[Fistula detection in perianal abscess. Prevention or unnecessary trauma?].
We analyzed our experience with one-stage treatment of anal abscesses and fistulae with regard to recurrence and incontinence in a retrospective study including 131 patients with a 100% follow-up. It was shown that one-stage treatment is safe, not always easy, and that incontinence was associated with a high recurrence rate rather than with fistula excision. We conclude that one-stage treatment by an experienced surgeon is the safest and most satisfactory treatment for patients with anal abscesses and simultaneous fistulae.
Knoefel
W T
WT
Abteilung für Allgemeinchirurgie, Chirurgische Klinik, Universitäts-Krankenhaus Eppendorf, Hamburg.
Hosch
S B
SB
Hoyer
B
B
Thonke
F
F
Izbicki
J R
JR
Broelsch
C E
CE
D000038:Abscess / Q000209:etiology / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D011349:Proctitis / Q000209:etiology / Q000601:surgery*; D012003:Rectal Fistula / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation
Die Fistelsuche beim perianalen Abszess. Prophylaxe oder unnötiges Trauma?