Surgical management of perianal abscess in neonates and infants.

ANZ Journal of Surgery
Sharman P Tan TannyMaurizio Pacilli

Abstract

The optimal management of perianal abscess in neonates and infants remains unclear, including the need for laying open of the fistula and the role of microscopy and culture studies (MCS). We aimed to report the recurrence rate following incision and drainage alone (I&D) compared to incision and drainage with laying open of the fistula (I&DF) and to determine the value of MCS in perianal abscess management. Following ethical approval (16326Q), a 10-year (2007-2017) review of children younger than 1 year presenting with a perianal abscess was performed. Presence of a fistula was sought in all patients. Data are presented as number of cases (%), median (range) and analysed using Fisher's exact test and Mann-Whitney U-test. P-values of <0.05 were considered significant. We identified 108 patients (107 (99.1%) males) with 111 abscesses (three bilateral); 26 in I&D group and 85 in I&DF group. Initial abscess occurred to the right of midline in 64 cases (58%) and to the left of midline in 47 cases (42%). Twenty-two (20%) recurred after 30 (6-372) days. Sixty-five (59%) had MCS performed. Recurrence was higher in I&D group (9/26) versus I&DF group (13/85) (P = 0.04 (relative risk 2.2, 95% confidence interval 1.0-4.5)). There was no dif...Continue Reading

References

Mar 1, 1987·Journal of Pediatric Surgery·A D ShaferR A Flanagan
Feb 1, 1985·Journal of Pediatric Surgery·R J FitzgeraldW Ryan
Jul 1, 1982·The British Journal of Surgery·R H GraceR G Thompson
Mar 1, 1994·Journal of Pediatric Surgery·A H al-SalemV Talwalker
Jun 29, 2000·Journal of Pediatric Surgery·N G RosenA Peña
Aug 31, 2001·Journal of Pediatric Surgery·J T OhE H Hwang
Jan 30, 2003·The British Journal of Surgery·A MacdonaldF Munro
Dec 24, 2004·Diseases of the Colon and Rectum·Francis SerourArkadi Gorenstein
Aug 14, 2008·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·C J PayneD S Byrne
Aug 7, 2009·World Journal of Surgery·Edmund LeungMarcelino Yazbek-Hanna
Jan 29, 2010·Journal of Paediatrics and Child Health·Semire Serin EzerAkgün Hiçsönmez
Sep 14, 2010·The Brazilian Journal of Infectious Diseases : an Official Publication of the Brazilian Society of Infectious Diseases·Mehmet UlugCelal Ayaz
Apr 29, 2011·Journal of Microbiology, Immunology, and Infection = Wei Mian Yu Gan Ran Za Zhi·Chien-Kuo LiuFang-Ju Sun
Jul 26, 2011·Pediatric Surgery International·Cağatay Evrim AfşarlarIsmet Faruk Ozgüner
Apr 18, 2012·ANZ Journal of Surgery·Emily BuddicomSebastian King
May 27, 2016·ANZ Journal of Surgery·Roland W XuChoon-Seng Chong
Nov 1, 2016·Techniques in Coloproctology·S H EmileM Abdelnaby
Jun 1, 2017·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·Zhenhua GongZhibzo Lv

❮ Previous
Next ❯

Citations


❮ 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

Canadian Medical Association Journal
W F Gillespie
Bristol Medico-chirurgical Journal
N I Ramus, J Bradley
Nederlands tijdschrift voor geneeskunde
W F SUERMONDT
BMJ : British Medical Journal
Kapil SahnanRobin Ks Phillips
© 2021 Meta ULC. All rights reserved