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Anorectal supralevator abscess-fistula in ano
Surgery, Gynecology & Obstetrics
|June 1, 1979
Summary
Supralevator anorectal abscesses and chronic fistula in ano are rare conditions. Treatment involves internal sphincterotomy for drainage, with potential additional pelvic abscess drainage in critical cases.
Area of Science:
- Gastroenterology and Surgical Science
- Anorectal Diseases and Conditions
Background:
- Supralevator abscesses and chronic fistula in ano represent a small subset of anorectal pathologies.
- These conditions arise from high intermuscular abscesses, often secondary to infected anal glands or chronic anal ulcers.
Purpose of the Study:
- To elucidate the characteristics and treatment of supralevator anorectal abscesses and chronic fistula in ano.
- To differentiate these specific anorectal conditions from pelvic abscesses of other etiologies.
Main Methods:
- Review of clinical presentations and treatment outcomes for supralevator anorectal abscesses.
- Analysis of surgical techniques, including internal sphincterotomy and alternative drainage approaches.
Main Results:
- Internal sphincterotomy is the primary recommended treatment, facilitating drainage at the rectal perforation site.
- In critically ill patients, supplementary drainage via the ischiorectal fossa or lumbar-retroperitoneal approach may be required.
Conclusions:
- Effective management of supralevator anorectal abscesses relies on precise surgical drainage.
- Distinguishing these from pelvic abscesses is crucial for appropriate therapeutic strategies.