The evaluation of bacteriology in perianal abscesses of 81 adult patients

Ulug, Mehmet; Gedik, Ercan; Gırgın, Sadullah; Çelen, Mustafa Kemal; Ayaz, Celal

doi:10.1590/s1413-86702010000300005

Cited by 7 publications

(5 citation statements)

References 17 publications

(27 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In the present study, the male gender predominance (92%), and those with age d 50 years (48%) came in concordance with those reported in studies of same interest 10,11 and other studies reported that perianal abscesses are seen two times more frequently in men than in women 3,5,12 . In agreement with our finding, it was stated that the peak incidence of perianal abscesses is in the third or fourth decade of life and it is two or three times more common in men than women with diabetes and increased BMI as the major traced risk factors for development of perianal abscesses 13,14 . Our study finding showed no abscess recurrence whereas other published data reported abscess recurrence rate 5% of the fistulotomy group [15,16] .…”

Section: Resultssupporting

confidence: 92%

Incision and drainage of perianal abscess with primary fistulotomy in case of co-existing low variety fistula

Masum¹,

Yazdani

Biswas

et al. 2020

J Dhaka Med Coll

View full text Add to dashboard Cite

Background: Perianal abscess is a clinical condition frequently encountered by surgeons. Perianal abscess originates from an infection arising in the cryptoglandular epithelium lining the anal canal. Occasionally; bacteria, fecal material or foreign matter can clog an anal gland and tunnel into the tissue around the anus or rectum, where it may then collect in a cavity called an abscess. About half of perianal abscess may manifest as fistula-in-ano which increases the risk of abscess recurrence requiring repeated drainage. Treating the fistula at the same time of incision and drainage of abscess reduce chances of recurrent abscess development and therefore likelihood of repeat surgery. Primary fistulotomy in case of low variety fistula may be advantageous for perianal abscess because fistulas are more commonly traceable and can be laid open with full preservation of external anal sphincters. Methods: 216 consecutive patients (91.6% males, 8.33% females); mean age, 39 (range 18-70 years) from July, 2015 to January, 2019 with perianal abscesses were treated by incision and drainage and primary fistulotomy. 38 patients had comorbidities as diabetes mellitus, obesity (BMI>26), tuberculosis. Patients were followed up clinically for 2 months. Digital rectal examination performed to assess anal tone before, one week and one month after surgery. Results: Operative time was on average 17 minutes (15-20 minutes). Average hospital stay was 1 day and complete healing time ranged from 30-60 days. Persistent fistulas developed in four patients after surgery (1.85%). Bleeding occurred in 2 patients (1%). Many patients had transient minor incontinence in the form of flatus and loose stool incontinence but eventually resolved after two weeks. No major incontinence was found. Patient’s satisfaction of the treatment maneuver in relation to abscess recurrence and fistula occurrence was 95%. All patients remained fully continent. Operative time, hospital stay, and time for complete wound healing were the same in both groups. Conclusion: Primary fistulotomy for co-existing low variety fistula at the time of drainage of perianal abscess results in very few persistent fistulas and no added risk of fecal incontinence. J Dhaka Medical College, Vol. 28, No.1, April, 2019, Page 85-89

show abstract

Section: Resultssupporting

confidence: 92%

Incision and drainage of perianal abscess with primary fistulotomy in case of co-existing low variety fistula

Masum¹,

Yazdani

Biswas

et al. 2020

J Dhaka Med Coll

View full text Add to dashboard Cite

show abstract

“…In the present study, the male gender predominance (79%) and those with age ≤ 50 years (38%) came in concordance with those reported in studies of same interest [10,11] and other studies reported that perianal abscesses are seen two times more frequently in men than in women [2,4,12]. In agreement with our finding, it was stated that the peak incidence of perianal abscesses is in the third or fourth decade of life and it is two or three times more common in men than women with diabetes and increased BMI as the major traced risk factors for development of perianal abscesses [13,14 ]. Our data reported that higher abscess recurrence and fistula formation after the treatment modalities using incision & drainage of perianal abscess and this finding was in concordance with other published data that reported abscess recurrence rate of 29% incision/drainage group as compared with 5% of the fistulotomy group [15,16].…”

Section: Discussionsupporting

confidence: 93%

Perianal Abscess; Simple Drainage versus Drainage and Fistulotomy

Saber¹

2016

View full text Add to dashboard Cite

Introduction: Perianal abscess is one of the most common general surgical emergencies encountered in clinical practice and the initial treatment is simple incision and drainage, other surgical procedures as fistulotomy may be required as a definitive measure for treating fistula because about 40% of patients present with a fistula after simple incision and drainage of their perianal abscesses. The aim of this study was to detect the outcome of simple drainage versus drainage and fistulotomy for perianal abscess as regard to abscess recurrence, fistula formation and time off from work. Patients and Methods: A total number of 200 patients of both sexes; 100 for each group, their ages ranged between 21-65 years were enrolled to this parallel prospective randomized clinical trial where patients were divided randomly into two main groups; A and B. Group A patients [N =100] were subjected to simple incision & drainage and those of group B [N = 100] were subjected to drainage & fistulectomy for acute perianal abscess. End Points: The primary end points were abscess recurrence, fistula formation and incontinence. The secondary end points were time off from work, wound discharge, wound healing and patients' satisfaction. Results: Patient's satisfaction of the treatment maneuver in relation to abscess recurrence and fistula occurrence was 80 % and 95% of group A and B respectively. Conclusion: The present study showed that treatment of perianal abscess through the combined maneuver of incision-drainage with fistulotomy at the same time significantly reduced the likelihood of persistent abscess, recurrence and need for repeat surgery. Patient's satisfaction after treatment with this combined method showed a significant value than incision-drainage only as regard disease recurrence, time of wound discharge and the incidence of fistula formation.

show abstract

“…In the pediatric population, the male predominance is even more pronounced [ 41 ]. Other similar studies have also found that perianal abscesses are more common in men than in women [ 20 , 22 , 23 , 38 ]. Our results are consistent with them.…”

Section: Discussionmentioning

confidence: 70%

“…The peak incidence of anal and rectal abscesses occurs in the third and fourth decades of life [ 20 , 22 , 23 , 38 ]. The average age of patients is around 40 years [ 20 , 23 , 38 , 42 , 43 , 44 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Does Anti-TNF-α Therapy Affect the Bacteriological Profile of Specimens Collected from Perianal Lesions? A Retrospective Analysis in Patients with Crohn’s Disease

Gruszecka

Filip

2022

IJERPH

View full text Add to dashboard Cite

Anal abscesses and fistulas are potential complications of Crohn’s disease (CD). Chronic immunosuppression, loose stools, and poor wound healing in this population present challenges to the management of perianal diseases. The purpose of the study was to determine the predominant bacterial species found in specimens from perianal lesions causing anal abscess and/or fistula drainage in hospitalized patients, and to compare the number and type of microorganisms isolated from samples taken from patients undergoing biological therapy or traditionally treated. The outcomes of studies of patients treated for anal abscesses or fistulas from 2017 to 2019 were evaluated. Data obtained from medical records included culture and antibiotic sensitivity results of swabs from perianal lesions of isolated microorganisms. A total of 373 swabs were collected from perianal lesions during the analysis period, including 51 (49 positive samples) from patients with CD. The predominant pathogen was Escherichia coli (55%, p < 0.001), the second most common microorganism was Staphylococcus aureus (14.3%, p < 0.001). In vitro susceptibility testing showed E. coli, ESBL (strain with Extended Spectrum Beta-Lactamase) in five cases, S. aureus, MRSA (methicillin-resistant S. aureus -resistant to all beta-lactam antibiotics: penicillins with inhibitors, cephalosporins, monobactams, carbapenems, except for ceftaroline) in one sample. Biologic therapy does not affect the type of microorganisms isolated from perianal abscesses in patients with CD.

show abstract

The evaluation of bacteriology in perianal abscesses of 81 adult patients

Cited by 7 publications

References 17 publications

Incision and drainage of perianal abscess with primary fistulotomy in case of co-existing low variety fistula

Incision and drainage of perianal abscess with primary fistulotomy in case of co-existing low variety fistula

Perianal Abscess; Simple Drainage versus Drainage and Fistulotomy

Does Anti-TNF-α Therapy Affect the Bacteriological Profile of Specimens Collected from Perianal Lesions? A Retrospective Analysis in Patients with Crohn’s Disease

Contact Info

Product

Resources

About