Primary fistulectomy for anorectal abscess

McElwain, Jack W.; Alexander, Richard M.; MacLean, Douglas M.

doi:10.1007/bf02616977

Cited by 20 publications

(11 citation statements)

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“…Eisenhammer claimed that the primary cryptoglandular abscess/fistula never invades the supralevator space and is always inter‐ or trans‐sphincteric, except for the recurrent cryptoglandular fistula which may extend its track(s) through the supralevator space. The findings were confirmed during surgical treatment in the studies of Fucini and other groups [15–18].…”

Section: Discussionsupporting

confidence: 63%

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Assessment and classification of never operated and recurrent cryptoglandular fistulas‐in‐ano using hydrogen peroxide enhanced transanal ultrasound

et al. 2001

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All never operated cryptoglandulair fistulas-in-ano were inter- or trans-sphincteric. An extra track was found in 5%. Recurrent fistulas-in-ano were supra or extrasphincteric in 15% and ramified in 27%. Therefore, never operated fistula-in-ano does not require any special investigation before surgical treatment. However, before treating recurrent fistulas, visualization by HPUS is recommended to detect supra or extrasphincteric fistulas or ramification.

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Section: Discussionsupporting

confidence: 63%

“…Similar conclusions were drawn in studies in which the fistula tracks were delineated during surgery. [14–18].…”

Section: Discussionmentioning

confidence: 99%

Assessment and classification of never operated and recurrent cryptoglandular fistulas‐in‐ano using hydrogen peroxide enhanced transanal ultrasound

et al. 2001

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“…Most fistula patients have been men, as is also seen in this study [1,3,4,9,13,14]. The treatment of these fistulas have traditionally been with fistulotomy and/or seton placement.…”

Section: Discussionmentioning

confidence: 84%

Evolution of Treatment of Fistula in Ano

et al. 2012

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Fistula-in-ano remains a common complex disease process. Its treatment has evolved to include a variety of noncutting techniques in addition to traditional fistulotomy. With the advent of more sphincter-sparing techniques, the number of patients undergoing fistulotomy should continue to decrease over time. Surgeons should become familiar with various surgical techniques so the treatment can be tailored to the patient.

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“…In the present series there was a high recurrence rate (25 per cent), but this is comparable to that of Wilson (1964)~ who quoted a 22 per cent recurrence rate. Most other reported series have had an inadequate follow-up (Naunton Morgan, 1929;Granet, 1948 ;Mcelwain, Alexander, and Maclean, 1966;Hill, 1967).…”

Section: Discussionmentioning

confidence: 98%

Anorectal suppuration: The results of treatment and the factors influencing the recurrence rate

Buchan

Grace

1973

Journal of British Surgery

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One hundred and eighty‐three patients admitted to hospitals in the Cardiff teaching group (1961–5) with a diagnosis of anorectal abscess were studied; 147 of these patients were traced in 1969. It is shown that when the diagnosis was that of an ischiorectal abscess and that when a ‘deroofing’ procedure was used, the in‐patient stay and the time lost from work were increased. It is also shown that recurrence was related to a previous history of multiple abscesses, but not to the duration of the presenting history or the type of the presenting abscess or the initial drainage procedure employed. However, the detection and laying open of a ‘fistula’ at a second examination under anaesthesia within 2 weeks reduced the incidence of recurrence. It is suggested that incision and drainage, followed by a second examination under anaesthesia within 2 weeks, should be the treatment of choice, and that there is now no place for saucerization or ‘deroofing’ procedures.

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Primary fistulectomy for anorectal abscess

Cited by 20 publications

References 0 publications

Assessment and classification of never operated and recurrent cryptoglandular fistulas‐in‐ano using hydrogen peroxide enhanced transanal ultrasound

Assessment and classification of never operated and recurrent cryptoglandular fistulas‐in‐ano using hydrogen peroxide enhanced transanal ultrasound

Evolution of Treatment of Fistula in Ano

Anorectal suppuration: The results of treatment and the factors influencing the recurrence rate

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