire and analyzed using (SPSS 17). Data considered statistically significant when P-value is less than 0.05. The study involved a total number of 131 children with AACS. The mean age of presentation is (5.78 years) with an overall 1.4:1 male to female ratio. Most of the study subjects are from rural areas, 66.4 percent. Most of them treated surgically, 83.2 percent, and 16.8 percent medically, with an overall complication rate of 24.4 percent. Conclusion Acquired Ano Rectal Conditions commonly seen at the preschooler age, mean (5.78 years). Rectal polyps and rectal prolapse were among the most frequently seen acquired anorectal conditions in children. Most of the cases treated surgically with an overall complication rate of 24.4 percent.

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Section: Resultscontrasting

confidence: 74%

Acquired Ano Rectal Conditions (AARC) in Children Seen at Gezira National Center for Pediatric Surgery (GNCPS-Sudan), Epidemiology, Management, and Outcome

2021

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“…It has traditionally been treated surgically by incision and drainage (ID) (1)(2)(3)(4)(5)(6)(7)(8)(9)(10)(11). However, in the past two decades, some studies have shown that the conservative management appears to be effective in selected cases (12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23). On the other hand, the other studies have recommended that the surgical procedure should involve a careful identification for the fistula and treatment of that by fistulotomy (24)(25)(26)(27)(28)(29)(30)(31)(32).…”

Section: Introductionmentioning

confidence: 99%

Incision and Drainage With Primary Fistulotomy of Perianal Abscess Is Safe and Effective in Neonates: A Long-Term Follow-Up Study

Yin

et al. 2022

Front. Pediatr.

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ObjectivePerianal abscess (PA) in neonates is poorly understood, and its management remains controversial. The aim of this study was to compare incision and drainage (ID) with or without primary fistulotomy in the management of neonatal first-time PA.MethodsA retrospective comparative study was conducted for neonates with first-time PA treated with incision and drainage with primary fistulotomy (IDF) vs. ID between 2008 and 2017.ResultsIn total, 138 patients (137 boys and 1 girl) were identified; 65 in the IDF group and 73 in the ID group. The median follow-up was 6.5 years (range 4–13 years). Baseline characteristics were similar between the 2 groups. The cure rate in the IDF group (98.5%, 64/65) was significantly higher than that in the ID group (80.8%, 59/73; p = 0.001). The rate of fistula formation in the IDF group (1.5%, 1/65) was significantly lower than that in the ID group (13.7%, 10/73; p = 0.01). The rate of abscess recurrence was not statistically different (p = 0.12), even though the IDF group (0%, 0/65) seemed to have a better outcome than the ID group (5.5%, 4/73). No fecal incontinence was observed in any of our patients.ConclusionsFirst-time PA in neonates can be treated safely and effectively by the IDF or by ID alone. The former may be advantageous over the latter in terms of the rate of cure and fistula formation.

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“…As the authors mentioned, the antimicrobial therapy is mostly needed besides the local anti-inflammatory treatments. Further management strategies may be needed in some specific clinical conditions such as immune deficiency and inflammatory bowel diseases (IBD) [2]. However, specific cases including immune deficient ones, which are the most difficult to treat, were excluded from the study.…”

Section: Dear Editormentioning

confidence: 99%