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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)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BioMed Research International
volume
2016
pages
6 pages
publisher
Hindawi Publishing Corporation
external identifiers
  • wos:000368291000001
  • pmid:26881235
  • scopus:84955578382
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
2016-03-01 07:17:37
date last changed
2017-01-24 08:25:29
@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.},
  articleno    = {9712854},
  author       = {Karlsson, Alexander Juth and Salö, Martin and Stenström, Pernilla},
  issn         = {2314-6133},
  language     = {eng},
  pages        = {6},
  publisher    = {Hindawi Publishing Corporation},
  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},
  volume       = {2016},
  year         = {2016},
}