Document Detail

Management of perianal sepsis in immunosuppressed patients.
MedLine Citation:
PMID:  11379655     Owner:  NLM     Status:  MEDLINE    
Despite improvements in the supportive care of immunosuppressed patients controversy still surrounds the surgical management and outcome of anorectal sepsis in these patients. We reviewed 83 immunocompromised patients with diagnosis of perianal sepsis from 1995 to 1997. Sixty-six patients (80%) were followed for a mean of 15 months. Mean age was 44 years and 76 per cent were males. Twenty-eight per cent were HIV+, 34 per cent had inflammatory bowel disease on steroids, 20 per cent had malignancies, and 18 per cent had diabetes. Twenty-eight per cent had anal fistula, 2 per cent had perianal abscess, and 40 per cent had both. Primary sites of fistula were: transsphincteric (38%), intersphincteric (33%), superficial (20%), and suprasphincteric (3%), and multiple tracks (6%). Horseshoeing was present in 14 per cent of cases. The most commonly practiced surgical procedures were primary fistulotomy (n = 23) and fistulotomy plus drainage (n = 28). Seven patients underwent fistulotomy and ostomy and eight patients were treated with fistulectomy plus drainage. Most wounds (91%) healed within 8 weeks. Incontinence (6%) and recurrence (7%) were the most commonly observed complications. These results are similar to those seen in the general population. Perianal sepsis can be safely managed in immunocompromised patients, with high rates of healing and low complication rates. An aggressive sphincter-preserving approach in the management of these patients may be undertaken.
J Muñoz-Villasmil; L Sands; M Hellinger
Related Documents :
7094785 - Factors influencing the morbidity of colostomy closure.
8198745 - Cultured epidermal autografts and allodermis combination for permanent burn wound cover...
7386185 - A longterm isotope renography follow-up of patients following pregnancy complicated by ...
23149125 - Predictive value of optical coherence tomography in graft attachment after descemet's m...
24990975 - Distal femoral fresh osteochondral allografts: follow-up at a mean of twenty-two years.
16856425 - Near-drowning in pediatric respiratory intensive care unit, siriraj hospital.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  67     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  2001 May 
Date Detail:
Created Date:  2001-05-29     Completed Date:  2001-07-12     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  484-6     Citation Subset:  IM    
Division of Colon and Rectal Surgery, University of Miami Jackson Memorial Medical Center, Florida 33101, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Anus Diseases / immunology*,  surgery*
Immunocompromised Host*
Retrospective Studies
Sepsis / immunology*,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Immediate and long-term outcomes after lateral pancreaticojejunostomy for chronic pancreatitis.
Next Document:  Surgical management for chronic pancreatitis.