Intermediate-Term Evaluation of Initial Non-Surgical Management of Pediatric Perianal Abscess and Fistula-In-Ano

作者全名："Kang, Cailong; Liu, Guobin; Zhang, Rensen; Chenk, Jingyu; Yan, Chengwei; Guo, Chunbao"

作者地址："[Kang, Cailong; Liu, Guobin; Zhang, Rensen; Guo, Chunbao] Chongqing Med Univ, Dept Pediat Gen Surg, Dept Pediat Gen Surg, Chongqing, Peoples R China; [Chenk, Jingyu] Chongqing Med Univ, Childrens Hosp Chongqing Med Univ, PR China Childrens Hosp, Minist Educ Key Lab Child Dev & Disorders, Chongqing, Peoples R China; [Kang, Cailong; Liu, Guobin; Zhang, Rensen] Childrens Hosp Chongqing Med Univ, Chongqing Med Univ, PR China Childrens Hosp, Natl Clin Res Ctr Child Hlth & Disorders, Chongqing, Peoples R China; [Chenk, Jingyu; Guo, Chunbao] Chongqing Med Univ, Childrens Hosp, Dept Ultrasound, Chongqing, Peoples R China; [Yan, Chengwei] Chongqing Univ Three Gorges Hosp, Dept Pediat Gen Surg, Chongqing, Peoples R China"

通信作者："Guo, CB (通讯作者)，Chongqing Med Univ, Dept Pediat Gen Surg, Dept Pediat Gen Surg, Chongqing, Peoples R China.; Guo, CB (通讯作者)，Chongqing Med Univ, Childrens Hosp, Dept Ultrasound, Chongqing, Peoples R China."

来源：SURGICAL INFECTIONS

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:000806146000007

JCR分区：Q3

影响因子：2

年份：2022

卷号：23

期号：5

开始页：465

结束页：469

文献类型：Article

关键词：fistula-in-ano; perianal abscess; sitz baths; spontaneous drainage

摘要："Background: Non-surgical intervention has been proposed for the management of perianal abscess (PA) and fistula-in-ano (FIA), with potential benefits in terms of quality of life, wound healing, and functional outcome, although this strategy remains rare and controversial. Here, we aimed to compare the intermediate-term outcomes of non-surgical management with those of surgical incision and/or drainage.Patients and Methods: A study of pediatric patients with first-time PA and/or FIA was conducted retrospectively from January 2010 to December 2020. The patient population was stratified by surgical and non-surgical management. The clinical outcomes, including PA recurrence, FIA formation, and wound healing time, were compared between the surgical and non-surgical management groups.Results: A total of 457 patients managed for first-time PA and/or FIA were eligible for the current study. Of these patients, 169 (50.9%) patients received non-surgical intervention. There were no differences in terms of age, gender distribution, wound healing course, or abscess size between the two groups. Furthermore, no difference was noted between the two groups in terms of PA recurrence and/or FIA development rates and revisits for additional treatment.Conclusions: Although PA/FIA management is still controversial, non-surgical intervention exhibited promising outcomes for most cases of first-time PA/FIA, with fewer hospital admissions and surgical procedures and similar recurrence and fistula formation incidences. Immediate surgical intervention might be avoided because PA/FIA has a chance for spontaneous resolution in children."

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