Outcomes of Various Interventions for First-Time Perianal Abscesses in Children
Karlsson, Alexander Juth ; Salö, Martin LU and Stenström, Pernilla LU
(2016)
In BioMed Research International
2016.
- 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... (More)
- 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. (Less)
Please use this url to cite or link to this publication:
https://lup.lub.lu.se/record/8747905
- author
- Karlsson, Alexander Juth
; Salö, Martin
LU
and Stenström, Pernilla
LU
- organization
- publishing date
- 2016
- type
- Contribution to journal
- publication status
- published
- subject
- in
- BioMed Research International
- volume
- 2016
- article number
- 9712854
- pages
- 6 pages
- publisher
- Hindawi Limited
- external identifiers
-
- wos:000368291000001
- pmid:26881235
- scopus:84955578382
- pmid:26881235
- ISSN
- 2314-6133
- DOI
- 10.1155/2016/9712854
- language
- English
- LU publication?
- yes
- id
- 3bf85477-64d9-4a05-8dcc-87799a1a9ef8 (old id 8747905)
- date added to LUP
- 2016-04-01 09:57:55
- date last changed
- 2022-11-01 07:20:00
@article{3bf85477-64d9-4a05-8dcc-87799a1a9ef8,
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.}},
author = {{Karlsson, Alexander Juth and Salö, Martin and Stenström, Pernilla}},
issn = {{2314-6133}},
language = {{eng}},
publisher = {{Hindawi Limited}},
series = {{BioMed Research International}},
title = {{Outcomes of Various Interventions for First-Time Perianal Abscesses in Children}},
url = {{http://dx.doi.org/10.1155/2016/9712854}},
doi = {{10.1155/2016/9712854}},
volume = {{2016}},
year = {{2016}},
}