Document Detail


Perianal abscess and fistula-in-ano in infants.
MedLine Citation:
PMID:  9607474     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
C Festen; H van Harten
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric surgery     Volume:  33     ISSN:  0022-3468     ISO Abbreviation:  J. Pediatr. Surg.     Publication Date:  1998 May 
Date Detail:
Created Date:  1998-07-30     Completed Date:  1998-07-30     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0052631     Medline TA:  J Pediatr Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  711-3     Citation Subset:  IM    
Affiliation:
Pediatric Surgical Center, University Hospital Nijmegen, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
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:
J Pediatr Surg. 1998 Dec;33(12):1848   [PMID:  9869070 ]

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


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