A critique of anal glandular infection in the aetiology and treatment of idiopathic anorectal abscesses and fistulas

The treatment of acute superficial abscesses: A prospective clinical trial

“…If the cavity could then be closed off completely by suturing, it was felt that further infection was unlikely to occur. This method has since been recommended by Benson and Goodman (1970) for puerperal breast abscesses, by Wilson (1964), Bennett (1967 and Goligher et al (1967) for ischiorectal abscesses, by Page (1974) for axillary abscesses and by Jones and Wilson (1976) for all superficial abscesses. It was the purpose of this study to compare the standard method of free drainage with primary suture as treatments for acute superficial abscesses and to assess the value of antibiotics as an adjunct to surgery.…”

“…This may partly account for the good results obtained in the treatment of these particular abscesses (Benson and Goodman, 1970;Goligher et al, 1967;Goligher, 1975).…”

Incision with primary suture in the treatment of acute puerperal breast abscess

“…THE treatment of soft-tissue abscesses by the method of incision and primary suture under antibiotic cover has been strongly advocated by Ellis (1953Ellis ( , 1960Ellis ( , 1967 and Lowden (1955).…”

Relationship of Abscess to Fistula

“…The crypts were probed gently in search of an internal opening. In only fi ve out of 29 cases (all perianal) they found communication with the crypt region, supporting the argument that in about two-thirds of the anorectal infections the cryptoglandular etiology does not apply [ 11 ].…”