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Risk factors for therapy failure after surgery for perianal abscess in children

Johannes Doerner1, Rose Seiberth1, Sakhavat Jafarov1

  • 1Department of General and Visceral Surgery, Helios University Hospital Wuppertal, Witten/Herdecke University, Wuppertal, Germany.

Frontiers in Surgery
|January 2, 2023
PubMed

Insights

Surgery for pediatric perianal abscesses can be effective. Anal fistula probing predicts success, while a history of abscesses indicates recurrence risk in children.

Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Proctology

Background:

  • Perianal abscess management in children lacks definitive surgical guidelines.
  • Recurrence data after pediatric perianal abscess surgery is limited.

Purpose of the Study:

  • To assess surgical outcomes for pediatric perianal abscesses.
  • To identify predictors of recurrence following surgical intervention.

Main Methods:

  • Retrospective review of pediatric patients (<14 years) undergoing surgery for perianal abscess from 2000-2018.
  • Analysis of recurrence rates and associated clinical factors.

Main Results:

  • 26% of 103 patients experienced recurrent perianal disease (abscess or fistula).
  • Anal fistula probing (OR=22.08) was independently associated with treatment success.
  • History of perianal abscess (OR=0.032) predicted treatment failure.

Conclusions:

  • Anal fistula probing is a key predictor of successful surgical outcomes in pediatric perianal abscess.
  • A prior perianal abscess history signifies a higher risk of recurrence.
  • Surgical recommendations include fistula probing and fistulotomy when indicated.
Abstract

Keywords:
anal fistulachildrenpediatric proctologyperianal abscessrecurrencesurgery

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