SavedAdd your journal

Journals / Eurasian Journal of Medical Investigation / 2020 / Cilt: 4 - Sayı: 4

Treatment Outcomes of Perianal Abscess in the Children Younger Than 1 Year of Age

Yusuf Atakan BALTRAK
Seniha SÖĞÜT
Onursal VARLIKLI
Pages
453–458
Publication Date
2022-10-12
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In addition, considerable discussions about efforts to identify a fistuladuring abscess drainage are involved in the literature.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objectives: Optimal treatment of perianal abscess on the children is conflicting.
📊
Key Findings & Data:The aim of the present study was toperform a retrospective research of paediatric patients below 1 year of age who were admitted into the paediatric surgery clinic due to perianal abscess and fistula-in-ano, and to present the treatment outcomes for perianal abscess andfistula-in-ano in comparison.Methods: The study was conducted by screening files of the patients below 1 year of age who have been followed-upand treated because of perianal abscess and fistula-in-ano in paediatric surgery clinic of our hospital between 2015and 2020.Results: There was not any statistically significant difference in the outpatient and inpatient groups admitted due toperianal abscess for laboratory tests, abscess location, and therapeutic procedure.
💡
Conclusion & Impact:In addition, considerable discussions about efforts to identify a fistuladuring abscess drainage are involved in the literature.
🔬Design:Research Article
📍Scope:2020 Verileri
⚙️Variables:Domain Parameters

Abstract

Objectives: Optimal treatment of perianal abscess on the children is conflicting. The aim of the present study was toperform a retrospective research of paediatric patients below 1 year of age who were admitted into the paediatric surgery clinic due to perianal abscess and fistula-in-ano, and to present the treatment outcomes for perianal abscess andfistula-in-ano in comparison.Methods: The study was conducted by screening files of the patients below 1 year of age who have been followed-upand treated because of perianal abscess and fistula-in-ano in paediatric surgery clinic of our hospital between 2015and 2020.Results: There was not any statistically significant difference in the outpatient and inpatient groups admitted due toperianal abscess for laboratory tests, abscess location, and therapeutic procedure. The most common location of PAwas at 9 o'clock (n=15, 31%), 3 o'clock and 8 o'clock levels. Surgical drainage was implemented to 32 (68%) patients;15 (32%) patients were followed-up through conservative treatment without any surgical procedure. Fistulotomy wasperformed on nine (19.1%) patients who have not responded to conservative treatment for two weeks. There was notany adverse event or recurrent abscess developed after fistulotomy procedure.Conclusion: Although characteristics of PA and FA are well-known, treatment on the children is contradictory. Conservative treatment of PA includes sitz bath and being careful on local hygiene. Conservative treatment may be implemented on eligible paediatric patients diagnosed with PA. In the patients who do not respond to conservative treatment, sitz bath for the abscess with complete fluctuation, and basic drainage with or without topical anaesthesia arethe most common therapies for perianal abscess. In addition, considerable discussions about efforts to identify a fistuladuring abscess drainage are involved in the literature.

🔖

Cite This Article

BALTRAK, Y. A., SÖĞÜT, S., VARLIKLI, O. (2022). Treatment Outcomes of Perianal Abscess in the Children Younger Than 1 Year of Age. Eurasian Journal of Medical Investigation, Cilt: 4 - Sayı: 4, 453–458. https://ajindex.com/articles/508626

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (17)

  1. Afşarlar CE, Karaman A, Tanir G, Karaman I, Yilmaz E, Erdoğan D, et al. Perianal abscess and fistula-in-ano in children: clinical characteristic, management and outcome. Pediatr Surg Int 2011;27:1063–8
  2. Emile SH, Elfeki H, Abdelnaby M. A systematic review of the management of anal fistula in infants. Tech Coloproctol 2016;20:735–44
  3. Ommer A, Herold A, Berg E, Fürst A, Post S, Ruppert R, et al. German S3 guidelines: anal abscess and fistula (second revised version). Langenbecks Arch Surg 2017;402:191–201
  4. Nelson R. Anorectal abscess fistula: what do we know?. Surg Clin North Am 2002;82:1139–51
  5. Tanır Basaranoglu S, Ozsurekci Y, Cengiz AB, Karadag Oncel E, Aykac K, Kara A, Ceyhan M. Perianal abscess in children: A pediatric infectious disease perspective. [Article in Spanish]. An Pediatr (Barc) 2019;90:370–5
  6. Meyer T, Weininger M, Höcht B. Perianal abscess and anal fistula in infancy and childhood. A congenital etiology?. [Article in German]. Chirurg 2006;77:1027–32
  7. Serour F, Somekh E, Gorenstein A. Perianal abscess and fistula-in-ano in infants: a different entity? Dis Colon Rectum 2005;48:359–64
  8. Festen C, van Harten H. Perianal abscess and fistula-in-ano in infants. J Pediatr Surg 1998;33:711–3
  9. Poenaru D, Yazbeck SV. Anal fistula in infants: etiology, features, management. J Pediatr Surg 1993;28:1194–5
  10. Shafer AD, McGlone TP, Flanagan RA. Abnormal crypts of Morgagni: the cause of perianal abscess and fistula-in-ano. J Pediatr Surg 1987;22:203–4
  11. Arditi M, Yogev R. Perirectal abscess in infants and children: Report of 52 cases and review of the literature. Pediatr Infect Dis J 1990;9:411–5
  12. Murthi GV, Okoye BO, Spicer RD, Cusick EL, Noblett HR. Perianal abscess in childhood. Pediatr Surg Int 2002;18:689–91
  13. Zwintscher NP, Shah PM, Argawal A, Chesley PM, Johnson EK, Newton CR, et al. The impact of perianal disease in young patients with inflammatory bowel disease. Int J Colorectal Dis 2015;30:1275-9
  14. Oh JT, Han A, Han SJ, Choi SH, Hwang EH. Fistula-in-ano in infants: Is nonoperative management eff ective? J Pediatr Surg 2001;36:1367–9
  15. Niyogi A, Agarwal T, Broadhurst J, Abel RM. Management of perianal abscess and fistula-in-ano in children. Eur J Pediatr Surg 2010;20:35–9
  16. Chang HK, Ryu JG, Oh JT. Clinical characteristics and treatment of perianal abscess and fistula-in-ano in infants. J Pediatr Surg 2010;45:1832–6
  17. Rosen NG, Gibbs DL, Soffer SZ, Hong A, Sher M, Peña A. The nonoperative management