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Anorectal abscess.

P J Kovalcik, R L Peniston, G H Cross

Surgery, Gynecology & Obstetrics

|December 1, 1979

Summary

This summary is machine-generated.

Anorectal abscesses are often caused by anal gland issues. Prompt surgical drainage is key, as delayed treatment and recurrence are common, especially in patients with underlying conditions.

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Area of Science:

Colorectal Surgery
Gastroenterology

Background:

Anorectal abscesses are common and painful conditions.
Recurrence and delayed treatment are significant challenges in managing these infections.

Purpose of the Study:

To review the etiology, management, and outcomes of anorectal abscesses.
To identify factors contributing to delayed treatment and recurrence.

Main Methods:

Retrospective review of 181 anorectal abscess admissions over five years.
Analysis of treatment delays, recurrence rates, and associated medical conditions.

Main Results:

The anal glandular hypothesis explained most cases (176/181).
Common causes for treatment delay included misdiagnosis and nonoperative management attempts.

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One-third of patients had prior abscesses, with a 6% postoperative recurrence rate.

Afebrile status and minimal leukocytosis were frequent, emphasizing reliance on local findings.

Conclusions:

Prompt surgical incision and drainage under general or spinal anesthesia are recommended.
Wide unroofing and primary fistulotomy are discouraged; local anesthesia is not advised.
Associated conditions like diabetes or inflammatory bowel disease warrant suspicion; hemorrhoidectomy can be safely combined.