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Incidence of fistulas subsequent to anal abscesses

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Diseases of the Colon & Rectum

Summary

Two hundred thirty-two patients with anal abscesses were followed from six months to 13 years after incision and drain-age was done as an office procedure. Most of these (88 per cent) were evaluated more than two years after the onset of their initial disease. One hundred fifty-four (66 per cent) went on to develop fistula-in-ano, while 78 (34 per cent) had no further problem. Our study encourages us to continue to incise and drain these abscesses in the office, reserving hospitalization for those who later develop fistulas.

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References

  1. Bacon HE: Anus, Rectum, Sigmoid Colon: Diagnosis and Treatment. Philadelphia, J. B. Lippincott, 1949, 1127 pp

    Google Scholar 

  2. Dunphy JE, Pikula J: Fact and fancy about fistula-in-ano. Surg Clin North Am 35: 1469, 1955

    Google Scholar 

  3. Gabriel WB: The Principles and Practice of Rectal Surgery. Ed. 2, London, H. K. Lewis & Co., Ltd., 1937, p 159

    Google Scholar 

  4. Goligher JC: Surgery of the Anus, Rectum and Colon. Springfield Ill., Charles C Thomas, 1961, p 164

    Google Scholar 

  5. Hughes ES: Inflammations and infections of the anus, Diseases of the Colon and Anorectum. Ed. 1. Edited by R Turell. Philadelphia, W. B. Saunders, 1959, chapter 44, p 896

    Google Scholar 

  6. McElwain JW, Alexander RM, MacLean MD: Primary fistulectomy for anorectal abscess: Clinical study of 500 cases. Dis Colon Rectum 9: 181, 1966

    PubMed  CAS  Google Scholar 

  7. Nesselrod JP: Clinical Proctology. Ed. 3. Philadelphia, W. B. Saunders, 1964, 323 pp

    Google Scholar 

  8. Spiesman MG, Malow L: Essentials of Clinical Proctology. Ed. 3. New York, Grune and Stratton, 1957, 316 pp

    Google Scholar 

  9. Turell R: Treatment in Proctology. Baltimore, Williams and Wilkins, 1949, 248 pp

    Google Scholar 

  10. Turell R (ed): Diseases of the Colon and Anorectum. Ed. 1. Philadelphia, W. B. Saunders, 1959, 1238 pp

    Google Scholar 

  11. Waggener HU: Immediate fistulotomy in the treatment of perianal abscess. Surg Clin North Am 49: 1227, 1969

    PubMed  CAS  Google Scholar 

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Author information

Author notes

  1. Joseph A. Scoma M.D.

    Present address: , 2850 Sixth Avenue, 92103, San Diego, California

Authors and Affiliations

  1. Section of Colon and Rectal Surgery, Muhlenberg Hospital, Plainfield, New Jersey

    Joseph A. Scoma M.D., Eugene P. Salvati M.D. & Robert J. Rubin M.D.

Authors
  1. Joseph A. Scoma M.D.
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  2. Eugene P. Salvati M.D.
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  3. Robert J. Rubin M.D.
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Additional information

Read at the meeting of the American Proctologic Society, Detroit, Michigan, June 10 to 14, 1973. This paper was one of two that received the Education Committee Award.

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Scoma, J.A., Salvati, E.P. & Rubin, R.J. Incidence of fistulas subsequent to anal abscesses. Dis Colon Rectum 17, 357–359 (1974). https://doi.org/10.1007/BF02586982

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  • DOI: https://doi.org/10.1007/BF02586982

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