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Biomed Res Int. 2016;2016:9712854. doi: 10.1155/2016/9712854. Epub 2016 Jan 5.

Outcomes of Various Interventions for First-Time Perianal Abscesses in Children.

Author information

1
Faculty of Medicine, Institution of Clinical Science, Lund University, 221 85 Lund, Sweden.
2
Institution of Clinical Science, Lund University, Department of Pediatric Surgery, Skåne University Hospital, 221 85 Lund, Sweden.

Abstract

INTRODUCTION:

In children treated surgically for first-time perianal abscesses, discovery and excision of concomitant fistulas may also be warranted.

AIM:

To evaluate children of varying age after incision and drainage of first-time perianal abscesses, examining recurrences rates with and without search for a fistula.

METHOD:

A retrospective review was conducted, analyzing children (ages 0-15 years) treated for first-time perianal abscesses at a tertiary pediatric surgical center, with a minimum follow-up of 6 months.

RESULTS:

A total of 104 patients subjected to 112 treatments for first-time perianal abscesses were eligible. Surgical procedures constituted 84 (75%) of treatments, searching for fistulas in 49 (58%). In 34 (69%), fistulas were confirmed and treated. In the surgically treated subset, the recurrence rate was higher if no attempt was made to exclude a fistula (46%), as opposed to confirmed absence of a fistula (27%) or concurrent fistulotomy (9%; p = 0.02). Younger patients showed a higher recurrence rate (12/26; 46%), compared with older counterparts (11/58; 19%) (p = 0.002).

CONCLUSION:

In children surgically treated for first-time perianal abscess, recurrence rates appear to be lowered by locating and treating coexisting fistulas.

PMID:
26881235
PMCID:
PMC4736375
DOI:
10.1155/2016/9712854
[Indexed for MEDLINE]
Free PMC Article

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