title: Evaluation and management of perianal abscess and anal fistula: a consensus statement developed by the Italian Society of Colorectal Surgery (SICCR).
abstract: Perianal sepsis is a common condition ranging from acute abscess to chronic fistula formation. In most cases, the source is considered to be a non-specific cryptoglandular infection starting from the intersphincteric space. The key to successful treatment is the eradication of the primary track. As surgery may lead to a disturbance of continence, several sphincter-preserving techniques have been developed. This consensus statement examines the pertinent literature and provides evidence-based recommendations to improve individualized management of patients.
authors.affiliation: Department of Surgery, Coloproctology Unit, Hospital of Sanremo, Via Borea, 56, Sanremo, IM, Italy. ab.amato@libero.it.
authors.forename: A
authors.initials: A
authors.lastname: Amato
authors.affiliation: Deparment of Surgery, Hospital S. Antonio Abate, Gallarate, VA, Italy.
authors.forename: C
authors.initials: C
authors.lastname: Bottini
authors.affiliation: Division of Gastrointestinal Surgery, San Raffaele Scientific Institute, Milan, Italy.
authors.forename: P
authors.initials: P
authors.lastname: De Nardi
authors.affiliation: Deparment of General Surgery, Hospital Santo Spirito, Bra, CN, Italy.
authors.forename: P
authors.initials: P
authors.lastname: Giamundo
authors.affiliation: Department General Surgery, Hospital Santa Maria dei Battuti, San Vito al Tagliamento, PD, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Lauretta
authors.affiliation: Coloproctology Unit, Hospital S. Rita, Vercelli, Italy.
authors.forename: A
authors.initials: A
authors.lastname: Realis Luc
authors.affiliation: Proctology Unit, Hospital S. Camillo, Treviso, Italy.
authors.forename: G
authors.initials: G
authors.lastname: Tegon
authors.affiliation: Emeritus Consultant Surgeon, St Mark's Hospital, London, England, UK.
authors.forename: R J
authors.initials: RJ
authors.lastname: Nicholls
mesh_terms: D000038:Abscess / Q000145:classification / Q000209:etiology / Q000601:surgery*; D001003:Anal Canal / Q000473:pathology / Q000601:surgery*; D001004:Anus Diseases / Q000145:classification / Q000209:etiology / Q000601:surgery*; D003107:Colorectal Surgery / Q000592:standards*; D032921:Consensus; D013505:Digestive System Surgical Procedures / Q000379:methods; D019468:Disease Management; D006801:Humans; D007558:Italy; D012003:Rectal Fistula / Q000145:classification / Q000209:etiology / Q000601:surgery*; D018805:Sepsis / Q000150:complications
keywords: Advancement flap; Fibrin glue; Fistula-in-ano; Horseshoe extension; LIFT; Perianal abscess; Plug; Seton; Transsphincteric fistula; VAAFT