Prognostic factors for recurrence following the initial drainage of an anorectal abscess.

International Journal of Colorectal Disease
Takaaki YanoMasahiko Nonaka

Abstract

It is well known that recurrent abscesses and anal fistulas may develop following incision and drainage. In this study, the prognostic factors for recurrence of anorectal abscess were retrospectively examined following initial drainage. Between November 2003 and April 2008, 205 patients with a diagnosis of anorectal abscess underwent initial incision and drainage at our hospital. We included only patients experiencing anorectal abscess for the first time, which represent the majority of anorectal abscess patients seen in regular clinical practice. Of the total of 205 subjects, 74 experienced recurrence and 131 were cured (without recurrence). An investigation on the prognostic factors for recurrence revealed that the time from disease onset to incision was the only significant prognostic factor (p = 0.001). Sex, age, body mass index, method of anesthesia, abscess location, anatomic classification, use of a drain, and comorbid diabetes mellitus had no influence on recurrence. The cumulative cure rates were 68.7% for 1 year, 64.2% for 2 years, and 63.5% for 3 years. For patients undergoing incision and drainage of anorectal abscesses, obesity did not affect recurrence. Prompt incision of anorectal abscesses was important to avoid...Continue Reading

References

Jan 1, 1991·Diseases of the Colon and Rectum·W R Schouten, T J van Vroonhoven
May 1, 1974·Diseases of the Colon and Rectum·J A ScomaR J Rubin
Feb 1, 1984·Diseases of the Colon and Rectum·C A Vasilevsky, P H Gordon
Feb 1, 1983·Diseases of the Colon and Rectum·C M ChrabotH Abcarian
Jan 4, 1998·Diseases of the Colon and Rectum·Y H HoF Seow-Choen
Nov 21, 1998·Diseases of the Colon and Rectum·K P Hämäläinen, A P Sainio
Oct 13, 2001·Diseases of the Colon and Rectum·N OnacaR Adar
Jan 28, 2003·International Journal of Colorectal Disease·I OliverR Calpena
May 15, 2007·Gastroenterology·Steven E ShoelsonAfia Naaz

❮ Previous
Next ❯

Citations

Mar 1, 2012·International Journal of Colorectal Disease·Andreas OmmerThomas Schiedeck
Jun 21, 2013·Updates in Surgery·E B BenjellounK Ait Taleb
Nov 28, 2013·Gastroenterology Clinics of North America·Erica B Sneider, Justin A Maykel
Sep 1, 2017·The British Journal of Surgery·K SahnanO D Faiz
Mar 3, 2017·Langenbeck's Archives of Surgery·Andreas OmmerBernhard Strittmatter
Aug 11, 2019·International Journal of Surgery·Zubing MeiYazhou He
Sep 18, 2021·World Journal of Emergency Surgery : WJES·Antonio TarasconiFausto Catena

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Diseases of the Colon and Rectum
J R CintronHerand Abcarian
Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
A I Malik, R L Nelson
Diseases of the Colon and Rectum
Mark H WhitefordAmerican Society of Colon and Rectal Surgeons
© 2021 Meta ULC. All rights reserved