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Treatment-Based Three-Dimensional Classification and Management of Anorectal Infections

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Abstract

This article provides a current overview on clinical anatomy, pathophysiology, workup and surgical management of anorectal abscesses. Based on the three-dimensional nature of anorectal abscesses, a novel treatment-based classification is proposed. It examines the basis of a philosophic shift from simple drainage to concomitant definitive treatment of abscesses and their underlying primary fistulous trajectories. Complications are discussed specifically in this context.

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Acknowledgments

Special thanks go to Herand Abcarian, M.D., for his encouragement to write this manuscript and to Mr. Alan Gesek for his outstanding artwork (Medical Illustrator, Rochester, New York).

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Authors and Affiliations

  1. Division of Colorectal Surgery, Keck School of Medicine at the University of Southern California, Los Angeles, CA, USA

    A. E. Ortega, K. G. Cologne, J. Shin, S. W. Lee & G. T. Ault

  2. University of Southern California, LAC+USC Medical Center, Clinic Tower, Room 6A231-A, 1200 N. State Street, Los Angeles, CA, 90033, USA

    A. E. Ortega

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  1. A. E. Ortega
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  2. K. G. Cologne
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  3. J. Shin
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Correspondence to A. E. Ortega.

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Ortega, A.E., Cologne, K.G., Shin, J. et al. Treatment-Based Three-Dimensional Classification and Management of Anorectal Infections. World J Surg 41, 574–589 (2017). https://doi.org/10.1007/s00268-016-3767-8

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