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[Fistula detection in perianal abscess. Prevention or unnecessary trauma?]
W T Knoefel1, S B Hosch, B Hoyer
1Abteilung für Allgemeinchirurgie, Chirurgische Klinik, Universitäts-Krankenhaus Eppendorf, Hamburg.
Abstract:
We analyzed our experience with one-stage treatment of anal abscesses and fistulae with regard to recurrence and incontinence in a retrospective study including 131 patients with a 100% follow-up. It was shown that one-stage treatment is safe, not always easy, and that incontinence was associated with a high recurrence rate rather than with fistula excision. We conclude that one-stage treatment by an experienced surgeon is the safest and most satisfactory treatment for patients with anal abscesses and simultaneous fistulae.