[Abscess excision and primary fistulectomy as initial therapy of peri-proctal abscess. A prospective analysis of 122 patients].
A prospective study of 122 patients with anorectal abscesses was carried out to elucidate the value of abscess drainage with primary fistulectomy, when fistulas were identified. Patients were followed from 2 1/2 to 3 1/2 years with a mean follow-up of three years. In 52 patients (Group A) a primary fistula was present (42.6%), in 47 patients simultaneous excision of abscess and drainage of the intersphincteric space combined with partial sphincterotomy was performed. Recidives occurred in 17.3%. In 5 patients with a high transsphincteric or suprasphincteric fistula, a two-stage fistulectomy was done. In all 70 patients of group B no fistula was found at drainage operation. The incidence of recurrent anorectal abscess was 21.4%. In this group it is shown that the rate of recurrence was not related to a simultaneous excision of abscess and drainage of the intersphincteric space.
Athanasiadis
S
S
Coloproktologische Abteilung, St. Joseph-Hospitals Duisburg-Laar.
Fischbach
N
N
Heumüller
L
L
Marla
B
B
D000038:Abscess / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004322:Drainage / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D011349:Proctitis / Q000601:surgery*; D011446:Prospective Studies; D012003:Rectal Fistula / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation
Abscessexcision und primäre Fistulektomie als Initialtherapie des periproktitischen Abscesses. Eine prospektive Analyse bei 122 Patienten.