| Perianal abscess and fistula-in-ano in infants. | |
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MedLine Citation:
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PMID: 9607474 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The aim of this study was to obtain insight into the short- and long-term results of treatment of perianal abscess and fistula-in-ano in infants. METHODS: This is a retrospective study of the records of patients treated over a 21-year period from January 1974 until December 1994 in a Pediatric Surgical Center. A long-term (1 to 24 year, mean 7.74 year) follow-up by questionnaire (response 81%) is also included. RESULTS: Drainage of a perianal abscess is followed in 35% of cases by a fistula. Fistulotomy or fistulectomy is followed in 13% of cases by a recurrence. There were two long-term recurrences that both healed spontaneously. The persisting scar sometimes gives problems with anal cleaning. All children aged 3 years and older were continent for feces. In two, there was soiling for some time. One had constipation and one was incontinent during the night. CONCLUSIONS: Simple drainage of a perianal abscess is followed frequently by a fistula. Fistulotomy or fistulectomy of a fistula-in-ano in infants has a reasonable chance of recurrence in the short term. Long-term recurrences are exceptional. There are no serious disabilities in the long run. |
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Authors:
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C Festen; H van Harten |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of pediatric surgery Volume: 33 ISSN: 0022-3468 ISO Abbreviation: J. Pediatr. Surg. Publication Date: 1998 May |
Date Detail:
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Created Date: 1998-07-30 Completed Date: 1998-07-30 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0052631 Medline TA: J Pediatr Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 711-3 Citation Subset: IM |
Affiliation:
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Pediatric Surgical Center, University Hospital Nijmegen, The Netherlands. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abscess
/
complications,
epidemiology,
surgery* Age Distribution Anus Diseases / complications, epidemiology, surgery* Female Follow-Up Studies Humans Incidence Infant Infant, Newborn Male Netherlands / epidemiology Prognosis Rectal Fistula / epidemiology, etiology, surgery* Recurrence Retrospective Studies Risk Factors Sex Distribution Treatment Outcome |
| Comments/Corrections | |
Comment In:
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J Pediatr Surg. 1998 Dec;33(12):1848
[PMID:
9869070
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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