title: [Fistula detection in perianal abscess. Prevention or unnecessary trauma?].
abstract: 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.
authors.affiliation: Abteilung für Allgemeinchirurgie, Chirurgische Klinik, Universitäts-Krankenhaus Eppendorf, Hamburg.
authors.forename: W T
authors.initials: WT
authors.lastname: Knoefel
authors.forename: S B
authors.initials: SB
authors.lastname: Hosch
authors.forename: B
authors.initials: B
authors.lastname: Hoyer
authors.forename: F
authors.initials: F
authors.lastname: Thonke
authors.forename: J R
authors.initials: JR
authors.lastname: Izbicki
authors.forename: C E
authors.initials: CE
authors.lastname: Broelsch
mesh_terms: 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
vernacular_title: Die Fistelsuche beim perianalen Abszess. Prophylaxe oder unnötiges Trauma?