Skip to main content

Advertisement

SpringerLink
Log in

A controlled study comparing the conventional treatment of idiopathic anorectal abscess with that of incision, curettage and primary suture under systemic antibiotic cover

  • Published:
Diseases of the Colon & Rectum

Summary

The treatment of anorectal abscess by deroofing and packing on an initial inpatient basis has been compared in a controlled trial with that of incision curettage and primary suture under systemic antibiotic cover in the Accident and Emergency Department. Over a three-year period 219 patients with anorectal abscess were randomly allocated to one or other treatment and subsequently followed up in a rectal clinic. In terms of the time taken for complete healing and the periods lost from work postoperatively, the method of incision, curettage and primary suture under systemic antibiotic cover was found to be significantly superior, without any increased risk of recurrence of the abscess or of subsequent fistula formation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Benson EA, Goodman MA: Incision with primary suture in the treatment of acute puerperal breast abscess. Br J Surg 57: 55, 1970

    Article  PubMed  CAS  Google Scholar 

  2. Buchan R, Grace RH: Anorectal suppuration: The results of treatment and the factors influencing the recurrence rate. Br J Surg 60: 537, 1973

    Article  PubMed  CAS  Google Scholar 

  3. Ellis M: Use of penicillin and sulphonamides in the treatment of suppuration. Lancet 1: 774, 1951

    Article  PubMed  CAS  Google Scholar 

  4. Ellis M: Casualty Officers Handbook. Ed. 3. London, Butterworth and Company, 1970, p 178

    Google Scholar 

  5. Goligher JC: Surgery of the Anus, Rectum and Colon. Ed. 3. London. Ballière Tindall (in press)

  6. Wilson DH: The late results of anorectal abscess treated by incision, curettage, and primary suture under antibiotic cover. Br J Surg 51: 828, 1964

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Accident and Emergency Department of the General Infirmary, Leeds, England

    D. J. Leaper F.R.C.S., R. F. Page F.R.C.S., I. L. Rosenberg F.R.C.S., D. H. Wilson F.R.C.S. &  J. C. Goligher F.R.C.S.

  2. Professorial Surgical Unit of the General Infirmary, Leeds, England

    D. J. Leaper F.R.C.S., R. F. Page F.R.C.S., I. L. Rosenberg F.R.C.S., D. H. Wilson F.R.C.S. &  J. C. Goligher F.R.C.S.

Authors
  1. D. J. Leaper F.R.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. F. Page F.R.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. I. L. Rosenberg F.R.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. D. H. Wilson F.R.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. J. C. Goligher F.R.C.S.
    View author publications

    You can also search for this author in PubMed Google Scholar

About this article

Cite this article

Leaper, D.J., Page, R.F., Rosenberg, I.L. et al. A controlled study comparing the conventional treatment of idiopathic anorectal abscess with that of incision, curettage and primary suture under systemic antibiotic cover. Dis Colon Rectum 19, 46–50 (1976). https://doi.org/10.1007/BF02590851

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02590851

Keywords

Search

Navigation