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Related Experiment Video

Updated: Jun 17, 2026

Posterior Approach for Debridement of the Psoas Abscess
06:02

Posterior Approach for Debridement of the Psoas Abscess

Published on: March 2, 2020

Perianal abscess/fistula disease.

Mark H Whiteford1

  • 1Gastrointestinal and Minimally Invasive Surgical Division, Legacy Portland Hospitals, Portland, OR 97210, USA. mwhiteford@orclinic.com

Clinics in Colon and Rectal Surgery
|December 17, 2009
PubMed
Summary
This summary is machine-generated.

Perirectal abscesses and fistulas stem from infected anal glands. While abscesses are treated with incision and drainage, managing fistulas requires balancing healing with fecal continence.

Keywords:
Abscessfistulafistula-in-anoperianalperirectal

Related Experiment Videos

Last Updated: Jun 17, 2026

Posterior Approach for Debridement of the Psoas Abscess
06:02

Posterior Approach for Debridement of the Psoas Abscess

Published on: March 2, 2020

Area of Science:

  • Gastroenterology and Hepatology
  • Surgical Anatomy
  • Proctology

Background:

  • Perirectal abscesses (acute) and fistulas (chronic) originate from infected anal glands.
  • These conditions have historically presented diagnostic and management challenges for clinicians.
  • Understanding the underlying anatomy and pathophysiology is crucial for effective treatment.

Purpose of the Study:

  • To emphasize the critical role of anatomical and pathophysiological knowledge in diagnosing and managing perirectal abscesses and fistulas.
  • To highlight the complexities in fistula management, particularly balancing healing rates with fecal continence.
  • To review available surgical techniques for fistula-in-ano and stress the importance of patient and technique selection.

Main Methods:

  • Review of the pathophysiology of infected anal glands leading to abscess and fistula formation.
  • Analysis of standard surgical approaches for perirectal abscess treatment (incision and drainage).
  • Discussion of various surgical techniques for fistula-in-ano, focusing on patient selection and outcome optimization.

Main Results:

  • Abscess management typically involves straightforward incision and drainage.
  • Fistula management is complex, necessitating a balance between healing success and preservation of fecal continence.
  • Multiple surgical techniques exist for fistula-in-ano, with no single method universally applicable.

Conclusions:

  • Optimal diagnosis and management of perirectal abscesses and fistulas depend on a thorough understanding of anatomy and pathophysiology.
  • Successful fistula treatment requires careful consideration of surgical technique tailored to individual patient needs and fistula characteristics.
  • Appropriate patient selection and surgical technique choice are key to achieving high success rates and minimizing morbidity in fistula repair.